More Information on Acne ScarsAtrophic Acne Scars. Atrophic macules are small, soft indented scars that typically occur in caucasians. The scars can be purplish or reddish in color because of the presence of blood vessels just below the surface of the skin.
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Depressed (Atrophic) Fibrotic Acne Scars. Depressed fibrotic acne scars larger then atrophic macules. They have sharper more well defined and steeper edges. These scars can be accompanied by hardened (fibrous) tissue underneath the surface of the skin.
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Pigmented Acne Scars. Pigmented acne scars develop in response to inflammation caused by the acne healing process. These scars can be red with lighter skinned individuals and black or brown with darker skinned individuals.
Boxcar Acne Scars. Boxcar acne scars are depressed acne scars, usually round or oval in shape with steeply angled sides. They are similar in appearance to chickenpox scars. Boxcar scars occur when an inflamed acne lesion destroys tissue, leaving a sunken area on the skin.
Ice Pick Acne Scars. Ice pick acne scars are small, narrow, pinpoint type acne scars that can penetrate very deeply into the skin. These type of acne scars can extend into the dermis (the lower layer of skin) and are usually less than 1/8" across.
Superfical & Deep, Soft Acne Scars. This type of acne scar does not have the same sharp edges as the icepick or fibrotic scars. They do not contain the same fibrous tissue beneath the skin and are soft to the touch. They are usually circular in shape with rolling edges.
Keloid (hypertrophic) Acne Scars. Keloid acne scars rise above the skin and outside the boundaries of the original acne trauma. Keloid acne scars occur more frequently in dark skinned individuals such as Asian and African Americans. The trauma of the acne lesion causes the body to produce excess collagen and fibrous tissue, which in turn leads to the bumpy mass above the skin.
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