Different types of acne scars and how to treat them
09 August 2013Acne scars are stubborn reminders of past breakouts and blemishes that affect millions of people throughout the UK. New York dermatologist and cosmetic surgeon Dr Cameron Rokhsar has explained that with the right treatment, clearer skin is possible for everyone. Even with a conscientious effort and careful treatment, acne scars can still occur with varying types, he said. Scars generally form two different ways; either they are caused by a loss of tissue, which is commonly referred to as atrophic scars, or they are caused by an excess of tissue, which is commonly referred to as hypertrophic scars.BoxcarInflammatory breakouts destroy collagen, which leave behind a depressed area then depressions with steep vertical sides and give the skin a pit appearance. They can vary from superficial to severe pits, depending on how much tissue was lost in the breakout. Laser resurfacing is the best course of treatment.RollingWave-like undulations across an otherwise normal layer of skin arise when fibrous bands of tissue develop between the skin and subcutaneous layer, which pull on the epidermis. In this case, subcision is the best treatment option. A small needle is inserted underneath the rolling scar to lift up the skin.Ice PickThe skin appears as if it has been pierced by a sharp instrument, which has left small deep, holes. They typically develop after an infection from a cyst or deeply inflamed blemish. These are best treated with punch excision, a surgical procedure used for deep acne scars. A punch biopsy tool is used to cut out the scars, then the normal edges of the skin are stitched together, all while the patient is under local anaesthesia.