There are many different types of acne scars and many different ways to treat them at our practice.
Textured (bumpy or indented) acne scar develops when dense, hard scar tissue builds up beneath the surface of the skin. This fibrous scar tissue develops in response to the trauma of acne itself and forms during the healing process.
Repeated outbreaks (pimples and cystic acne) to the same area causes the collagen and elastin that form the building blocks of the skin to be replaced by irregularly shaped scar tissue, which causes bumpy, irregular acne scars. There are several different types of textured acne scars.
There are also pigmented (colored) acne scars. Brown and red acne scars occur in response to inflammation associated with the healing process. Red scars typically form in lighter skin types and brown scars in darker skin types. Colored acne scars can be treated with lasers or topical products.
There are many different types of acne scars. Each type has a unique origin and treatment plan. At Celibre, we have over 20 FDA approved lasers, so we are able to customize your laser acne scar treatment based on the type of acne scars you have.
Atrophic Acne Scars: Atrophic macules are small, soft indented scars that typically occur in caucasians. The scars can be purplish or reddish in color because of the presence of blood vessels just below the surface of the skin.
Depressed (Atrophic) Fibrotic Acne Scars: Depressed fibrotic acne scars larger then atrophic macules. They have sharper more well defined and steeper edges. These scars can be accompanied by hardened (fibrous) tissue underneath the surface of the skin.
Pigmented Acne Scars: Pigmented acne scars develop in response to inflammation caused by the acne healing process. These scars can be red with lighter skinned individuals and black or brown with darker skinned individuals.
Boxcar Acne Scars: Boxcar acne scars are depressed acne scars, usually round or oval in shape with steeply angled sides. They are similar in appearance to chickenpox scars. Boxcar scars occur when an inflamed acne lesion destroys tissue, leaving a sunken area on the skin.
Ice Pick Acne Scars: Ice pick acne scars are small, narrow, pinpoint type acne scars that can penetrate very deeply into the skin. These type of acne scars can extend into the dermis (the lower layer of skin) and are usually less than 1/8″ across.
Superfical & Deep, Soft Acne Scars: This type of acne scar does not have the same sharp edges as the icepick or fibrotic scars. They do not contain the same fibrous tissue beneath the skin and are soft to the touch. They are usually circular in shape with rolling edges.
Keloid (hypertrophic) Acne Scars: Keloid acne scars rise above the skin and outside the boundaries of the original acne trauma. Keloid acne scars occur more frequently in dark skinned individuals such as Asian and African Americans. The trauma of the acne lesion causes the body to produce excess collagen and fibrous tissue, which in turn leads to the bumpy mass above the skin.