Red scars left by acne on the face?
Hello Doctor: Every time I get acne, I am left with red spots that feel a bit hard and do not go away.
I haven't picked at them; why does this happen? Also, what methods can I use to eliminate scars on my face? Thank you for your response.
peter, 20~29 year old female. Ask Date: 2005/04/17
Dr. Zheng Lizhen reply Dermatology
Hello! Acne scars can be classified into "true scars" (atrophic or hypertrophic scars) and "false scars" (erythema or hyperpigmentation).
True scars, particularly atrophic scars, can be treated with dermabrasion, with laser resurfacing being the most common method currently used.
This method causes less damage compared to traditional dermabrasion and has a quicker recovery time, with wound healing taking about one week.
Redness may take approximately two to three months to subside, depending on post-operative care.
Hypertrophic scars are related to individual skin types and can lead to raised keloid scars.
These scars can be treated with topical or injectable steroids or cryotherapy.
As for false scars, the redness or hyperpigmentation left by acne usually fades gradually over time (approximately three to six months).
Using whitening products and proper sun protection can help accelerate the fading process.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.
Reply Date: 2005/04/17
More Info
Red acne scars, often referred to as post-inflammatory erythema (PIE), can be a frustrating aftermath of acne breakouts. These scars are typically red or dark spots that remain on the skin after the acne has healed. Understanding the underlying causes and effective treatment options is essential for managing these scars and preventing future breakouts.
Causes of Red Acne Scars
When acne lesions heal, the skin may produce excess blood vessels in the area, leading to the red or dark spots that you see. This is a natural part of the healing process, but several factors can exacerbate the situation:
1. Inflammation: The more inflamed a pimple is, the more likely it is to leave a mark. Picking or squeezing acne can increase inflammation and worsen scarring.
2. Skin Type: Individuals with darker skin tones may experience more pronounced post-inflammatory hyperpigmentation (PIH), which can appear as dark spots rather than red.
3. Healing Process: Everyone's skin heals differently. Some people may be more prone to developing scars due to their skin's healing response.
Treatment Options for Red Acne Scars
1. Topical Treatments:
- Retinoids: Topical retinoids (like tretinoin) can help speed up cell turnover, promoting the healing of scars and improving skin texture.
- Vitamin C: This antioxidant can help brighten the skin and reduce redness. It also aids in collagen production, which can improve the appearance of scars.
- Alpha Hydroxy Acids (AHAs): Products containing AHAs can help exfoliate the skin, improving texture and reducing the appearance of scars over time.
- Niacinamide: This ingredient can help reduce redness and improve skin barrier function.
2. Chemical Peels: Professional chemical peels can help exfoliate the top layer of skin, promoting new skin growth and reducing the appearance of scars.
3. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, stimulating collagen production and improving the texture of scars.
4. Laser Treatments: Various laser therapies can target redness and promote skin regeneration. Fractional lasers, for example, can be effective in treating red acne scars.
5. Dermal Fillers: In some cases, fillers can be used to raise depressed scars, making them less noticeable.
Prevention of Future Breakouts
Preventing future breakouts is crucial in managing acne and minimizing scarring:
1. Skincare Routine: Establish a consistent skincare routine that includes gentle cleansing, exfoliation, and moisturizing. Use non-comedogenic products to avoid clogging pores.
2. Avoid Picking: Resist the urge to pick or squeeze acne lesions, as this can lead to increased inflammation and scarring.
3. Sun Protection: Protecting your skin from sun exposure is vital. UV rays can darken scars and make them more noticeable. Use a broad-spectrum sunscreen daily.
4. Healthy Lifestyle: Maintain a balanced diet, stay hydrated, and manage stress levels. These factors can influence skin health and acne breakouts.
5. Consult a Dermatologist: If you find that your acne is persistent or severe, consult a dermatologist for personalized treatment options. They can provide prescription medications or recommend professional treatments tailored to your skin type.
Conclusion
Red acne scars can be effectively treated with a combination of topical treatments, professional procedures, and preventive measures. It's essential to be patient, as scar healing can take time. By following a consistent skincare routine and seeking professional advice when necessary, you can improve the appearance of your skin and reduce the likelihood of future breakouts. Remember, the journey to clear skin is often gradual, but with the right approach, you can achieve significant improvements.
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