Differences between Acne Scarring Lesions
Usually, the mild form of acne occurring in most people does not leave scars, or if it does, the scarring heals naturally 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 left behind by an inflamed acne lesion. A macule is nothing but a flat, red patch that is the final stage of any inflamed lesion. Unlike a scar, a macule can take time to disappear, but once it vanishes, it leaves no trace behind.
Then there is the discoloration of skin after the resolution of any inflamed acne lesion. It is more common in dark skinned people, but can happen in white skin also. This is called "Post inflammatory pigmentation." It may need treatment by a dermatologist.
According to the shape of tissue, acne scars are classified in two categories. The first type of scar consists of increased skin tissue, and the others are specified by the diminution in tissue on the site of lesion. An exaggerated growth of scar tissue is called Keloid and is more noticeable in African-Americans. The deep, linear scar derived from acne is called the ice-pick scar. These are very deep and their removal is difficult.
In some people scars heal easily while some others form permanent scars. Psychologically, people show different reactions 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 common are acne scars caused by the loss of tissue. These are like the scars produced by chicken pox. These scars include ice-pick scars, soft tissue scars and depressed fibrotic scars. Ice-pick scars usually appear on the cheek. These are small but with steep, jagged edges which makes their healing or treatment difficult. Sometimes these small marks become quite large and steep, with sharp edges, which are then know as 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.
Pinching and squeezing acne can also lead to acne scarring. This action spreads the infection to nearby skin and damages unhealed tissue, which results in pit-like scars.
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Published December 12th, 2007