How Does Acne Scarring Occur?

acne scars (2)

Acne scarring can occur in different ways. Various factors can contribute to this condition, including inflammation of the skin, damage to the epidermis, and traumatic events that cause the deeper layers of skin to become inflamed. The time it takes for the skin to heal after an incident is also a consideration.


Inflammation is a common cause of scarring from acne. It occurs when the skin becomes inflamed due to an overgrowth of bacteria. This is a painful condition that can lead to permanent scarring. The affected area will be red, swollen, and puffy.

Acne scars can be one of two types, atrophic and hypertrophic. Atrophic acne scars have a sunken appearance and can be easily visible, while hypertrophic acne scars are raised. They often appear on the face and jawline. Keloid acne scars are characterized by raised and thick scarring.

The extent of scarring can vary between patients. However, the immune response to acne is thought to determine whether the patient develops acne scarring. A study of immunohistochemistry found that early-stage acne lesions triggered a large immune response. The immune response was nonspecific in the early stage but grew more specific after the lesion resolved. This suggests that prolonged inflammation in the healing tissue contributes to acne scarring.

Damage to the epidermis

When an acne breakout results in a scar, it is a sign that the skin has been damaged deeply. The scarring process involves the breakdown of the epidermis and damage to the underlying collagen. This damage causes the body to produce more collagen to repair the affected area. However, this process can result in irregular, uneven skin tone that is not as smooth as normal skin. This condition is often called post-inflammatory hyperpigmentation and is often accompanied by discomfort.

Acne scarring causes the skin to lose elasticity and fullness. In addition, the skin loses elasticity, which causes scars that do not look as smooth as the surrounding skin. This means that acne scarring treatments should focus on improving the appearance of the skin’s appearance, not simply covering up the problem area.

Trauma to the deeper layers of the skin

Acne scarring is the result of trauma to the skin’s deeper layers. Unlike post-acne erythema, acne scars are not a permanent feature, and they may be improved with time. The most common location for acne scars is on the face, but scarring can also occur on other parts of the body.

Acne scarring occurs when the skin’s pores become clogged with oil and bacteria. When these pores become inflamed, they rupture and affect the deeper layers of the skin. The skin’s natural healing process will repair the damage by producing new collagen fibres. However, the finished product never looks as smooth as the skin was before the trauma. Acne scars have two different types: raised scars and indented scars.

Rolling scars have a sloping edge and are usually the result of long-term inflammatory acne. These scars usually respond well to treatment. Those with sharply defined edges are more difficult to treat.

The time it takes to heal

Acne scars are usually deep, painful sacs that are filled with pus. Treatment for acne scarring is a multi-step process. It can take several months to heal completely. Many treatments are designed to target the underlying causes of acne scarring. Your dermatologist can advise you on your particular case and the length of time you can expect to see results.

Acne scars can come in different shapes and sizes. Some are raised, while others are smooth. Whether you have acne scarring on your face, back, or chest, there are treatments that can help you. Laser resurfacing is one such option, which has proven very effective in smoothing out these scars. Acne patients will also experience skin discolouration, which is not technically a scar. It can appear red, blue, or white and is a long-term side effect of acne.

Treatment options

There are many treatment options for acne scarring, including dermabrasion and laser treatment. However, you should know what your skin type is and what you can expect from different treatments. Your GP will be able to recommend the right option for you, depending on your specific condition. It’s also important to consider your age and skin tone when choosing a treatment.

Acne scars are a common problem that affects many people, including teens and young adults. Acne scarring can be painful and disfiguring and can impact the quality of life of people who have experienced it. Fortunately, there are many therapeutic options for treating acne scarring, including lasers, dermal fillers, and microneedling with platelet-rich plasma. Each method is effective for different types of scarring and can be combined with another to provide the best results.

Can Acne Scars Go Away on Their Own?

