Scarring comes in many forms, so your skin type and the type of acne you are dealing with will determine how your skin scars after acne. As a note, while some scarring may fade by itself, such as post-inflammatory hyperpigmentation, most scars don’t go away on their own and will require treatment. Some common scars include: HYPERPIGMENTATION Hyperpigmentation refers to the darkening of the skin due to an excess of melanin, the pigment responsible for skin color. In the context of acne, hyperpigmentation often manifests as flat, discolored spots that result from the inflammation and healing process associated with acne lesions. DARK SPOTS Dark spots, similar to hyperpigmentation, are areas of increased pigmentation on the skin. Dark spots are generally flat and can range in color from red to brown, depending on the individual’s skin tone and the stage of healing. ENLARGED PORES Enlarged pores are not scars in the traditional sense but can contribute to an uneven skin texture. They often result from the dilation of hair follicles and oil glands during acne outbreaks. The increased production of oil, combined with the inflammation of surrounding tissues, can stretch the pores, making them more noticeable and giving the skin a rougher appearance. ICEPICK SCARS Icepick scars are deep, narrow pits that resemble small puncture wounds on the skin’s surface. These scars typically result from severe cystic acne that causes damage to the skin’s deeper layers. ROLLING SCARS Rolling scars create a wave-like or undulating texture on the skin. These scars are characterized by broad depressions with sloping edges, which give the skin a rolling or wavy appearance. BOXCAR SCARS Boxcar scars are broader depressions with well-defined edges, resembling the appearance of chickenpox scars. These scars often result from inflammatory acne and are characterized by their box-like shape. Generally, scarring falls into two categories; pigmented or textured. Pigmented scars are the dark spots, red spots, or flat hyperpigmentation that is left behind after acne heals; pigmented scars only affect the upper layers of the skin. Textured scars can be several skin layers deep and make the surface of the skin feel and look bumpy. Treating Pigmented and Textured Scars The complexity of scar treatment depends on scar type, skin type, and acne control. Generally, scarring falls into two categories: pigmented or textured. Pigmented scars are dark spots, red spots, or flat hyperpigmentation that are left behind after acne heals; pigmented scars only affect the upper layers of the skin. Pigmented scars can benefit from simple dermatology procedures or prescription medication. However, textured scars, like icepick or boxcar scars, need a more comprehensive medical approach, often requiring multiple sessions. At Eternal Dermatology + Aesthetics, we offer a range of cutting-edge treatments tailored to individual needs. Get the right treatment for the scars impacting you most.