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Abstract : The inflammatory process in acne vulgaris (AV) can lead to scars, a common complication. Atrophic acne scars are generally affected by the disruption of elastic fibers and how much collagen is lost. Most monotherapies for acne scars give unsatisfactory results. Treatment modalities available include chemical peels, dermabrasion, laser therapy, punch techniques, needling, subcisions, and intralesional injections or combination therapy with varying effectiveness. 24-year-old male with complaints of acne scars since five years ago and has never been treated. Physical examination of the facial region revealed comedones, papulaes, pustulaes, hyperpigmented macules, and multiple ice pick, rolling, and boxcar-type atrophic scars visible from a distance of more than 50 centimeters (cm). Based on qualitative criteria, the qualitative and quantitative examination of global acne scarring grading Goodman and Baron obtained the degree of acne scars on the face as 4 (severe), and on quantitative measures, received a score of 12 before therapy. The patient was diagnosed with mild acne and strict ice pick, rolling, and boxcar-type acne scars. The treatment given was facial cleansing soap, SPF 33 sunscreen, and tretinoin 0.1% gel night cream for 2 weeks as priming, then asked to stop using night cream 4 days before the subcision combination therapy, 35% trichloroacetic acid (TCA) peeling and 90% TCA chemical reconstruction of skin scars (CROSS). The action was performed twice for 35% TCA peeling and 90% CROSS TCA with an interval of 4 weeks. Evaluation at week 8 obtained a decrease in the degree of acne scars to 2 (mild) qualitative criteria and 9 on quantitative measures. The inflammatory process that occurs in AV can cause damage to the epidermis, which can cause tissue damage and scars. Combination therapy of subcision with 35% TCA peeling and 90% CROSS TCA is a practical, synergistic, and safe procedure for acne scars therapy.