The Real Story Behind Acne Scars

Acne scars are created when pimples either get irritated or failed to recover fully. It is created when one of the layers of your healthy skin is wounded. When your skin is injured and bleeding, it is our body nature to form new tissues to recover them, and these new tissues will form the acne marks.


Type of Acne Scars & Treatments

type of skin scars

In general, there are 2 major types of acne scars – one caused by loss of tissue and another one caused of the new tissues developed during healing process. Let’s learn about few common type of acne scars:


Depressed Scars

These are pitted scars caused by acne or accidents. Depends on their shape and formation, it can be identified as icepick scars (deep and narrow), rolling scars (rounded and sloping edge) or boxcar scars (steep defined edges). It is caused by loss of tissue that causes collapse or deep holes in the acne area.

Ice-pick scars left behind large and empty poles in the skin and it is hardest type of scar to be treated without surgical procedures. They are often too deep to be treated using standard resurfacing methods such as chemical peels. Better treatment options will be punch out excisions and laser therapy.

Rolling scars are broad scars with round and sloping edges. Great result can easily achieved using laser resurfacing, chemical peels, red ligh photo-theraphy, subcision or needling.

Boxcar scars is similar to rolling scars but they have deeper and steeper edges. Because they are smaller compared to rolling scars, they can be treated using cosmetic fillers. Laser resufacing is also good options and will make great improvement for these type of scars.


Keloid Scars

Keloid (or Hypertrophic) scars are easily identified by the excess scars tissue formed beside the acne. They are firm scar tissues that raised around the healthy tissue after the acne eruption. This is not common among acne patients and are usually caused by external factors such as genetics or secondary infections.

In order to treat this type of acne scars, they need to be removed surgically.


Discoloration & Pigmentation

Beside the ugly scars, acne patients will usually have to deal with abnormal discoloration of the skin surrounding the scarring area. There are generally 2 types of coloring problems:


Hyper or Hypo Pigmentation

Hyper pigmentation happens when excess of melanin being produced from the acne lesion area. In contra, hypo-pigmentation happens when the affected area lose its ability to produde melanin. Regardless it is hyper or hypo, the end result is you will be having noticeable discoloration facial skin. Luckily this can be easily treated through chemical peels or light laser resurfacing.


Permanent Redness

redness after acneErythema (permanent redness) happen when the small capillaries damaged and appear as region of redness. This is quite common in acne patient and looks obvious to patients with lighter skin tones. It can be treated using topical prescription or red light photo-theraphy.






Acne scars remain for years after the acne is gone and this is not some pleasure to have. We hope the information about acne scars and treatments will provide you the sufficient knowledge to choose the right treatment for you acne scars.


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