Types of Scars Left by Acne
Commonly, the mild form of acne occurring in most people does not produce scars, or if it does, the scarring heals by itself over time. But people suffering from aggressive forms of acne such as nodular cystic acne might be left with deep scarring in the skin.
There are also spots and pigmentation related with acne that are not exactly scars but resemble them in appearance. These disappear eventually but are visible enough to cause uneasiness. Macules are such pseudo- scars, which can be left behind by an inflamed acne lesion. A macule is nothing but a flat, red spot that is the final stage of every inflamed lesion. Unlike a scar, a macule might take time to disappear, but once it does, it leaves no trace behind.
Then there is the skin’s discoloration after the healing of any inflamed acne lesion. It is more common in dark skinned people, but might happen in white skin also. This is called “Post inflammatory pigmentation.” It may need treatment by a dermatologist.
According to the shape of tissue, acne scars are classified in two categories. The first type of scar consists of increased skin tissue, and the others are characterized by the decrease in tissue on the site of acne. Overgrowth of scar tissue is called Keloid and is more pronounced in African-Americans. The deep, linear scar formed by acne is called the ice-pick scar. These are quite deep and removal of them is difficult.
Different People Show Different Response to Acne Scars
In some people scars heal quickly while some people carry scars for a lifetime. Psychologically, people show different reactions to acne scarring. Some people think about scarring as something normal, while there are others who are worried about even the slightest of scarring and go to great lengths to get them removed.
More common are acne scars resulting from the loss of tissue. These are like the scars produced by chicken pox. These scars include ice-pick scars, soft tissue scars and depressed fibrotic scars. Ice-pick scars usually occur on the cheek. These are small but with steep, jagged edges which makes their healing or treatment difficult. Sometimes these small scars become quite large and steep, with sharp edges, which are then know as depressed fibrotic scars. Then there are soft scars, both superficial and deep. These scars are small with rolling edges merging with the healthy skin. They can be circular or linear in shape.
Pinching and squeezing acne can also lead to acne scarring. This spreads the infection to nearby skin and harms unhealed tissue, resulting in pit-like scars.
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- Cynthia Alleyne