Acne scars often go away on their own, but in some cases, you may need to get a professional opinion. A dermatologist can diagnose and treat your skin condition. Treatment options include Topical retinoids and Microneedling. Depending on the severity of your scarring, you may also want to consult with a cosmetic surgeon.

Skin needling

Skin needling for acne scarring is a relatively safe procedure that can have positive results. The procedure takes anywhere from 10 minutes to an hour and is performed under local anaesthesia. Patients must follow a strict skincare routine after the procedure. Afterwards, they should avoid touching the treated area for at least 12 hours. They should also avoid strenuous activity. After the treatment, the skin may feel flaky and tender.

Microneedling is performed on the skin using a hand-held electrical device. The device uses ultra-thin medical-grade needles to create multiple micro punctures in the skin. The device oscillates upward and downward, and a trained Doctor or Registered Nurse glides it over the affected area. These tiny punctures stimulate the body to produce new collagen and elastin. The process is safe and can improve the texture and firmness of the skin.

Topical retinoids

Topical retinoids can help acne patients reduce the appearance of scarring caused by acne. They penetrate the middle layer of the skin and stimulate the production of collagen and elastin. These two components of the skin repair process reduce the appearance of pores and acne scarring. Retinol and its derivatives are available over the counter and on prescription.

Since these topical treatments can irritate the skin, they should be used only twice a week or less. Applying these creams to the affected areas only during the nighttime will prevent the skin from becoming too sensitive. It is also recommended that women not use retinol on the breasts or while nursing because it can cause irritation.


Microneedling for acne scarring is an effective treatment that can improve the appearance of acne scarring. A 22-year-old male was treated with microneedling and topical triple-peptide serum, and significant surface repair was observed after the procedure. The microneedle penetrates the epidermis at a depth of 1mm, creating tiny channels that allow direct access to the dermis.

Microneedling is a painless procedure that is ideal for acne scars. It requires no downtime or discomfort, and it produces beautiful, glowing results. It is particularly effective for acne scarring that has undergone atrophic changes.

Inflammatory pimples fade over time

Acne scarring is a normal part of the healing process after an outbreak. The skin tissue beneath the pimples is damaged during an acne outbreak and the body responds by overproducing collagen. This causes scars that appear raised or depressed and can take weeks to months to fade away completely.

The time it takes for an acne scar to fade depends on the type and severity of the scarring. Inflammatory pimples often fade away over time, but acne scarring can last for a long time, sometimes even a year or more. Fortunately, there are many ways to reduce the appearance of acne scars. One option is to use vitamin C serums to improve the skin’s appearance and reduce any visible scarring. These creams can help clear up acne scars and reduce pigmentation. A dermatologist can also provide treatment to help patients achieve scar-free skin.

Boxcar scars

Boxcar scars can be treated using different methods depending on the severity of the scarring, location, and skin type. For the best results, a combination of treatment methods is recommended. Microdermabrasion, for example, is a popular treatment for boxcar scars because it removes the top layer of skin. However, it is not an effective solution for deep scars. In addition, patients may have to have several treatments before they see full results.

Boxcar scars are circular depressions that appear on the skin. They are larger than icepick scars but not as wide as rolling scars. Because they have rounded edges, they tend to look unattractive on the skin’s surface. Using the right acne scar treatment can help minimize the appearance of boxcar scars.

Hypertrophic or keloid scars

Keloids are a type of scar that develops on the skin. These rounded, irregular scars are usually darker than the surrounding normal skin and are a result of abnormal wound healing. Keloids are more common on the chest, back, shoulders, earlobes, and other parts of the body that have had trauma. They are also more common in people with darker skin.

Hypertrophic scars are firmer than keloid scars and have a raised appearance. They do not regress and are often very noticeable. Keloid scars are common in people with darker skin than white skin.

Got questions? Want to book in, give us a call on 01213893005 we’re happy to help! 

Want to see some of our client’s skin transformations? FOLLOW us on Instagram too!

Instagram: @theglamfairies


Schedule a Visit