Acne and Scars

Problem: I have severe acne on my face and back. I’ve been using various ointments for many years. My face has deep scars. I’ve been advised to go for abrasion. Will it help my scars or worsen.

Solution: Scarring is most commonly seen with the cystic type of acne which is the harshest and most painful form. Unlike usual acne the cystic acne takes a very long time to heal. It is also known for leaving horrible scars on the faces. Any invasive approach to treating cystic acne should be avoided as there is a risk of developing two types of scars- depressed or raised. Depressed scars are also called ice pick scars and can be shallow or deep. The shallow ones can give the skin a typical wave type appearance thus making it look older than usual. The deeper ones can be more deforming making the skin appear more like a cobbled road. Raised scars are called keloids and can appear quite unsightly. The best approach with cystic acne therefore should be non-invasive. Early treatment is the best solution. The first aim of the treatment should be to prevent newer acne and minimize scarring. Severe acne should never be ignored as just a part of growing up.

Problem: I have marks on my face after pimples never see to heal. More than the pimples I am more worried about the marks that are left behind on the face.

Solution: Post inflammatory Hyper Pigmentation (PIH) is a common cause for skin discoloration after cystic acne. It develops when acne causes inflammation, which triggers the skin to produce too much melanin. The excess melanin actually darkens the area for a very long time (even after the acne has been healed). This can make the face appear dark, blotchy and discolored. Rather than worrying about marks, make sure you are regular with your skin regimen, exfoliation and use of face packs so that you can prevent acne. And as a matter of fact if the acne is prevented, marks will not be formed at all.

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