Acne and its Consequences
January 12th, 2008Usually, the mild form of acne occurring in most people does not leave scars, or if it does, the scarring heals by itself over time. But people suffering from severe forms of acne such as nodular cystic acne might be left with deep scarring in the skin.
Some spots and pigmentations can apparently be very similar to scars, without being a real one. These disappear eventually but are visible enough to cause embarrassment. Macules are such pseudo- scars, which are sometimes a consequence of an inflamed acne lesion. A macule is just a flat, red spot that is the final stage of any inflamed lesion. Unlike a scar, a macule might take time to disappear, but once it vanishes, it leaves no trace behind.
Then there is the discoloration of skin after the healing of any inflamed acne lesion. It is more common in dark skinned people, but might happen in white skin also. This is known as “Post inflammatory pigmentation.” It may need treatment by a dermatologist.
Based on the shape of tissue, acne scars are divided in two groups. The first type of scar consists of increased skin tissue, and the others are characterized by the diminution in tissue on the site of acne. Overgrowth of scar tissue is known as Keloid and is more noticeable in African-Americans. The deep, linear scar formed by acne is known as the ice-pick scar. These are very deep and removal of them is difficult.
Different People Show Different Response to Acne Scars
In some people scars heal easily while some others form permanent scars. Psychologically, people demonstrate different responses to acne scarring. Some people accept scarring as normal, while there are others who are alarmed about even the slightest of scarring and go to great lengths to get them removed.
More frequent are acne scars caused by the loss of tissue. These are like the scars left by chicken pox. These scars include ice-pick scars, soft tissue scars and depressed fibrotic scars. Ice-pick scars commonly occur on the cheek. These are small but with steep, jagged edges which makes them difficult to treat or cure. Sometimes these small marks become quite large and steep, with sharp edges, which are then called depressed fibrotic scars. Then there are soft scars, both superficial and deep. These are small with rolling edges merging with the healthy skin. They can be circular or linear in shape.
Another cause of acne scarring is the pinching and squeezing of acne. This spreads the infection to surrounding skin and damages unhealed tissue, which results in pit-like scars.
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- Cynthia Alleyne
