It may become secondarily infected and may also cause scarring. Some individuals excessively pick their spots. When their skin is examined, they have no active acne spots, only scratch marks, sores and scars . All the inflammatory lesions and comedones have been removed by picking or squeezing. Occasionally patients may also require psychiatric help.
Antidepressant medication is sometimes useful.
If you have acne, see your general practitioner or consult a dermatologist for advice. New Zealand Dermatological Society.