![]() They are shallow, atrophic scars that are caused by tethering of the underlying dermis to the subcutaneous tissue by fibrous bands. Rolling Scars: Rolling scars appear as undulations and depressions on the skin (create a wave-like pattern). ![]() Punch excision and laser resurfacing are supplementary procedures to enhance results. trichloroacetic acid chemical reconstruction of skin scars). Due to the depth of ice-pick scars, fractional treatments are not as effective as TCA cross (i.e. They are more commonly seen on the cheeks, between the eyebrows and the nose. The surface opening is wider than the deeper portion as it tapers into a vee and gives the appearance of open pores and tend to worsen with age, as the skin becomes lax. Icepick Scars: Icepick scars are deep, narrow, sharply defined tracts, extending vertically to the deep dermis or the subcutaneous tissue, creating an appearance that the skin has been punctured with an icepick. Deep scars can be treated with punch excision, followed by resurfacing (to remove the surface layer of the skin and promote new skin cell production). Shallow scars are treated with subcision, followed by either full laser resurfacing (ablative CO2 – Smart Xide Dot laser), fractional lasers (ablative CO2 or ablative Erbium – Smart Xide Dot laser, Fraxel Restore Dual), dermal fillers and radio-frequency treatments (e-Two Sublative). They are most commonly located on the cheeks and temples. The following are the main types of acne scars:īoxcar Scars: Boxcar scars are punched-out scars with vertical, sharp edges which may be shallow or deep. On the chest and back, scars tend to be raised and lumpy. On the face, acne scarring appears as damage to the skin texture with indented areas of various sizes. On the face, commonly there is an indentation (depressed scar), and on the chest and the back the scarring can be raised and lumpy – known as hypertrophic or keloid scarring. The different types of acne scars are as a result of the extent, depth and degree of inflammation that is followed by repair. If the inflammation is extensive and deep extending into the deep dermis and continues untreated, scarring results. Once the non-inflammatory lesion evolves into an inflammatory lesion, the mechanisms of wound healing are activated. In the non-inflammatory phase (when there are only comedones), there is no scarring. Why Does Acne Scar?Īcne is an inflammatory process. The healing process creates significant changes in the texture and smoothness of the skin, forming depressions (lost tissue) or giving the skin a rolling, wave-like appearance (adds tissue). Depending on the skin type and other factors, the scarring can be relatively shallow and easy to correct, or deep where scarring is more severe. Scarring occurs as the body creates collagen to repair the damage. Permanent textural changes and indentations that occur on the skin following severe acne result in acne scars. Treatment options depend on the severity of the scarring and the type of acne scar. Fortunately, acne scar treatment can remove or minimize them through cosmetic treatments. Acne scars make many people feel embarrassed or self-conscious. As the acne lesions heal, the various shapes and sizes of scars remain as a permanent reminder of this common facial eruption. Acne is most common during adolescence, but acne can occur at any time and adult acne often erupts more severely, producing disfiguring scars. Acne usually leaves some scarring, although it is often minimal and most people experience acne outbreaks in the course of their lives. The Genesis procedure is a gentle, painless and no down-time laser treatment which can speed up the process of reducing the red and brown marks.Ĭhoosing a specialist dermatological facility for acne scar removal provides more choices for treatments, ways to control future outbreaks and complementary cosmetic procedures to restore your skin’s appearance. Treatments are available to help lighten and remove these old acne marks. Many patients feel these red or brown marks make their skin appear more broken-out and uneven than it truly is. Raised acne scars can be either hypertrophic scars or keloids.īrown marks or red marks persisting on the skin where acne has occurred and where the acne has now cleared is a most common complaint amongst acne patients. Most acne scar treatments attempt to either remove or replace abnormal tissue and to stimulate new collagen formation to fill in the old scars. These are all depressed (atrophic) scars, meaning there is an overall loss of skin. ![]() Boxcar scars have a thick, hard centre which is often white, that pulls down in the centre. Rolling scars are those which are like broad, low hills. These present in three main types – boxcar, icepick, rolling and combinations of the three. Scars that remain after acne treatment can be either depressed or raised. Other Types of Scars and Treatments Acne Scars
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