Unveiling the Truth About Acne Scars: Causes, Types, and Effective Treatments

Unveiling the Truth About Acne Scars: Causes, Types, and Effective Treatments


Acne is a ubiquitous skin condition that affects countless individuals, often extending beyond their teenage years. Beyond the physical discomfort and emotional distress it causes, acne often leaves a lasting reminder – scars in its wake. In this comprehensive guide, Dr. Atul Kathed one of the best Skin Specialist in Indore will delve deeply into the realm of acne scars, investigating their root causes, diverse types, and the most efficient treatment options at your disposal. Our objective is to provide you with the insights and remedies required to restore your confidence and attain the clear, unblemished skin you aspire to have.

Understanding Acne Scars

The Root of the Problem: Acne

To really get why acne scars happen, you need to know the ABCs of acne. Acne starts when tiny hair follicles get all clogged up with a mix of oil, dead skin cells, and bacteria. This leads to things like pimples, blackheads, and whiteheads. And if you don’t handle these properly, they can turn into scars

Why Do Acne Scars Form?

Not all acne cases end with scars, but when they do, it’s usually because the skin is trying to fix the damage caused by really bad acne spots. This fixing process can sometimes mess up the natural collagen production in your body, which can then create scars..

Types of Acne Scars

  1. Ice Pick Scars
    Ice pick scars are characterized by deep, narrow pits that resemble small, jagged holes on the skin’s surface. Their depth and irregular shape make them particularly challenging to treat, often necessitating professional intervention.
  2. Boxcar Scars
    These scars have a wider, more defined shape with well-demarcated edges. They frequently resemble the scars left behind by chickenpox and can be particularly difficult to conceal.
  3. Rolling Scars
    Rolling scars are identifiable by their undulating, wave-like appearance on the skin’s surface. These scars result from damage beneath the skin’s surface, affecting its texture.
  4. Hypertrophic and Keloid Scars
    Hypertrophic and keloid scars manifest as raised, firm, and sometimes itchy scars. They often occur when the body produces an excess of collagen during the healing process, resulting in more prominent scars.
  5. Post-Inflammatory Hyperpigmentation (PIH)
    While not technically scars, PIH can mar the skin’s surface with dark, discoloured marks after an acne lesion has healed. These marks typically fade over time but can be distressing.

Prevention and Early Intervention

Maintaining a Healthy Skincare Routine

Preventing the formation of acne scars begins with a consistent skincare regimen. This should include daily cleansing, moisturizing, and the application of sunscreen to protect the skin from harmful UV rays.

Avoiding Picking and Squeezing

Resist the urge to pick or squeeze acne lesions, as this can significantly increase the risk of scarring. Despite the temptation, it is essential to exercise restraint.

Acne Scars

Effective Treatments for Acne Scars by Dr. Atul Kathed the Skin Specialist in Indore

Dermaroller – This is a special instrument, with microneedles, which is used to fill up superficial as well as deep acne scars. The procedure will even out the skin texture through collagen stimulation.

Dermastamp – This is an instrument, which has five small micro needles in it to treat localized depressed scars.

Laser – Laser-fractional resurfacing is a new technique where microscopic thermal wounds within the selected target area are created producing tiny dots, or grid-like treated areas on the skin), leaving the other zones within it perfectly intact. This causes fractional damage through the heat created in the skin. This allows the skin to heal much faster with minimal discomfort and less downtime as the healthy untreated tissue surrounding the treated zones helps to fill in the damaged area with new cells. Recovery occurs in 5-7 days.

There are different types of fractionated lasers:

Pixel (2940nm) – This is a fractionated ablative resurfacing Erbium Yag laser. This laser is very effective in treating superficial and deep scars.

Fraxel(1550nm)/Starlux Palomar Laser (1540nm) – These are non-ablative resurfacing lasers with Erbium glass which are effective in treating both superficial and deep scars

Light Systems – IPL acts by heating the dermis and stimulating new collagen formation. It is useful for treating red post-acne scars.

Chemical Peels – 70% Glycolic Acid peels can be done to treat hyper-pigmented, red and shallow scars. TCA peeling can be done for hyper-pigmented and deep-pitted scars. Spot TCA peeling is a very good technique for isolated ice pick scars.

Microdermabrasion – A fine stream of aluminium oxide crystals is used to exfoliate the skin’s upper layers. The intensity of exfoliation can be varied to suit an individual’s skin type from light exfoliation to deeper resurfacing. This procedure stimulates collagen production and renews skin elasticity; thereby, enhancing the skin tone and resilience. This treatment is useful for treating superficial acne scars.

Fillers – these can be used to raise sunken scars to the level of surrounding skin. Hyaluronic acid is a very safe injectable material that is used to restore structure and volume to the skin. It is a good and safe option. The effects are usually temporary lasting 6- 12 months.

Autologous fat transfer – Autologous fat transfer, is a procedure in which an individual’s own body fat is removed from the abdominal area, emulsified and put in the areas of volume loss e.g. sunken or emaciated areas of the face.

Radiosurgery – In this procedure, radio waves are used in ablative mode, to ablate the unwanted layers of the skin and flatten out the edges of scars and to promote collagen remodelling thereby filling up deep irregular scars.

Steroid injections – Intralesional Steroid Injections like Triamcinolone Acetonide 10mg-40mg may be used for raised keloidal and hypertrophic scars. These injections help to soften thick stubborn fibrous tissue.

Subcision – This involves subcutaneous sectioning of dermal adhesions with a sharp needle thereby lifting the scars. This technique is useful for very deep-pitted scars. ice pick scars, boxcar scars and rolled scars

The Importance of Professional Consultation

While some over-the-counter treatments may prove effective for mild acne scars, it is essential to consult a dermatologist or skincare professional like Dr. Atul Kathed as he is one of the finest Skin Specialist in Indore. Their expertise allows for personalized advice and treatment recommendations tailored to your specific skin type and scar type.

Embracing Confidence

Acne scars can really affect how you feel about yourself. But it’s essential to know that these scars don’t define who you are. With the correct treatment and proper care, you can reduce their visibility and feel confident in your skin again.

Consult Dr. Atul Kathed the best Skin Specialist in Indore


Acne scars, often seen as enduring symbols of one’s skin challenges, do not have to be a lifelong weight. Grasping the roots, varieties, and array of treatments for acne scars is the primary stride toward attaining smoother, unblemished skin. With the commitment to a diligent skincare regimen and the wisdom to seek expert counsel when required, you can embark on a voyage toward renewed self-assurance and a more transparent complexion. Consult Dr. Atul Kathed the best Skin Specialist in Indore for radiant, unmarked, glowing and natural skin.

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