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Acne scars?


What causes acne scars?

acne scars

Some forms of acne never cause development of scars, however, severe forms of acne such as cystic acne is very likely to be followed by scarring. Acne is not a homogeneous disease and that patients may generate different types of immune response.

If you have had cystic acne during your  live, deep, depressed scars probably give your skin a crater-like or orange-peel appearance.

A cystic acne treatment should be done early!
Remeber:without treatment cystic acne may result in severe scarring. The only sure method of preventing or limiting the extent of scars is to treat acne early in its course, and as long as necessary. The more the inflammation can be prevented or moderated, the more likely it is that scars can be prevented.

The scars are a result of collagen and epidermal damage and do not go away without treatment.  In the simple terms a scar is caused by improper deposition of collagen and elastin and insufficient wound healing process. The entire acne scar process results from the body’s attempt to remove inflammation caused by an acne lesion. 

Another factor that affect the development of  scar is how the lesion was treated. If an acne patient prematurely “pops” or opens and acne lesion, this could result in acne scarring.It is important for you to confirm whether they are scars or not. Simple marks will disappear in months but scars don’t move away easily! Only if the color change or skin defect is still present after 1 year
you have a real scar.

The incidence of scarring is still not well understood, however. There is considerable variation in scarring between one person and another, indicating that some people are more prone to scarring than others. Some people by their skin type and genetic obviously have a natural ability to heal quickly and completely. Other people on the other hand have a sensitive skin that is easily irritated and creates more scars.

Very little information is available about the prevalence and clinical development of acne scarring, apart from a study in 1994 by Layton. In this study Sarring was found to be present in 95% of acne patients, while more significant or clinical scarring ensued in approximately 30% of patients.

 Once severe acne inflammation destroys the dermis, the familiar  wound healing process is triggered; although the fibrous sheet of collagen seals off the deeper tissues from external contamination, the normal elasticity, volume, texture and color that are needed to match the  neighboring skin are lost. A primary goal of aesthetic restoration is to eliminate the dents and  crevices whose shadows make the acne scars so disfiguring.


The wide variety of new treatment methods for post-acne scarring includes newer resurfacing tools such as CO2 and erbium infrared lasers, dermabrasion and possibly combination treatments.
One should attempt to match each scar against an available treatment as far as possible. Many of these techniques may be performed in a single treatment session but repeat treatments are often necessary.


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