Acne is a common condition that causes blocked pores, pimples, cysts, and other lesions on the skin. While most common in teenagers, acne can affect people of all ages, often appearing on the face, neck, chest, back, shoulders, and upper arms.

Book Online

After acne lesions heal, they may leave behind discolorations or indentations on the skin. Severe acne can lead to scarring, which varies from person to person. Some individuals may have small, flat scars that are barely noticeable, while others may have more prominent indented scars. Larger acne lesions, such as cysts or nodules, can rupture and release infected material, affecting nearby tissue and causing scarring.

Although not harmful, acne scars can be cosmetically bothersome, prompting many patients to seek treatment.

Types of Acne Scars

Acne scars vary in appearance and texture depending on the type and severity of the original lesions. Each scar type may require a specific treatment to restore smooth, healthy-looking skin.

Atrophic Scars

Atrophic scars develop from tissue loss. Common forms include:

  • Ice Pick Scars: Narrow, deep indentations that make the skin appear punctured.
  • Boxcar Scars: Round depressions similar to chickenpox scars, which can be shallow or deep.

Hypertrophic Scars

Hypertrophic scars form when the body produces too much collagen as acne wounds heal, creating raised tissue on the skin’s surface. Also known as rolling scars, these scars create a wave-like appearance caused by bands of tissue pulling the epidermis down in certain areas.

Acne Scar Treatment

Treatment depends on scar type, severity, skin characteristics, and the level of correction desired. Options may include:

  • Tissue fillers to smooth depressed scars
  • Dermabrasion to remove surface scars or reduce deeper scars
  • Laser treatments to remove damaged skin layers and stimulate new cell growth
  • Punch excision surgery to remove indented scars, sometimes including a skin graft

Many patients benefit from a combination of treatments to achieve optimal results. Acne scar treatment is often a multi-step process.

Preventing Acne Scars

Preventing acne scars starts with stopping lesions from forming. Key tips include:

  • Avoid picking or popping active lesions, which can lead to infection and scarring
  • Do not pick at scabs; allow natural healing
  • Protect skin from sun exposure, which can worsen damage and delay healing

Some patients may be genetically prone to scarring, but even then, treatments are available to reduce scar appearance and revitalize the skin.