Acne Scarring

Two types of true scars exist

  • Depressed areas such as ice-pick scars,
  • Raised thickened tissue such as keloids.


Macules or “pseudo-scars” are flat, red or reddish spots that are the final stage of most inflamed acne lesions. After an inflamed acne lesion flattens, a macule may remain to “mark the spot” for up to 6 months. When the macule eventually disappears, no trace of it will remain—unlike a scar.


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Post-inflammatory pigmentation is discoloration of the skin at the site of a healed or healing inflamed acne lesion. It occurs more frequently in darker-skinned people, but occasionally is seen in people with white skin. Early treatment by a dermatologist may minimize the development of post-inflammatory pigmentation. Some post-inflammatory pigmentation may persist for up to 18 months, especially with excessive sun exposure. Chemical peeling may hasten the disappearance of post-inflammatory pigmentation.

Causes of Acne Scars

In the simplest terms, scars form at the site of an injury to tissue. They are the visible reminders of injury and tissue repair. In the case of acne, the injury is caused by the body’s inflammatory response to sebum, bacteria and dead cells in the plugged sebaceous follicle.

When tissue suffers an injury, the body rushes its repair kit to the injury site. Among the elements of the repair kit are white blood cells and an array of inflammatory molecules that have the task of repairing tissue and fighting infection. However, when their job is done they may leave a somewhat messy repair site in the form of fibrous scar tissue, or eroded tissue.

White blood cells and inflammatory molecules may remain at the site of an active acne lesion for days or even weeks. In people who are susceptible to scarring, the result may be an acne scar. The occurrence and incidence of scarring is still not well understood, however. There is considerable variation in scarring between one person and another, indicating that some people are more prone to scarring than others. Scarring frequently results from severe inflammatory nodulocystic acne that occurs deep in the skin.

Avoid use of strong cosmetic in acne 2:

If you are having acne then you should avoid using cosmetics. If it is possible use, only water based cosmetics. Care should also be taken to check if they are noncomedogenic.

As it is got in the research that cosmetic manufacturers generally add artificial oil to the products assuming that sebum is always helpful for the skin. These oils actually block the pores and aggravate acne. So it is suggested to use water base cosmetic only.


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Avoid make up products with a strong fragrance as they can trigger an allergic reaction. Instead, use products with a very lightly fragrance. Compact pressed powder should also be avoided. The puff tends to collect all the dirt, grime and bacteria of the skin and alleviate acne. Use loose face powder instead. The face powder will help to absorb the extra oil. Apply moisturizer evenly with a light hand. This prevents deposition of excess products at different spots.

Another option available is mineral make up. It contains zinc oxide and titanium dioxide. They have anti bacterial and anti-inflammatory effects that help prevent acne. Even these should be used with caution since at times they tend make the skin dry.
At the end of the day, completely remove all make up. You can do so very conveniently with witch hazel. It is easily available. It contains enough alcohol to cleanse the skin but does not dry it out completely.



Avoid the use of strong cosmetics in acne

We know that cosmetics are chemical compound if they are used then are directly related to acne. In fact, acne cosmetica, or acne caused by cosmetics, is a common mild form of acne. This type of acne is triggered by topical factors and not the complex processes that take place inside the body. Even those people who are not susceptible to acne sometimes suffer from acne cosmetica.

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Acne cosmetica it is generated by outside chemical substances, acne cosmetica is easy to get rid of. Stop using the cosmetic which has triggered acne and the acne disappears. Acne cosmetica is small, rashy, pink bumps on the cheek, chin and forehead. It develops over a period of a few weeks or months and may be persistent for a long time.

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The outbreak can be stopped by end the use of the particular cosmetic which triggers the onset. In any condition, people suffering from acne should avoid using cosmetics. It is proved that makeup does not cause acne, but it can worsen the existing acne condition. Unfortunately, people are not aware of this “action and reaction” relation between acne and cosmetics, and end up worsening their infection by using more cosmetics to hide acne.
Now days some skin and hair care products can induce comedones, or a basic form of acne. This ability to induce acne is called “acnegenicity.” Acne inducing ability refers to both comedogenicity (inducing comedones- whiteheads and blackheads) and papule and pustules formation. Acne cosmetica is different than other forms of acne because in this condition papules and pustules means pus filled pimples, appear first and comedones appear later. Most cosmetics carry the label of having been tasted for acnegenicity and being noncomedogenic, yet people suffering from acne should be careful in using even these cosmetics.