Tag Archives: types acne scars

Acne Scar Treatment: An Overview

Acne scar treatment depends upon the depth, extent and the type of the pimple scars.

Most affected teens approach their dermatologist or physician for treatment of acne scars while they are still suffering from fresh eruptions of acne bumps. It is useful to remember that one should put out the fire and then, only then, set out repairing the damaged house!

Acne Scar Treatment Principles
 Acne Scar Treatment requires patience and perseverance.
Acne Scar Treatment requires patience and perseverance.

Treatment of acne scars is not a simple exercise that yields immediate results. A practical and realistic approach is required to obtain satisfactory results. Whatever treatment modality is tried, it is practically impossible to get back the pre-acne smoothness, softness and freshness of the facial skin.

The first step in deciding about the most appropriate acne scar treatment is to analyze why the acne scar is there in the first place. Was the acne treated properly? Are there still acne bumps on the face? Is there any hormonal imbalance (irregular periods and hair growth in females)? If you are a female-have you ruled out polycystic ovarian disease? Do you have unhealthy life style and food habits? Stress? Pinpointing the cause of the acne scars will help prevent further occurrence of the devastating scars.

Next, assess the types of acne scars present. Are they superficial and shallow? Or deep and pitted? (Here is a tip to know whether the acne scar is superficial or not- stretch the scar between thumb and forefinger: the superficial scar will disappear). Atrophic or hypertrophic? How long have they been present? Do you have any keloidal tendency? Anyone else in the family has scarring tendency following acne? Are you diabetic or suffer from any immune compromising diseases?

Learn about the different treatment options available for your type of acne scar. Is it worth it? Most insurance companies do not cover acne and acne scar treatments. Could you afford the cost of treatment procedures for acne scars? Do you have access to an experienced dermato-cosmetologist or plastic surgeon?

Finally, remember that prevention is better than cure in acne scars! The best treatment available for acne scars is to avoid getting it. Getting access to timely, proper and persistent treatment for acne eruptions is an important factor in preventing the occurrence of acne scars in majority of acne sufferers.

Acne Scar Treatment Options

Acne scar treatment options may broadly be divided into medical and surgical therapeutic interventions.

Medical or Conservative Treatment for Acne Scars.

These are more effective for shallow and superficial acne scars and acne blemishes and involve use of creams, gels and solutions.

Surgical or Cosmetological Acne Scar Treatments.

For medium or deep scars, there are a number of surgical or cosmetological options available. A plastic surgeon or a dermatologist who has professional training and experience in treating acne scars are the doctors whom you should approach for these procedures:

  1. Chemical peels for acne scars
  2. Dermabrasion for acne scarring
  3. Exoderm lift
  4. Needle subcision of individual acne scars
  5. Acne scar revision
  6. Laser resurfacing of scars
  7. Cryoslush
  8. Soft-tissue augmentation
  9. Intralesional steroid injection
  10. Excisional surgery in selected cases

There are many effective techniques to get rid of acne scars. The choice of treatment modality depends upon the age and sex of the sufferer, type of the acne, extent and depth of the scars, affordability and cost effectiveness of the procedures, and, finally, the expertise and facilities available at the treatment center.

The whole spectrum of treatments are available at our Cosmolaser Medical Centre in Samnan, Sharjah. Please call 06 5678 200 for appointments  or Visit the page to set up an appointment.

Read More about the Treatments available for Acne Scars:

Related Reading on Acne Scars
Disclaimer

The information given in this article is for educational purpose only so that patients are aware of the options available for diagnosis and treatment of common skin, hair and nail diseases. No diagnosis should be made or treatment undertaken without first consulting your dermatologist. If you do so, the author will not be responsible for any consequences. The images provided are for illustration purpose only and should not be reproduced without the consent of the author.

About the Author of Skin Care Tips from Dermatologist: Dr Hanish Babu, MD
Dr Hanish Babu, MD, Dermatologist, Sharjah and Ajman, UAE
Dr Hanish Babu, MD

Dr Hanish Babu, MD is a dermatologist with more than 3 decades of experience in treating skin and sexually transmitted diseases in UAE and India. He has been practicing in UAE since last 22 years. He is a respected speaker during the Continuing Medical education Programmes for doctors, medical students and paramedical staff and is also a Stress Management Trainer. He organises group therapy sessions for patients with psoriasis, eczema and vitiligo.

He is available for consultation at Cosmolaser Medical Centre in Samnan, Sharjah (06 5678 200) from 9 am – 1 pm and at City Medical Centre, Al Bustan, Ajman (06-7 441 882) from 4.30 pm – 9.30 pm.

Visit his personal website  dr-hanishbabu.com for more details and for educational articles on Skin, hair, nail and sexually transmitted diseases. Click here to Book an Appointment with dermatologist Dr Hanish Babu, MD

Types of Acne Scars

Acne scars may be divided into different types according to the morphology, depth, extend and tissue response to inflammation.

