Acne scars are the worst thing about acne. The constant reminders that your face was picked up when it shouldn’t be, and, not to mention, the fact that acne scars can be difficult to conceal under makeup. Yes, getting rid of acne scars is the best option, but it can be not easy.

What is acne scarring?

Even if your breakouts are under control, there is a chance you will end up with bumpy skin. “Acne scars” are permanent textural changes on the skin that result from severe acne, says Cristina Casaldaliga (mesoesetetic Pharma Group International trainer).

Acne scarring occurs during acne healing. It depends on how much collagen your skin produces to treat the affected areas. The scarring is usually caused by excess or insufficient collagen production. Casaldaliga says that the amount of collagen in the body will determine what type of scar.

How do acne scars look?

Casaldaliga explains two types of scarring: hypertrophic scars that cause tissue loss (atrophic scars), which appear as raised or swollen areas in the skin.

She also said that atrophic scars can be sub-classified into a boxcar, icepick, and rolling scars.

“Icepick scars are small, but obvious, holes in the skin,” said Daniel Isaacs, Director, Research at Medik8. “Boxcar scars are usually small, but obvious, depressed areas that look like chickenpox scars.” “Rolling” scars appear as indented, shallow indents in the skin with soft edges that create an uneven texture.

What causes scarring in the skin?

Isaacs says that inflamed skin blemishes often cause acne scars. These can be caused by skin pores overloaded with oil, dead skin cells, and bacteria. The pore expands and causes a crack in the follicle walls. Most shallow lesions heal quickly and are often minor. Deeper lesions can develop if the wall of the pore is broken. The skin can repair these lesions through the formation of new collagen fibers. These repairs are often not as smooth or flawless as the original skin.

Who are the most likely to get acne scarring?

Isaacs says, “Anyone can inflict scarring but those who aggravate it will invariably scare quicker and more deeply.”

Casaldaliga says, “The risk of developing inflammatory (swollen reddish, and painful) acne such as cysts or nodules increases.” This type of acne, grade IV, tends to penetrate the skin deeply and cause skin damage.

How do you prevent scarring from acne?

Stop picking at your pimples! Isaacs says that bacteria can increase the chance of more cysts developing and cause scarring.

Isaacs also recommends avoiding the sun because it can make scars look darker and more prominent.

Casaldaliga suggests that scarring is less likely if acne is treated quickly.

How do you get rid of acne scars

The Ingredients

Isaacs points out that salicylic acid (and niacinamide) are two key ingredients for removing acne scarring. Salicylic acid exfoliates and decongests the pores, which can cause blemishes. Like vitamin B3, Niacinamide (or vitamin B3) acts as a soothing anti-inflammatory. It reduces the redness and irritation of the blemish quickly and helps to regulate sebum to prevent future blocked pores.” Both ingredients can be found in Medik8 Blemish SOS, La Roche-Posay Effaclar Duo.

Skincare products

Although over-the-counter products won’t completely remove acne scars (and professional treatments cannot guarantee 100%), they can reduce their appearance.

This Aussie clay mask will naturally help you get rid of your acne scars. This mask is rated highly by users. Pink clay is the main ingredient. It helps to cleanse pores, improve skin texture, prevent future breakouts and reduce acne scarring.

This acne scar cream can be used to lighten pigmentation and post-acne marks. This cream contains powerful amounts of retinol 8, which helps to increase the skin’s natural collagen product. It also smoothens and refines skin. However, it is gentle enough to be used on sensitive skin.

In-salon treatments

There are many professional options to remove pimple scars. Depending on your circumstances (such as skin type, severity, budget), they will differ. However, the best treatment for acne scarring matches the scarring.

Dr John Mahony is a Board Member of Cosmetic Physicians College of Australasia. He says that hypertrophic scars (highly reacted) will usually respond to cortisone injections if they are not too old. It is better to use small, slow doses each fortnight or monthly than to do a large, bloody keloid-shattering amount in one go. Pressure, topical silicone and cryotherapy are all adjunct treatments. IPL is also available. Injections of other agents, including 5FU, can be used.

Dr Mahony recommends subcision as a surgical option for treating atrophic scars. Subcision, especially when combined with HA fillers, will provide immediate improvement. However, there may be some bruising. Subcision uses the sharp edge of a 21G needle’s bevel to remove the tiny fibres that hold the scar. Dr Mahony says this allows the scar to rise and thus flatten.”

Microdermabrasion is a great option if you are looking for a less-invasive treatment. Microdermabrasion is best for light scars. Laser treatment is another option for treating acne scars. This includes erbium laser fractionation, CO2 laser and radiofrequency machines. Dr Mahony recommends using hyaluronan fillers (HA) for quick results. Simple filling using a microdot technique with a hyaluronan-filleder will provide immediate improvement. The hyaluronan itself will promote new collagen and thicken the skin.

Casaldaliga adds that microneedling using the m.pen [pro] device, and our unique combination of active ingredients from mesoestetic’s 223, skinmark solution formula, is a great way to improve the appearance blemishes dramatically.