Acne Scars: Types and Treatment Options Explained

Acne can leave marks long after the pimples have gone. The right skin treatment depends on what kind of marks you have, so it helps to understand the difference.

Marks versus true scars

Many people have flat red or brown marks after acne. These are post-inflammatory marks, not true scars, and they often fade with time, sun protection and suitable treatment. True scars change the texture of the skin and are usually permanent without treatment.

Common types of acne scars

  • Ice pick scars: narrow, deep, pit-like marks.
  • Boxcar scars: wider depressions with sharp edges.
  • Rolling scars: broad, shallow dips that give the skin a wavy look.
  • Raised scars: thick, raised marks, more common on the chest, back and jaw.

Treatment options

Most people benefit from a combination of treatments over several sessions. Your doctor may recommend:

  • Microneedling or dermapen to stimulate the skin's natural repair.
  • Chemical peels to improve texture and surface marks.
  • Fractional laser for resurfacing deeper scars.
  • Subcision to release tight bands that pull some scars down.
  • Radiofrequency treatments to tighten and smooth the skin.
  • Fillers for selected depressed scars.

Improvement is usually gradual, and the results depend on the scar type, skin type and how closely the plan is followed.

Preventing new scars

  • Treat active acne early instead of waiting for it to settle on its own.
  • Never pick or squeeze pimples.
  • Use sunscreen daily, because sun makes marks darker.
  • Follow the routine your doctor suggests and complete the course of treatment.
This article is for general information. A skin analysis by a doctor is needed to choose the right treatment for you.
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