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Acne Marks Vs Acne Scars

A tantrum is bad in itself and causes enough problems to give you a nervous breakdown! But what comes next is not a pretty picture either. Skin causes irregularities in texture and discoloration, and we’ve all experienced it. If you have suffered from acne, you may also have suffered from scarring. Acne Marks Vs Acne Scars

Acne Marks Vs Acne Scars

The frustration that follows us even after the acne, and pimples disappear, is disheartening. The nodules, the depressions, the red and brown dark spots, Acne Marks Vs Acne Scars, and all the spots that occur after acne do not smooth out what we look forward to.

What are these scars and marks? Are they the same? And can they be treated?

What is acne?

Inflammatory skin disease, acne vulgaris or acne, is a skin condition caused by hormones, increased sebum production, blockage of dead skin cells, bacteria, etc. Acne affects areas with many sebaceous glands on the face, chest, and back. , Acne Marks Vs Acne Scars and breasts.

What are acne scars?

No matter what the pimple is, no matter how ugly and painful it is and how serious it looks, it does not end our suffering once it subsides. It leaves a mark that takes too long and penetrates deeper because the support system in the deeper skin layers has been damaged.

The larger the pimple that has disappeared, the larger the area left. Severe and moderate acne penetrates the deeper layers and damages them, leaving a deep scar that is visible on your face.

When the internet, the doctor, and your mom warned us not to deal with breakouts, we should have listened, no matter how tempting. The mild outbreak you endured has now left a scar that appears to be almost permanent. Collagen and elastin suffer and break down when acne is severe or even moderate. This injury leaves a dented scar that you will probably notice for many years.

Types of acne scars

To treat your acne scars, you need to identify their type.

When the wound healing process in acne takes a different route and causes scarring, tissue scarring occurs: atrophic and hypertrophic.

When the collagen in your skin is damaged and destroyed during the wound-healing process, indented scars form. They are called atrophic scars.

And when excess collagen is produced during wound healing, raised scars called hypertrophic scars form.

Atrophic scars

The indented scars are mainly caused by inflammatory acne and appear on the forehead and cheeks. They can be superficial or extend into deeper layers of the skin.

These scars are further divided into:

  1. Rolling scars
    As the name suggests, these scars have sloping edges and are wide depressions in the skin. As we age, the appearance of these scars worsens as the skin loses elasticity. The cause of these scars is usually long-term inflammatory acne.
  2. Scars from freight cars
    These scars have defined edges and are wide and rectangular depressions. The edges are sharp and therefore difficult to handle.
  3. Ice pick scars
    These can also be seen as hollowed-out pores. These are the deepest grooves and narrow.
  4. Hypertrophic scars
    Increased scarring is often a result of cystic acne. In cystic acne, scar tissue forms, and too much of it causes a bulge that protrudes from the skin. They are relatively rare and are likely to appear on the chest, back, or jaw at the site of your cyst.

What are acne spots?

The above types were textured because they formed dents or bulges in the skin. These are usually classified as mild, moderate, or severe and are caused by over or under-production of collagen. But there is another form of scarring that causes acne, namely “acne spots,” also called “macular acne scars.”

Post-inflammatory hyperpigmentation spots, or dark spots, are a problem for people with acne. They are light or dark brown spots that result from mild to moderate acne. The acne healing process activates the melanin and it eventually fades.

If you have dark spots due to cystic acne, inflammatory acne, or moderate acne, the spots will remain for a long time. Inflammatory acne leads to increased melanin secretion in the dermis, that is, the deeper layers of the skin, and therefore these spots take longer to fade.

The acne spots are further divided into PIH and PIE.

Post-inflammatory hyperpigmentation: This is red and occurs on fair skin.
Post-inflammatory erythema is brown and occurs in darker skin tones.

Both are caused by inflammatory acne. While PIH is caused by an overproduction of melanin, PIE arises from the dilation of blood vessels related to the wound healing process. The appearance of PIE worsens as the skin thins during the healing process.

Dark spots caused by acne are not scars and are relatively easier to treat while returning to clear, even skin.

Acne spots vs acne scars

The evidence that pimples leave their mark comes in different shapes and forms. Different types of acne cause this. A dark spot with a soft texture is not a scar, but simply a discoloration that will fade over time, usually after 3 to 6 months.

A scar, on the other hand, is permanent damage to your skin and requires professional treatment. Acne scars cause changes in skin texture, depressions, or raised nodules. They know that the deeper the cut, the greater the damage. The treatment must penetrate deeper than just the surface to treat the damage.

The best treatment is prevention. Do not squeeze or poke pimples. This causes damage to the skin. Treat acne to prevent scarring, and if you notice a bump sticking out, treat it immediately with the help of your dermatologist.

It is best to treat acne scars early as this can help prevent the long-term effects of acne scars in the future. If you have a pimple, you should see a doctor as soon as possible.

Acne scars and acne spots are markedly different.

Over- or under-production of collagen leads to atrophic or hypertrophic acne scars during the wound healing process.

