Cocoa Butter for Acne Scars: Evidence Review

Cocoa butter is an emollient with antioxidant polyphenols. It moisturizes and may improve scar appearance by enhancing skin elasticity and hydration. However, no clinical trials demonstrate it eliminates or significantly reduces established acne scars (atrophic, hypertrophic, or hyperpigmented).

Evidence-Based Scar Treatments

• Atrophic scars: Fractional laser (CO₂, erbium), microneedling RF, subcision, TCA CROSS, fillers.
• Hypertrophic/keloid: Intralesional steroids, silicone gel/sheeting, pressure therapy, laser.
• Post-inflammatory hyperpigmentation: Topical retinoids, azelaic acid, vitamin C, niacinamide, chemical peels, laser.

Cocoa butter is safe as adjunctive moisturizer but not a primary scar therapy. Consult a dermatologist for evidence-based options.