Learn more about treatment options for acne scars
Acne scars are usually the result of inflamed blemishes caused by skin pores engorged with excess oil, dead skin cells and bacteria. The pore swells, causing a break in the follicle wall. Shallow lesions are usually minor and heal quickly. But if there is a deep break in the wall of the pore, infected material can spill out into surrounding tissue, creating deeper lesions. The skin attempts to repair these lesions by forming new collagen fibers. These repairs usually aren't as smooth and flawless as the original skin.
Why treat acne scarring
Physical, emotional and social reasons for treating acne scars include:
Improved appearanceEnhanced self-esteemPromotion of better skin health
What you need to know
There are two main types of acne scars:
Hypertrophic or keloid scarring. These scars are caused when the body produces too much collagen as acne wounds heal, resulting in a mass of raised tissue on the skin's surface.Atrophic or depressed scarring. These scars develop when there is a loss of tissue. There are two common types of atrophic scarring. "Icepick" scars are usually small, yet obvious holes in the skin. "Boxcar" scars are depressed areas, usually round or oval in shape with steeply angled sides, similar to chickenpox scars.
Do's and Don'ts
- Exfoliate. Occasional exfoliation can improve the appearance of scars, removing dead skin and reducing the depth of the scars.
- Eat more fiber. Fiber removes toxins from the body that can clog pores, causing them to swell, burst, and form scars.
- Exercise. Exercise increases blood flower so that oxygen and nutrients are properly distributed throughout the skin. Sweating detoxifies the skin and can help prevent the formation of acne cysts that can lead to additional scarring.
- Tan. Overexposure to the sun can darken scars and make them look more prominent.
- Irritate inflamed skin. Overwashing or scrubbing scarred areas can further reduce skin elasticity and heighten the appearance of the scar.
- Pick at scars. Bacteria from unwashed fingers and nails increase the risk of additional cysts forming, leading to the development of a larger scar.
- Give up on acne scars. New techniques - some non-surgical - can dramatically improve both the depth and appearance of acne scars.
Acne scar removal questions to ask a dermatologic surgeon
(Download a Acne Scar Questionnaire
to bring to your appointment)
- Which acne scar procedure is the correct one for me? (What are the options?)
- What is the estimated cost of the procedure?
- How long is one appointment?
- How often will I need to receive treatment to remove my acne scars?
- How far apart are the treatments?
- What are the common side effects or complications associated with the procedure?
- How can I prepare for the treatment/procedure?
- Does acne scar removal hurt?
- What are my pain management and anesthesia options?
- How long is the recovery time associated with my procedure?
- Do you have before-and-after patient images to help to prepare me for what to expect?
- Will someone walk me through the process before going in for treatment?
- What are the risks?
- What should I expect after the procedure is performed? (i.e., short-term and long-term effects; activity restrictions; expected recovery period)
General questions to ask before acne scar procedures
- Is a doctor on site?
- Is the doctor board-certified in dermatology or in another specialty with equivalent training and experience?
- Was my medical history taken?
- Was I given an initial evaluation to determine if the technique or procedure is appropriate for my skin type?
- Did the doctor show me before-and-after photos?