
By Jerry K. L. Tan, MD, FRCPC
We all aspire to a smooth, clear complexion. When pimples arise, the need to flatten them out and squeeze is understandable. Unfortunately though, this may lead to short and long-term problems such as persistent redness, large brown stains (hyperpigmentation) and scarring (loss of skin substructure). Stains and scars are often confused by patients - stains are pale or brown flat marks whereas scars can be seen as indentations or pock marks in the skin. It's now recognized that scars can also develop from small as well as large lumpy pimples.
For both scars and stains, the best treatment is avoidance - that is, preventing the acne in the first place or at least treating it early and avoiding picking or squeezing the spots.
To treat acne and prevent new scars from forming, you should remember:
You should get help for your acne as soon as you notice it as early treatment minimizes the severity of acne and the risk of scarring
Effective acne treatments are available
You can control and cover the visible lesions and avoid embarrassment.
You should get help for your acne as soon as you notice it as early treatment minimizes the severity of acne and the risk of scarring
Effective acne treatments are available
You can control and cover the visible lesions and avoid embarrassment.
Types of Acne Scars
It is common to have stains and mild scars from acne. Stains will generally improve with time and can be helped to improve more quickly with skin care treatments such as topical retinoids, alpha-hydroxy acids and therapeutic exfoliating facials. For many of those with mild scars, they may not even be aware of it - some of these may improve over time. However, severe scarring may be more difficult to treat.
It is common to have stains and mild scars from acne. Stains will generally improve with time and can be helped to improve more quickly with skin care treatments such as topical retinoids, alpha-hydroxy acids and therapeutic exfoliating facials. For many of those with mild scars, they may not even be aware of it - some of these may improve over time. However, severe scarring may be more difficult to treat.
There are a number of types of scars caused by acne. (Pictures can be found at Types of Acne scars)
Ice pick scars - Deep pits, that are the most common and a classic sign of acne scarring.
Box car scars - Angular scars that usually occur on the temple and cheeks, and can be either superficial or deep, these are similar to chickenpox scars.
Rolling scars - Scars that give the skin a wave-like appearance.
Hypertrophic scars - Thickened, or keloid scars.
Acne Scar Treatment Facts:
Ideally, acne should be quiescent or controlled before treating scars
Treatments for scars depend on the specific scar type
Treatment also depends on your skin type.
Embarrassment from is most often due to facial scars - effective treatment can lead to an improvement in self-image and confidence
Scars on the chest and back will also respond to treatment
Ideally, acne should be quiescent or controlled before treating scars
Treatments for scars depend on the specific scar type
Treatment also depends on your skin type.
Embarrassment from is most often due to facial scars - effective treatment can lead to an improvement in self-image and confidence
Scars on the chest and back will also respond to treatment
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