Whiteheads: Do They Really Turn into Acne Scars? - Dermatology

More Info

---

Whiteheads, also known as closed comedones, are a common form of acne that occurs when hair follicles become clogged with oil, dead skin cells, and bacteria. They appear as small, white bumps on the skin's surface and can be frustrating for many individuals trying to achieve clear skin. Understanding the relationship between whiteheads and acne scars is essential for effective treatment and management.

To address your question, it is important to clarify that whiteheads themselves do not directly turn into acne scars. Acne scars are typically the result of inflammatory acne lesions, such as cysts or papules, that cause damage to the skin's deeper layers. When these lesions heal, they can leave behind scars due to the loss of collagen and elastin in the skin. Whiteheads, being non-inflammatory, usually do not cause the same level of damage and are less likely to result in scarring.

However, there are a few points to consider regarding your situation:
1. Persistence of Whiteheads: If whiteheads remain on the skin for an extended period without treatment, they can become inflamed or infected, leading to more severe forms of acne. This inflammation can increase the risk of scarring. Therefore, it is crucial to address whiteheads promptly to prevent them from worsening.

2. Treatment Options: You mentioned using topical retinoids (like AHA or retinoic acid) for over a year without significant improvement. While these treatments can be effective for many, they may not work for everyone. If your dermatologist suggested laser treatments like fractional laser (often referred to as "flying laser"), it may be because they believe your skin has developed textural changes or scarring that require more intensive intervention.

3. Understanding Scarring: The term "痘疤" (acne scars) can refer to various types of skin texture changes, including hyperpigmentation (dark spots) or atrophic scars (depressed scars). If your whiteheads have led to post-inflammatory hyperpigmentation, this can appear as dark spots after the whiteheads resolve. These spots can sometimes be mistaken for scars but are typically treatable with topical agents or laser treatments.

4. Skin Metabolism: It is true that whiteheads can eventually resolve on their own as the skin undergoes its natural exfoliation process. However, if they are persistent and not responding to treatment, it may indicate a need for a different approach, such as professional extraction or alternative topical treatments.

5. Consultation with a Dermatologist: Since you have already consulted a dermatologist, it is advisable to follow their recommendations closely. If you feel uncertain about the suggested treatment plan, seeking a second opinion from another dermatologist can provide additional insights and options.

In conclusion, while whiteheads themselves do not directly turn into acne scars, their persistence and potential for inflammation can lead to skin changes that may resemble scarring. It is essential to manage whiteheads effectively and consult with a dermatologist for tailored treatment options. Regular follow-ups and open communication with your healthcare provider will help you achieve the best possible outcomes for your skin health.