Hence, Classification of Acne Scar Types may be done in different ways:

  1. Depending upon depth
    • Superficial Acne Scar
    • Deep Acne Scar
  2. Depending upon tissue response
    • Atrophic Acne Scar
    • Hypertrophic Acne Scar
  3. Depending on the extent of involvement
    • Localised Acne Scar
    • Scattered Acne Scar
    • Extensive, Disfiguring Acne Scar
  4. Depending on the site of involvement
    • Facial Acne Scar
    • Body Acne Scar
  5. Depending upon the severity and duration of acne scar
    • Temporary Acne Scar: Very superficial scars, which fill out and gradually disappear over time.
    • Permanent Acne Scar
  6. Wrong Category!
    • Acne Pigmentation, acne blemishes or acne spots: Whether brown, red, or later black, pigmentary or color changes caused by acne should not be classified as acne scars, as actual scarring does not occur in such cases. The deposition of iron pigment and stimulation of melanin pigment as a secondary response to dermal inflammation are the reasons for acne pigmentation or acne blemishes or acne spots. These are temporary color changes and are completely reversible. As expected, the acne blemish treatment differs from the acne scar treatment in a number of ways. 

Whether acne scarring is deep or superficial, extensive or scattered, the esthetic result can be less than desirable and even disturbing. By causing loss of elasticity and smoothness of the skin, the acne scars contribute to an aged look to the skin.

Acne scars form mainly two Acne Scar Types

  1. Acne Scar types with loss of tissue beneath the epidermis: These scars are depressed scars also known as atrophic scars and cause acne pits. These are caused by loss of support due to tissue damage in the dermis.
  2. Acne Scar types with increased tissue regeneration in the dermis: These are similar to hypertrophic scars and Keloids. They are typically raised, firm, reddish, and, at times, painful and itchy scars.

Atrophic Acne Scar Types:

Atrophic Acne Scarring: Pitted and Ice Pick Acne Scars
Pitted (depressed) and Ice-pick Acne Scars
  • Ice-pick acne scars , as the name indicates, are similar to ice pick wounds: steep sides and a broader base than the surface of the scar. They may either be deep or superficial, soft or hard. The size is usually small, from 1 mm to 2 mm in diameter.
  • Depressed fibrotic acne scars are similar to large and deep scars caused by chickenpox. Superficial and deep scars, soft or firm, they have a sloping edge, which gradually merges with the skin surface.
  • Atrophic Macular Acne Scars: Seen usually in body acne, the chest and back. These are small, flat, soft, papery white and thin scars . Sometimes the color may be bluish, violacious or brownish depending upon the skin texture, color and underlying blood vessels which become visible through the thinned epidermis. The atrophic macule type of acne scars gradually fade over time and become less noticeable after a few months or years.

Hypertrophic Acne Scar Types

Atrophic and hypertrophic Acne Scars in the back
 Atrophic and hypertrophic Acne Scars in the back
  • The scars caused by increased tissue formation are called hypertrophic acne scar types and Keloids. Overproduction of collagen in response to tissue injury caused by acne inflammation in the dermis is the cause. Excess deposition results in raised, thickened, and, at times, itchy and painful bumps.
Deep Acne Scars
Deep Acne Scars
  • While hypertrophic scars are self limiting and can occur in anybody, the keloidal acne scars tend to continue to grow. Keloidal tendency is hereditary and is thought to be due a deficient enzyme which is supposed to stop the collagen synthesis when optimum tissue repair is achieved. The result is uncontrolled collagen generation leading to thick, raised, fibrous and tender scars.

The Hypertrophic and Keloid acne scar types in turn can be of three types:

  • Soft Scars: The connective tissue is dispersed loosely with elastin fibres interspersed within collagen fibres and the scars are soft to the touch
  • Firm Scars : Loose but a little dense packing of collagen fibres with sparse elastin fibres. Firm to touch
  • Hard Scars: Densely packed ‘glassy’ collagen fibres with little or no elastin fibres. Hard, rocky feeling to touch. Toughest acne scar to treat.

As can be surmised, the treatment of atrophic and hypertrophic varieties of acne scars differ from each other.

Related Articles on Acne Scars:

Disclaimer

The information given in this article is for educational purpose only so that patients are aware of the options available for diagnosis and treatment of common skin, hair and nail diseases. No diagnosis should be made or treatment undertaken without first consulting your dermatologist. If you do so, the author will not be responsible for any consequences. The images provided are for illustration purpose only and should not be reproduced without the consent of the author.

About the Author of Skin Care Tips from Dermatologist: Dr Hanish Babu, MD
Dr Hanish Babu, MD, Dermatologist, Sharjah and Ajman, UAE
Dr Hanish Babu, MD

Dr Hanish Babu, MD is a dermatologist with more than 3 decades of experience in treating skin and sexually transmitted diseases in UAE and India. He has been practicing in UAE since last 22 years. He is a respected speaker during the Continuing Medical education Programmes for doctors, medical students and paramedical staff and is also a Stress Management Trainer. He organises group therapy sessions for patients with psoriasis, eczema and vitiligo.

He is available for consultation at Cosmolaser Medical Centre in Samnan, Sharjah (06 5678 200) from 9 am – 1 pm and at City Medical Centre, Al Bustan, Ajman (06-7 441 882) from 4.30 pm – 9.30 pm.

Visit his personal website  dr-hanishbabu.com for more details and for educational articles on Skin, hair, nail and sexually transmitted diseases. Click here to Book an Appointment with dermatologist Dr Hanish Babu, MD