Which Type of Acne Scars Do You Have? | Acne Scars Treatments

What are the different types of Acne Scars?


Acne scars are usually treated according to its type, color, texture and severity. Therefore, it is recommended that you consult an expert to have an accurate diagnosis so that your scars will be treated accordingly.

Here are the Types of Acne Scars:

1. Depressed (Pitted) Acne Scars– These are the most common type of scars usually caused by inflammatory acne.

Rolling Acne Scars
  • Rolling Scars– Typically the scars of a long-term acne
Box-car Acne Scars
  • Boxcar Scars– These scars have a more defined and steeper edges than rolling scars
Ice Pick Acne Scars
  • Ice Pick Scars- Known to be the most difficult type of acne scar to be treated with no surgical intervention. These scars are very deep which makes them hard to treat with standard resurfacing procedures.

2. Raised Acne Scars


Hypertrophic and Keloidal Scars

  • Hypertrophic Scars- Typically shows excess scar tissue at the site of the injury, which presents as a raised region of fibrous and firm scar tissue.
  • Keloid Scars- Occurs when the scar tissue forms extensively, it can become a large nodule of dense, rubbery scar tissue that is commonly known as keloid or keloidal scar.

3. Discoloration and Pigmentation Scars

Hyper-pigmented Acne Scars
  • Hyper-pigmentation- Usually occurs when melanocytes (the cells that produce the melanin pigment) begin to proliferate at the site of injury. This creates the appearance of freckle-like spots or blotches


Hypo-pigmented Acne Scars
  • Hypo-Pigmentation- Hypo-pigmentation occurs when melanocytes are depleted from the injury site or lose their ability to produce melanin. Typically seen in darked-skinned individuals.


Erythema Acne Scars
  • Erythema (Permanent Redness) –Mostly visible in patients with lighter skin tones. Erythema is a condition in which small capillaries near the surface of the skin become damaged or permanently dilated.

Acne Scar Removal Treatments

There are a lot of acne scar removal procedures suggested by different doctors. Some would suggest a simple skin peeling procedure while others believe that a laser treatment would be the best choice.

In light of that, the treatment of choice still boils down on the extent and severity of the scar. Meaning, you would not pay for a costly laser treatment if your scar can be removed through a chemical peel.


Here are some Acne Scar Removal Procedures:

  • Trichloroacetic Acid (TCA) Peel or Chemical Peeling
  • Dermabrasion or Dermasanding
  • Ablative laser resurfacing (YAG laser, Pearl laser and CO2 laser)
  • Dermal Fillers
  • Steroid creams (cortisone)
  • Subcision
  • Punch excision
  • Spot fractional resurfacing
  • Fraxel
  • Injections ( Kenacort)
  • Intense Pulse Light (IPL)

Again…several options exist, whatever the treatment option is, it is very important to consult a physician with a large arsenal of treatment options. If a physician only sells a cheeseburger, then you ONLY get a cheeseburger, even if you need a chicken burger. Also, remember that treatments can sometimes take months to get the desired result. Good luck!


  • Click the link for Part 1. Acne Scar Removal | Belo or Calayan?

    END OF…Which Type of Acne Scars Do You Have? | Acne Scars Treatments


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