What Are The Different Types Of Acne Scars?

What Are The Different Types Of Acne Scars?


Understanding the various types of acne scars is essential for developing an effective plan for acne scar treatment in Dubai tailored to individual needs. Acne scars can manifest in diverse forms, each with its distinct characteristics and treatment considerations.

Atrophic scars:

Atrophic scars result from the loss of tissue, creating depressions or indentations in the skin’s surface. They are further classified into subtypes:

Ice pick scars: Deep, narrow scars that resemble small punctures or holes in the skin. They are typically narrow and extend vertically into the dermis.

Boxcar scars: Broad, angular scars with well-defined edges that create a box-like appearance. They are often shallow to moderately deep and may be round or oval.

Rolling scars: Broad, shallow scars with a wave-like appearance caused by fibrous bands pulling the skin downward. They give the skin a wavy or undulating texture.

Hypertrophic scars:

Hypertrophic scars result from excessive collagen production during the wound-healing process, leading to raised, firm scars that protrude above the skin’s surface. Unlike keloid scars, hypertrophic scars remain within the boundaries of the original wound and typically regress over time.

Keloid scars:

Keloid scars are characterized by abnormal collagen production that extends beyond the boundaries of the original wound, resulting in raised, thickened scars that may be red, pink, or darker than the surrounding skin. Keloids can be itchy, tender, and continue to grow over time.

Post-inflammatory hyperpigmentation (PIH):

PIH refers to darkened areas of skin that develop following an inflammatory acne lesion. These discolorations result from the overproduction of melanin in response to inflammation and can range from pink, red, or purple to brown or black in color. PIH is not a true scar and typically resolves on its own over time.

Post-inflammatory erythema (PIE):

PIE manifests as red or pink flat marks on the skin following an inflammatory acne lesion. Unlike PIH, PIE results from dilation of blood vessels in the skin and typically fades more slowly over time. PIE is not a permanent scar but may persist for several months to years without intervention.

Understanding the different types of acne scars allows dermatologists to develop personalized treatment plans tailored to each individual’s specific scar type, severity, and skin condition. Treatment options may include topical creams, chemical peels, microneedling, laser therapy, or surgical procedures, depending on the scar’s characteristics and the patient’s treatment goals. By addressing acne scars effectively, individuals can achieve smoother, more even-toned skin and regain confidence in their appearance.