Acne scars that resist months of consistent topical treatment signal a fundamental mismatch between scar type and treatment approach, not treatment failure—many scars involve structural collagen damage that creams cannot reverse. TL;DR Acne scars, particularly deep atrophic (indented) scars, often do not improve with topical creams because they involve structural collagen loss that topicals cannot fix [1] Dermatologists can offer targeted procedures such as TCA CROSS, laser r