So you've managed to beat acne, but what about knowing how to get rid of the scars? Sure, it isn't exactly glamorous or fun, nevertheless it's a problem for men and women alike. Kerry Benjamin, founder of the StackedSkincare Spa in Los Angeles, tells us that there are two different types of acne scars: atrophic and hypertrophic. Then there's a skin deformity that many people think is an acne scar but is actually just discoloration of the skin. Needless to say, we'd certainly like to live without all three, but it's important to take the right steps to make them each a thing of the past. So let's get started, shall we?
To learn about all three of these issues, keep scrolling.
"Indented acne scars occur when the skin doesn’t produce enough collagen while your blemishes are healing. To treat these scars, you need to focus on revving up collagen production," says Benjamin. She explains that these types of scars come in varying shapes and sizes: boxcar scars (round or oval with steep vertical sides), icepick scars (deep, very narrow scars that extend into the dermis), and rolling scars (broad depressions with sloping edges—not as deep as icepick or boxcar scars).
To remove these, Benjamin suggests in-office treatments like micro-needing that use PRP, or platelet-rich plasma, where your blood is drawn, put in a centrifuge, then stamped back in; as well as laser treatments (unless you have dark skin—doing so would be very painful as lasers seek dark pigmentation to zap and remove). For at-home treatments, Benjamin recommends using a micro-roller used in conjunction with serums that have epidermal growth factors (more on that in our micro-needling how-to guide.) At-home peels are greatly helpful for evening out skin's texture, too.
"While less common than indented scars, some cystic acne sufferers experience hypertrophic or raised scars, which occur when the skin over-produces collagen during the healing process. Hypertrophic scars are often red or pinkish in colour and can sometimes look like swollen acne lesions. This type of scarring can be incredibly troublesome because it looks like you still have acne even after your blemishes have disappeared," Benjamin explains.
So how do you treat these problematic marks? Says Benjamin, "Dermatologists use topical steroids or steroid injections to treat this kind of scarring. But, unfortunately, hypertrophic or keloid scars are particularly prone to recur even after apparently successful treatment."
As mentioned above, some acne aftermath isn't technically a scar, but rather darks spots within the skin's tissue.
"Some people confuse hyperpigmentation with scarring, but they are actually different things,” says Benjamin. "Acne scarring results in either raised or depressed skin, making the skin texture uneven. Acne can also leave behind PIH, or post-inflammatory hyperpigmentation, which are the brownish red spots left behind from the lesion due to inflammation from the acne. This is technically not a scar."
To lighten these areas, Benjamin suggests at-home peels, micro-needling and brightening serums infused with peptides to keep skin soft and spot-free. Also, Benjamin stresses the importance of wearing an SPF because the sun can darken hyperpigmentation even more.
Want more? How to get rid of acne: Beat your blemishes forever.