On the other hand, acne blemishes are the result of residual inflammation, activated melanin due to inflamed skin, and the slow breakdown of dead acne-causing bacteria.

PIE and PIH spots fade over time and differ from the ordeal as stubborn acne scars.

Treatment of acne scars

Scar treatment should be performed after the acne has cleared, as acceleration during the procedure can result in persistent scarring. Treating acne in its early stages is the best way to treat acne scars, with prevention being the best cure.

Scars that have distorted the skin structure require medical intervention to detect changes and transformations.

Microneedling, laser resurfacing, dermabrasion, chemical peels, derma fillers, radio frequency, subcision, and excision techniques cut under the skin and remove scars. Laser therapy is also a treatment option that alleviates collagen formation.

Acne scars are more difficult to treat than acne spots because acne spots distort the skin’s structure and indicate damage in the deeper skin layers, making it difficult to treat with topical treatments.

Raised scars or hypertrophic scars respond to laser treatments aimed at smoothing out the raised skin areas.

Depressed scars or atrophic scars require aggressive treatments such as fractional laser treatment or intense pulsed light phototherapy, which improves skin texture after acne.

However, the effectiveness of the treatment depends on the steepness of the edges and the depth of the retracted scar.

  1. Laser treatments
    Rejuvenating the skin through concentrated beams of light and revealing younger skin helps reduce scarring caused by concentrated light.
  2. Microneedling
    The process/procedure of using small needles to penetrate the skin and create micro holes in the deeper layers of the skin. Microneedling creates a controlled wound in the skin, activates the body’s wound-healing properties, and initiates the production and deposition of collagen. This process opens the skin and makes it more receptive to other skin care products. Acne scars are significantly improved with microneedling procedures. Acne spots are not treated with this procedure.
  3. Chemical peeling
    Chemical peels work on small, sunken scars, but not as much as box truck and ice pick scars. Using hydroxy acids, the dead skin layer is removed and penetrates deeply to clean pores and stimulate collagen production.
  4. Dermal fillers
    The procedure uses collagen-based soft tissue fillers to reduce the appearance of scars.

Topical treatments for acne scars

  1. Salicylic acid
    Skin care products for acne are mainly based on salicylic acid. The acid reduces swelling and redness. Salicylic acid cleans pores and helps reduce scarring.
  2. Alpha hydroxy acids
    The acids exfoliate the skin’s surface, smooth it, and improve the structure and appearance of scars.
  3. Lactic acid
    Lactic acid helps make the skin’s texture softer and smoother.
  4. Retinoids
    Retinoids help reduce discoloration and improve skin texture. Topical retinoids are effective in treating new acne scars.
Treatment options for acne

Types of hydroxy acids such as AHA, BHA, and PHA exfoliate the skin and remove dead skin cells. Acne marks are dramatically improved due to cell renewal caused by the peeling process.

AHA works against hyperpigmentation and inhibits tyrosinase, which causes melanin production. Milder OTC alternatives increase ceramide levels in the skin and reduce water loss. This strengthens the stratum corneum and improves PIE marking.

Acne spots also improve significantly with topical treatments compared to acne scars. There are not many ways to treat acne scars as effectively as surgery. Although acne spots disappear on their own within a few months, topical treatments can speed up their fading.

Current treatments for PIH include inhibiting tyrosinase, a key enzyme in melanin production, or stimulating cell renewal to increase the rate at which pigmented skin sheds.

Topical PIE treatment includes repairing the stratum corneum, increasing hydration, reducing inflammation, and dilating blood vessels.

Topical treatments for acne
  1. Hydroquinone
    Hydroquinone is effective in the treatment of post-inflammatory hyperpigmentation spots by inhibiting tyrosinase. It significantly reduces the appearance of dark spots by destroying melanocytes and melanosomes, important components of melanin synthesis.
  2. Hydroquinone
    AHA, BHA, and PHA are hydroxy acids that increase cell turnover and inhibit tyrosinase enzymes.
  3. Retinoids
    Retinoids effectively treat PIH and PIE-related acne because they increase epidermal turnover and inhibit inflammatory pathways that cause melanin.
  4. Azelaic acid
    The potent acid also inhibits tyrosinase activity and reduces inflammation, which in turn reduces the appearance of dark spots.
  5. Niacinamide
    Vitamin B3 reduces melanin synthesis by preventing the pigment from reaching the cells stabilizes the skin barrier, moisturizes, reduces inflammation, and promotes wound healing. Niacinamide effectively relieves all types of acne.
  6. Vitamin C
    The antioxidant inhibits tyrosinase and regulates the stratum corneum. The vitamin also stimulates wound healing and reduces inflammation at the same time.

Other viable topical options that reduce the appearance of pigmentation caused by acne include kojic acid, alpha-arbutin, licorice extract, and ceramides.

The last word

Acne spots and acne scars affect our self-esteem, but they can certainly be treated. There is no reason to continue suffering from noticeable residual scars.

Acne spots are irregularities in texture and acne scars cause discoloration that can be divided into brown and red spots.

Stubborn scars require medical treatment with the help of a dermatologist, while common acne spots can be treated with over-the-counter medications.

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