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Acne Scarring
An unfortunate consequence
of severe or untreated acne is the possibility of permanent
physical scar formation. Acne scarring is unpredictable, so
definitive prognosis is impossible even for experienced
dermatologists.
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Acne scarring
depends upon some key factors including the type of
acne experienced. Cysts and deep inflammatory
papules are more likely to lead to scarring than
are comedones, small papules, and superficial
pustules.
Individual
skin properties are also important variables -
such as the skin's response to treatment
medication and it's natural tendency to scar
from injuries.
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Commonly, acne scarring
takes place before treatment is commenced; but scarring can
still occur notwithstanding preventative therapy undertaken in
good time.
Acne scarring occurs in
two forms, pitted scarring and keloid scarring.
Pitted scarring
Pitted scarring generally
results from more severe and deeper acne. Most of this is due
to deep inflammation which causes destruction of the collagen,
which supports the skin, and either allows the skin to dimple
into the hole or else the scar attaches to the epidermis and
pulls it down into a sharp ice pick-like scar.
Scarring is due to loss of
substance in the skin. Many people will develop a mark where a
spot has been, it may be red or, in darker skins, very
dark.
With pitted scarring, the
scars may improve, or eventually settle with no treatment.
Persistent scars may be relieved with collagen injection and
some surgical treatments, like dermabrasion, laser-resurfacing
or chemical medication.
Keloid scars
Keloids are shiny, fibrous
scars which can occur even after fairly trivial acne. They grow
slowly and can reach 5 cm (2 inches) across. They are tender or
itchy and very embarrassing.
Keloid scars are treatable
by a dermatologist usually through injection of
steroids.
Every method currently
available to repair skin damaged by scarring has its pros and
cons. Consult a dermatologist before undertaking such
treatments. Consider all therapy options and weigh up the
benefits and risks associated with each.
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