The Truth Behind Acne Scars: Causes, Types, and Effective Treatments
Acne scars can leave a lasting mark, both physically and emotionally. While acne itself is often a temporary condition, the scars it leaves behind can persist for years, affecting self-confidence and skin texture. Understanding the truth behind acne scars is essential for choosing the right treatment to achieve smoother, clearer skin. At Clemens Face + Body in Boston, we specialize in advanced acne scar treatments that restore the skin’s natural beauty. From subcision to TCA peels, microneedling, and more, we’re here to help you regain your confidence with customized solutions.
The Causes of Acne Scarring
Not all acne results in scarring, but certain types of acne, particularly cystic acne, are more likely to leave behind visible marks. Scarring occurs when inflamed acne lesions penetrate the skin deeply, damaging the underlying tissue. When the body tries to heal these lesions, it can either produce too much or too little collagen, leading to permanent scars. Additionally, picking or squeezing acne increases the chances of scarring as it exacerbates inflammation and slows down the healing process.
The Three Main Types of Acne Scars
Acne scars come in different shapes and sizes, and identifying the type of scarring you have is key to determining the best course of treatment. There are three main types of atrophic acne scars, which are characterized by loss of tissue:
Ice Pick Scars
Ice pick scars are narrow, deep scars that resemble small punctures in the skin. They occur when an acne cyst or pustule destroys skin tissue, leaving a deep pit. These scars can be particularly challenging to treat due to their depth.Rolling Scars
Rolling scars create a wave-like appearance on the skin’s surface, making it look uneven. They are caused by bands of scar tissue that form under the skin, pulling it downward. Rolling scars are often wide and shallow, but their texture makes the skin appear uneven.Boxcar Scars
Boxcar scars are round or oval depressions with sharp edges. They are wider than ice pick scars but not as deep. Boxcar scars often form in areas where the skin is thicker, such as the cheeks and temples.
Each type of scar requires a different treatment approach, which is why it's important to consult with an experienced practitioner who can recommend the most effective solution.
Advanced Treatments for Acne Scarring
At Clemens Face + Body, we offer a range of treatments designed to reduce the appearance of acne scars and improve skin texture. Depending on the severity and type of scarring, we customize treatment plans that may include the following:
1. Subcision
Subcision is a highly effective treatment for rolling and depressed scars. During the procedure, a small blunt cannula is inserted beneath the scar to break up the fibrous bands of tissue that tether the skin down. By releasing these bands, subcision allows the skin to rise, creating a smoother surface. This treatment is often combined with other therapies like fillers to further improve skin texture and volume. Please note that we do not offer other subcision tools, such as the Nokor® or Taylor Liberator®.
2. Microneedling
Microneedling is a minimally invasive treatment that stimulates collagen production by creating tiny micro-injuries in the skin. These controlled injuries trigger the body’s natural healing response, promoting the growth of new collagen and elastin. Over time, microneedling helps to reduce the depth of acne scars, smooth out rough texture, and improve skin tone. Our microneedling treatments use a PDRN serum that allows for optimal collagen growth, skin tightening, and scar fading.
3. TCA Peels (Trichloroacetic Acid)
For more severe scars, TCA peels offer a powerful solution. TCA CROSS (Chemical Reconstruction of Skin Scars) involves applying a high concentration of TCA directly to ice pick scars, which promotes collagen production and helps fill in the depth of the scars.
4. Fillers for Acne Scars
Dermal fillers like Restylane and Juvederm can be used to temporarily fill in deeper scars, such as boxcar or rolling scars. Fillers provide immediate improvement by lifting depressed areas of the skin, creating a smoother surface. When combined with other treatments like subcision, fillers offer an effective solution for improving the appearance of scars.
5. Sculptra for Collagen Stimulation
Sculptra is a unique treatment that stimulates collagen production over time. By injecting Sculptra into areas affected by acne scarring, it gradually restores lost volume and smooths out uneven skin. Unlike traditional fillers, Sculptra works by boosting your skin’s natural collagen production, leading to long-lasting results.
PATIENTS’ EXPECTATIONS ON ACNE SCARS
It's important for patients to understand that complete resolution of acne scarring is often the exception rather than the rule. While significant improvements can be made, achieving smooth, even skin typically requires multiple treatments over a series of visits. Each type of scar responds differently, and depending on the severity, it may take a combination of techniques, such as subcision, microneedling, and chemical peels, to achieve optimal results. Patience is key, as the skin needs time to heal and produce new collagen with each treatment session, progressively improving the appearance of scars over time.
Take the First Step Toward Clearer Skin
At Clemens Face + Body in Coolidge Corner, Boston, we understand that no two patients are alike. That’s why we take a personalized approach to treating acne scars, carefully assessing your skin type and scar pattern before recommending the best treatments. Whether you’re dealing with ice pick scars, rolling scars, or boxcar scars, we have the expertise and treatments to help you achieve smoother, clearer skin. With options like subcision, microneedling, and TCA peels, you can feel confident knowing you're in capable hands.
