Acne scars and other types of facial scars can affect both appearance and confidence. At our clinic, we get many questions about how to manage and treat facial scarring. Here’s a breakdown of the most frequently asked questions—answered simply but with accurate medical insights for junior practitioners or curious patients.
What exactly is an acne scar?
Acne scars are permanent textural or pigment changes that occur on the skin after severe acne. They form when inflamed blemishes damage the skin and the tissue underneath. The body tries to repair this damage, but the healing process isn’t always perfect—leading to scar tissue.
Why do some people get scars and others don’t?
Scarring often depends on:
- Severity of acne: Nodules and cysts are more likely to leave scars.
- Skin type & genetics: Some people are more prone to scarring.
- Delay in treatment: The longer severe acne goes untreated, the more likely scarring becomes.
- Picking or squeezing acne: This damages the skin more and increases scar risk.
What types of acne scars are there?
Acne scars can be divided mainly into:
- Atrophic scars (more common on the face):
- Ice pick scars: Narrow and deep
- Boxcar scars: Wide with sharp edges
- Rolling scars: Wave-like and shallow
- Hypertrophic or keloid scars: Raised, thick scars—more common on the chest, back, and jawline.
What are the best treatments for acne scars?
Treatment depends on scar type, skin type, and patient goals. Common options include:
- Topical treatments: Retinoids, AHA/BHA, azelaic acid (help with pigmentation & texture)
- Microneedling: Stimulates collagen production, especially good for rolling scars.
- Chemical peels: Removes outer layers of skin to improve texture and tone.
- Laser treatments: Fractional CO2 laser or erbium laser for deeper resurfacing.
- Subcision: A minor surgical technique to release tethered scars.
- Dermal fillers: Temporary improvement for atrophic scars.
- Steroid injections: For flattening raised hypertrophic scars.
an acne scars be completely removed?
Not usually. While treatments can significantly improve the appearance, most acne scars won’t disappear 100%. The goal is realistic improvement—better texture, more even tone, and increased patient confidence.
Are there ways to prevent acne scars?
Yes! Prevention is better than treatment:
- Early treatment of acne
- Avoid picking or squeezing pimples
- Use sunscreen daily to reduce pigmentation issues
- See a dermatologist for persistent or severe acne
When should someone see a professional about acne scars?
If scarring affects confidence, makeup doesn’t help, or if over-the-counter products aren’t working, it’s time to see a professional. A tailored treatment plan makes a big difference.
Final Note for JR Medical Practitioners:
Understanding the type of scar and the patient’s skin type is crucial. Set realistic expectations and always recommend sun protection post-procedure. Combining modalities often gives the best outcomes—there’s no one-size-fits-all approach in scar management.
