Acne Scars: Can They Heal Over Time?

Acne scars

Doctor, I previously had inflamed acne that has healed, but there is still a hard lump when I press on it.
It's been about a year.
I have seen a doctor who said it is due to keratinization from the previous inflammation of the acne.
Will this get better?

n, 20~29 year old female. Ask Date: 2007/01/16

Dr. Jiang Zheen reply Dermatology

He is likely experiencing dermal fibrosis caused by inflammation, which is a type of scar.
Local injection of softening agents may be needed, which could potentially reduce its size or make it disappear.
Wishing you peace, Jesus loves you.

Reply Date: 2007/01/16

More Info

Acne scars can be a frustrating and persistent issue for many individuals who have experienced acne. Understanding the nature of these scars and the healing process is essential for managing expectations and determining the best course of action for treatment.

Firstly, it’s important to clarify that there are different types of acne scars. The most common types include atrophic scars, which are depressions in the skin, and hypertrophic or keloid scars, which are raised areas. The hardness you are feeling when pressing on the scar may indicate that there is some degree of fibrosis or thickening of the skin due to the healing process after inflammation. This is often referred to as post-inflammatory hyperpigmentation or scarring.

In general, the healing of acne scars can vary significantly from person to person. Factors that influence this healing process include the severity of the original acne, the individual's skin type, age, and overall health. While some scars may fade over time, others can remain prominent for years. The skin has a natural ability to regenerate, and in many cases, scars can improve in appearance over time, but this process can be slow and may not lead to complete resolution.

For the specific case of hardened areas under the skin, it is possible that the skin is undergoing a process of remodeling. This can take several months to years. The body continuously works to repair itself, and collagen production plays a key role in this process. However, if the scar tissue remains hard and does not improve, it may be beneficial to explore treatment options.

There are several treatments available for acne scars, including:
1. Topical Treatments: Products containing ingredients like retinoids, alpha hydroxy acids (AHAs), or beta hydroxy acids (BHAs) can help promote skin cell turnover and improve the texture of the skin over time.

2. Chemical Peels: These treatments involve applying a chemical solution to the skin, which helps to exfoliate the top layers and can improve the appearance of scars.

3. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, which stimulates collagen production and can improve the texture and firmness of the skin.

4. Laser Therapy: Various laser treatments can target scar tissue and promote skin regeneration. This can be effective for both atrophic and hypertrophic scars.

5. Fillers: In some cases, dermal fillers can be used to raise depressed scars to the level of the surrounding skin.

6. Surgical Options: For more severe scarring, surgical procedures may be considered to remove scar tissue or to perform skin grafting.

It is essential to consult with a dermatologist to assess your specific situation and to discuss the most appropriate treatment options. They can provide personalized recommendations based on the type of scars you have and your skin type.

In conclusion, while some acne scars can improve over time, the process can be slow, and treatment options are available to help enhance the healing and appearance of scars. Regular follow-ups with a healthcare professional can ensure that you are on the right track toward achieving clearer skin.

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