Acne scars are often exacerbated when touched and picked at, or develop as a result of infected, aggressive spots that have burst. When a spot bursts it damages the hair follicles and then consequently, has a lastingly affect on the appearance of the surrounding skin in the process. Scars often appear in cystic and inflamed acne and can form into boxcar, rolling and ice pick acne scars.
Boxcar scars are round, oval depressions in the skin that can be deep, or shallow, box-like crevices that are often caused by burst spots and widespread, inflammatory acne.
Rolling scars are bands of scar tissue that form beneath the epidermis that give the skin it’s rolling, uneven and wave-like appearance.
Ice pick scars are the deepest, narrow scars that cause the skin to have a pitted texture. They are formed once the active spots of acne have passed and are the remaining signs of cysts and papules lesions that have significantly damaged the pores. They are developed when the skin produces a lack of collagen during skin repair and makes indentations rather than healing over completely.