There are four chief acne scar types, each requiring a different type of acne scar treatment.  Each type of scar has a different cause.  Identifying the kind of scars you have can help you in discovering which treatment alternatives can help you get rid of unsightly acne scarring.  The four kinds of acne scars requiring scar treatment include boxcar, icepick, hypertrophic (keloid), and rolling.

About Acne Scar Types

Boxcar acne scars are scars that look a lot like the small marks left behind from a severe case of the chickenpox.  Boxcar acne scars will commonly appear on the cheeks and/or temples.  This type of scar is caused when inflamed skin eruptions damage the skin tissue and create a sunken appearance in your skin.  Boxcar acne scars have an angular like structure and leave a depression in your skin that can be oval.  The depth of the formation will vary from one scar to another and depends greatly on the amount of damage done to the surrounding skin area.

Icepick acne scars are scars that have an extremely narrow appearance.  Icepick scars are considerably deep and can leave behind a hole that makes the skin look as if it has been punctured with a sharp tool; hence the name icepick acne scar.  These scars are caused by the formation of a cyst or deep skin infection that eventually comes to the skin’s surface.  While the infection works its way to the surface of your skin it destroys surrounding tissue and causes a narrow passage to form.  When the infection clears up the narrow open passage remains behind.

Hypertrophic or Keloid acne scars are scar formations created out of raised skin tissue.  Keloid scarring forms around the original acne eruption.  Unlike other forms of acne scarring, there is no tissue loss or damage during the formation of a keloid acne scar.  Instead, there is an excessive amount of collagen produced in the skin surrounding the acne outbreak.  The collagen remains under the skin creating a hard mass of swollen tissue.  Keloid scarring is more prevalent in males and it commonly appears on the torso.

Rolling acne scars look like a combination of boxcar and keloid scarring.  Parts of the scar will have deep skin indentations while other parts of the scar will be raised; this gives the scar an undulating, wavy appearance.  A band of fibrous tissue forms between the layers of your skin and cause parts of the scar to be pulled inward, creating depressions, while leaving other areas of the scar raised.

You can take steps to prevent severe acne scars from appearing.  You should never pick at or attempt to pop an acne eruption since this is one of the prime factors in the development of acne scars.  In addition, if you do develop mild acne scars, you should treat the scars as soon as possible to prevent the scars from worsening.

Acne Scar Treatments for Shallow Scars

The minute you develop a wound from acne eruptions, you should treat the wounded area.  The infected area has to remain clean and disinfected to prevent scars from occurring or getting worse.  You can try an acne scar treatment like Neosporin to keep the affected area clean, bacteria free, and to prevent the onset of infection that can later lead to destroyed skin tissue and scarring.  Alternatively, skin exfoliation with a mild exfoliating product helps remove dead skin cells and surface scar tissues.  Using products containing glycolic acid or salicylic acid can help in keeping the surface of your skin refreshed and healthy as well.

You can work on healing acne conditions internally too by making sure you are getting enough vitamins.  Vitamin supplements are a form of all natural acne scar treatment.  If you lack adequate vitamins in your system, it can take you longer to heal.  Increase your intake of B5, Vitamin C, Vitamin A, and Vitamin E, so that your skin has the best chances of healing without scarring.  Vitamin C increases your immune system functioning, and Vitamin A and E are important in skin regeneration.  Vitamin B5 promotes adequate circulation thereby lending to faster healing too.

Acne Scar Treatment Options for Deep Scars

Boxcar acne scarring can repaired with punch elevation procedures or they can be managed with dermabrasion.  A dermatologist uses equipment that has a wire wheel or diamond brush capable of spinning between 30000 to 60000 rpm.  The tool is used to remove the surface layer of skin and part of the boxcar scar formation.  This procedure may require repeat treatments until all scarring has been repaired.

Punch excision and punch elevation procedures are two treatment options for icepick scar formations.  Punch excision is a surgical treatment involving the removal of the acne scar; the surround tissue is then sewn closed and allowed to heal.  Alternatively, punch elevation is a process where a health professional cuts the bottom, depressed area of the scar, freeing it to rise to the level of surrounding skin.  Another punch technique used for icepick scarring is called punch grafting: this procedure involves taking some skin from somewhere else on your body and placing it over the icepick scar.

Chemical peels can sometimes be used to manage icepick scarring, if the scarring is not too deep.  With a chemical peel, a special chemical is applied to the skin’s surface to force the removal of the uppermost layer of skin.  Laser resurfacing, another surgical acne scar treatment, involves the use of a laser to remove scar tissue.  This type of treatment helps in dealing with blood vessels that may be bleeding beneath the surface of the skin.  The laser emits a targeted light that heats up scar tissue so it can be destroyed; laser resurfacing has proven successful in the management of deep boxcar acne scars.

An acne scar treatment for keloid acne scars is aimed at reducing tissue swelling.  A trained professional can inject steroids into the scar to help minimize the appearance of inflamed scar tissues.  This process often has to be repeated several months in a row before the results are permanent.  Keloid acne scars also prove responsive to cortisone tapes and creams that help the scar to eventually flatten and shrink.  Cryosurgery is another alternative acne scar treatment for keloid scarring: the health professional freezes the scar tissue, forcing it to die off and to be replaced with fresh, new skin.

Rolling acne scars are sometimes treated with punch treatments or dermabrasion.  An alternative acne scar treatment for these types of scars is called subcision.  Through subcision, a health professional cuts any “bound” acne scar tissue away from surrounding tissue.  Blood is then allowed to flow into the cutaway scar area and to heal.  A similar treatment called skin needling or rolling involves the use of a needle to pierce the acne scar tissue; once pierced the area is allowed to heal on its own to reveal a smoother complexion.

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