Acne And The Scars Left Behind

2007-12-13 Word Count: 417 Category: Acne

Commonly, the mild form of acne occurring in most people does not leave scars, or if it does, the scarring heals naturally over time. But people suffering from aggressive types of acne such as nodular cystic acne might be left with severe 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 with time but are evident enough to cause uneasiness. Macules are such pseudo- scars, which are sometimes left behind by an inflamed acne lesion. A macule is just a flat, red spot that is the final stage of any 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 resolution of any inflamed acne lesion. It is more frequent in dark skinned people, but might happen in white skin also. This is known as "Post inflammatory pigmentation." It may require treatment by a dermatologist.
According to the shape of tissue, acne scars are divided in two categories. The first type of scar consists of augmented skin tissue, and the others are characterized by the diminution in tissue on the site of acne. Overgrowth of scar tissue is known as Keloid and is more noticeable in African-Americans. The deep, linear scar derived from acne is known as the ice-pick scar. These are very deep and their removal is difficult.
Response to Acne Scars Varies
In some people scars heal quickly while some people carry scars for a lifetime. Psychologically, people demonstrate different responses to acne scarring. Some people accept scarring as normal, while there are others who are worried about even the slightest of scarring and go to great lengths to get them eliminated.
More common are acne scars resulting from the loss of tissue. These are similar to scars left by chicken pox. These scars include ice-pick scars, soft tissue scars and depressed fibrotic scars. Ice-pick scars usually appear 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 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.

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