1. Atrophic Scars (Depressed Scars)

1. Ice Pick Scars: Deep, narrow, pitted scars
2. Boxcar Scars: Broad, rectangular depressions with sharp edges.
3. Rolling Scars: Wide depressions with a sloping edge.

2. Hypertrophic & Keloid Scars (Raised Scars)

1. Caused by excess collagen during healing.
2. More common on the chest, back, shoulders, and jawline.

3. Post-Inflammatory Hyperpigmentation (PIH)

1. Not technically scars, but dark spots left after acne heals.
2. Usually fade with time or with topical treatments.

Popular Acne Scar Treatment Options

1. Topical Treatments

These are best for mild scarring and post-inflammatory pigmentation.

1. Retinoids: Stimulate collagen production and cell turnover.
2. Vitamin C Serums: Brighten the skin and reduce pigmentation.
3. AHA/BHA Products: Help exfoliate the skin and smooth texture.

2. Chemical Peels

1. Use acids like glycolic or salicylic acid to remove outer skin layers.
2. Improves discoloration and texture over time.
3. Best results are seen with multiple sessions.

3. Microneedling

1. Involves tiny needles creating micro-injuries in the skin to trigger collagen production.
2. Effective for rolling and boxcar scars.
3. May take a few sessions for visible results.

4. Laser Treatments

1. Ablative Lasers (like CO2): Remove top layers of skin and stimulate collagen.
2. Non-Ablative Lasers (like Fraxel): Stimulate collagen without damaging the skin surface.
3. Requires downtime but provides significant improvements.

5. Dermal Fillers

1. Temporary solution for depressed scars.
2. Fillers like hyaluronic acid are injected under the scar to lift the area
3. Results last 6–18 months.

6. Subcision

1. A minor surgical procedure where a needle breaks up the fibrous tissue pulling down the scar.
2. Often combined with other treatments like fillers or lasers.

7. Punch Techniques

1. Punch Excision: Removes the scar completely, followed by sutures.
2. Punch Grafting: Replaces the scar with a skin graft, usually taken from behind the ear.
3. Effective for deep ice pick scars.

Choosing the Right Treatment

Factors to Consider

1. Type of scar
2. Skin tone and type
3. Budget
4. Downtime availability
5. Medical history and allergies

Always consult a certified dermatologist before starting treatment. They can tailor a plan to your skin’s needs and ensure safety.

Combining Treatments for Better Results

In many cases, a combination approach works best. For example:

1. Microneedling + PRP (Platelet-Rich Plasma) boosts healing and results.
2. Laser + Subcision provides more dramatic improvements for deep scars.

What to Expect During Recovery

1. Downtime: Some treatments, like lasers and deep peels, require a few days to weeks of recovery.
2. Side Effects: Temporary redness, swelling, peeling, and sensitivity.
3. Aftercare: Avoid sun exposure, use gentle products, and follow your dermatologist’s instructions carefully.

Preventing New Acne Scars

1. Treat acne early to prevent scarring
2. Avoid picking or popping pimples.
3. Use non-comedogenic skincare and makeup.
4. Stick to a consistent skincare routine.