Acne Scar

There are two categories of acne scar that can result from untreated cysts or acne: scar caused by an increase in tissue formation, and scars caused by tissue loss. An increase in tissue formation results in lumpy, raised scars known as keloid or hypertropic scars. This type of acne scar is less common and often hereditary.

Scars caused by tissue loss are much more common and come in many different forms:

• Ice-pick scars - small, but deep indentations usually found in the cheek. This type of scar gets its name because the indentation resembles the puncture of an ice-pick.

• Depressed fibrotic scars - Ice-pick scars can change into depressed fibrotic scars over time. Like the ice-pick, this type of scar also has sharp edges and steep sides, but are generally larger at the base.

• Soft scars - soft to the touch with gentle, sloping edges that blend with the surrounding skin.

• Atrophic macules - soft to the touch with a wrinkled base. They often appear purplish when newly formed, but can fade over time.

• Follicular macular atrophy - occur mostly on the chest or back. They resemble whiteheads which haven't fully developed.

• Boxcar - round or oval depressions that have sharp, vertical edges.

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