Acne Scarring

Acne scarring is a common concern for many individuals who have experienced acne, particularly cystic or severe breakouts. While acne itself can be managed and treated, the scars it leaves behind can have a lasting impact on one’s skin, often affecting self-esteem and confidence. Understanding the different types of acne scars, their causes, and available treatment options can help individuals take effective steps towards improving their skin’s appearance.

Types of Acne Scars

Acne scars vary in appearance and texture, and they can be classified into different types based on how they form:

Atrophic Scars (Indented Scars):
These are the most common type of acne scars, characterised by depressions or indentations in the skin. They occur when the skin loses collagen during the healing process. There are three main subtypes:

• Ice Pick Scars: Narrow, deep pits that often resemble the shape of an ice pick.
• Boxcar Scars: Broad, shallow depressions with sharp, defined edges.
• Rolling Scars: Wavy, uneven indentations that create a rolling texture on the skin’s surface.

Hypertrophic Scars:
These are raised scars that occur when the body produces excess collagen during the healing process. Unlike keloid scars, hypertrophic scars remain within the boundary of the original acne lesion but can still be visibly raised and firm.

Keloid Scars:
Keloids are a type of raised scar that extends beyond the boundaries of the original acne lesion, often becoming larger over time. Keloids are less common but can occur, especially in individuals with darker skin tones.

Causes of Acne Scarring

Acne scars form when acne lesions damage the skin, either through inflammation or infection. Several factors contribute to the development of acne scarring:

Severe Inflammation:
The more severe the acne (such as cystic acne), the deeper the inflammation in the skin. This inflammation can destroy collagen and skin tissue, leading to scar formation.

Picking or Squeezing Acne:
Picking, squeezing, or aggressively manipulating acne lesions can worsen inflammation, increase the risk of infection, and lead to scarring. This is why it’s important to avoid touching the skin during breakouts.

Infection:
Bacterial infections in acne lesions can exacerbate inflammation and delay the healing process, leading to deeper scarring.

Delayed Treatment:
Acne that is left untreated or poorly managed for an extended period is more likely to result in scarring, especially when pimples or cysts are allowed to persist or worsen.

Genetics:
Some individuals may be genetically predisposed to developing more pronounced acne scars due to their skin’s healing response. This can include increased collagen production or a tendency to form keloids or hypertrophic scars.

Skin Type:
People with darker skin tones may be more prone to hyperpigmentation (dark spots) following acne, which can sometimes lead to visible scarring. Conversely, lighter skin types may experience more pronounced textural scars.

What treatment options are available for acne scarring?

There are various treatments that we offer to reduce or eliminate the appearance of acne scars, depending on the type and severity of scarring. Best treatments outcomes are achieved using a combination of therapies during a treatment plan. The use of topical therapies can often also increase results and speed.

Topical Treatments may include::

• Retinoids: These can help stimulate collagen production and improve skin texture, reducing the appearance of scars over time.
• Chemical Peels: Chemical exfoliants can help remove the outer layer of dead skin cells, promoting the growth of smoother skin and reducing hyperpigmentation.

(link Chemical Peels to https://aesthetic-centre.com.au/treatments/revelation-peel/

Microneedling: (Needs a link to a new page associated with the new option on drop down under services called ‘Medical Skin Needling’
Microneedling is a procedure in which tiny needles create controlled micro-injuries in the skin, stimulating collagen production and helping to smooth the texture of acne scars, especially rolling and boxcar scars. The application of medical-grade topical treatments can further enhance treatment outcomes. For more information about accelerator treatments, please contact the clinic directly. Due to TGA regulations, we are unable to disclose any details about scheduled medications that we use online.