Acne-related levels are more common than doctors have ever believed; most people will have mild acne scars. However, some will have significant scars. The best approach is to prevent and treat acne immediately because sometimes although mild acne can cause scars, quick acne treatment will minimize the risk of permanent acne scars.
Acne scars following a tissue response to acne caused inflammation:
(1) Increased tissue formation
(2) Loss of tissue.
1. Improvement of Tissue Formation
The scars caused by increased tissue formation are called keloids or hypertropic scars. The word hypertrophy means "magnification" or "too much." Both hypertrophic and keloid scars are associated with excessive amounts of collagen. The excess product of collagen is the skin cell's response to injury. Excess collagen accumulates in the fibrous mass, resulting in a smooth, non-slip and irregular scar. Keloids tend to be inherited where the genetic tendency to form keloids occurs after tissue injury. African-Americans often have a tendency for keloid formation. Some families also tend to develop hypertrophic acne scars or thick acne scars.
2. Acne scars caused by tissue loss
Acne scars caused by tissue loss are more common than scars due to increased tissue formation. There are several types of acne scars but the most common are:
A. Acne scars - get their name from their look. They can be shallow or deep, usually decreasing in diameter and having sharp edges such as ice pick wounds. They can also be hard or soft to the touch; Soft acne scars are usually deeper in the skin and harder scars. The base of the hard scars under the skin may be wider than the scars on the surface of the skin.
B. Depressive fibrotic acne scars - usually large scars with sharp margins and steep sides. They are similar to the appearance of deep scars of vinegar.
C. Deep acne and shallow acne scars - vary in size, and have a sloping edge mixed with normal skin.
Follicular macular atrophy - more likely to occur on someone's chest or back with acne. These are small, white, soft lesions, often not raised on the surface of the skin — rather than whiteheads that do not fully develop. This condition is sometimes also known as "perifollicular elastolization." The lesions can last for months.
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