Rolling acne scars, the soft depressions tethered to the tissue beneath, are not on the maker's list of Endolift areas, and we say so; two published series treated them. In one, nine patients had subcision with the Endolift fibre passed under the scars. In a 2025 series, 42 patients had 1470 nm laser subcision, the fibre freeing the tethered base of the scars, combined with a CO2 laser on the surface. One session under local anaesthetic. Every treatment is given by Dr Marie Duggan, GMC 7488383, at Endolift Clinic, 8 Devonshire Place, London, W1G 6HP, with the price in writing at a free consultation.
What it does on acne scars
The fibre passed under a rolling scar cuts the fibrous bands that pull it down and heats the layer beneath, which prompts new collagen to fill the depression from below over the following months. Ice-pick scars, the narrow deep pits, are not what the fibre reaches, and boxcar scars with sharp edges respond less. The doctor says at the consultation which scars yours are and whether Morpheus8 at our sister clinic, radiofrequency microneedling, is the better route or a combination.
What the series measured
Nine patients, with good or very good improvement in about 90% and the scar count down from about 25 to 11 at three months. Forty-two patients treated with 1470 nm subcision and a CO2 laser, with improvement on two scar scales. Small series, no untreated comparison group, and a 2025 systematic review found a high risk of bias in the Endolift studies it kept. The full guide sets out every series.
The session and after
Local anaesthetic along the path of the fibre, the fibre passed under the scarred skin from small entry points and drawn back pass by pass, and in our practice you go home the same day. Swelling, redness and some bruising over the scarred area for several days, no sun for a week and sunscreen daily. The result develops over three to six months and is photographed at the review in our practice. The downtime page sets out the recovery.
Who it suits
In our practice, an adult with rolling acne scars on the cheeks and no active acne, who wants one session. Active acne is treated first, and a 2026 review lists metal implants, active infection, pregnancy, bleeding disorders, skin disease and cancer as reasons not to treat. The cheeks page covers the cheek itself, and the full guide the rest. The price is in writing at a free consultation, with a price match on any comparable written quote.
Not sure you are suitable? Ask the clinician, it is free
