Acne scars often appear worse after treatment because many effective procedures intentionally injure the skin to stimulate collagen remodeling, triggering temporary inflammation, redness, and purging that can be mistaken for worsening scarring. TL;DR Many treatments like chemical peels, microneedling, and lasers intentionally injure the skin to stimulate collagen production, causing temporary inflammation that makes scars look worse before improvement appears [1] Post-inflamm