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Acne scars are a constant reminder of a pimple that had its moment and wanted to keep stealing the spotlight. Even if they have existed for a while, there is still much to do to get rid of them.
Parade.com connected with some dermatologists to find out what constitutes an acne scar and how to treat them.
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What causes acne scars?
The inflammation in the skin at the site of the red acne bumps tends to cause acne scars, says Dr. Jennifer MacGregor, a dermatologist from New York. On the other hand, blackheads and whiteheads rarely produce scars.
"The more severe or" cystic "acne tends to cause more significant permanent scars. The deeper the scar or depression in the skin, the harder it is to treat it," says MacGregor.
Acne scars fall into two categories, in general. A tissue loss refers to an atrophic scar, while a hypertrophic acne scar is one caused by too much tissue, says Dr. Deborah Jaliman, a dermatologist from New York.
People with darker skin may have dark spots or pigmented scars that may persist at the site of an anterior spot, while those with lighter complexion have acne scars that appear as bright red spots.
People with darker skin generally have more difficulty treating acne scars because they could deal with increased discoloration or hyperpigmentation, Jaliman adds.
As we age, acne scars can get worse due to sun damage, as well as loss of collagen and elastin, says MacGregor.
And if you're a pimple, you probably have a worse scar. "Those who collect their scars or regularly squeeze large pimples have the worst absolute scar, often with permanent, sharp or jagged depressions that can occur in the form of a nail," MacGregor adds.
How to prevent acne scars
Stopping dry acne with effective treatment, and avoiding pecking, is a good way to prevent new scars.
"Obtain an individualized and effective acne regimen from a board-certified dermatologist instead of a skin care vendor looking to sell expensive products," MacGregor advises. "Once a scar is formed, as indicated by the name" scar ", it is permanent and cannot be removed 100 percent."
Keeping the skin hydrated and hydrated can also prevent acne scars, says Jaliman.
"Anything that creates a protective barrier on the skin's surface to retain moisture and help protect the skin while it heals will help lessen the chances of a noticeable scar."
Fortunately, there are many treatments that can mix dramatically and soften the scars. Glycolic cleansers or homemade exfoliation pads can provide gentle exfoliation, while products containing antioxidants (vitamin C), broad-spectrum mineral sunscreen and a nighttime retinoid can also reduce the appearance of scars. Retinol or RetinA can stimulate collagen and soften deeper depressed scars.
Depressed, notched, or raised bumps scars usually don't resolve without treatment, said Dr. Lauren Fine, a Chicago dermatologist. "Skin discoloration or redness without a change in texture often fades over time, but one should seek medical help if they want to speed up the process."
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Treatments for acne scars
It is important to consult a dermatologist in general, especially if you want to try a treatment. Sometimes, what you think is a pimple, acne or scar may be another inflammatory skin disorder or even skin cancer, says MacGregor.
Vascular lasers, such as a pulsed dye or a KTP laser (KTP stands for potassium titanyl phosphate) can fade red marks, while lasers and clear and bright topical medications and fraxel can attenuate brown spots. To stimulate collagen and complete depressions, surface lasers and radiofrequency microneedle devices can be used successfully after a series of three to six treatments. Injectable fillers can also be used on deep scars.
Jaliman recommends Azaclear, which includes niacinamide with azelaic acid
“It works by killing the bacteria that cause acne and keeping skin pores clean. Azelaic acid prevents discolored skin cells from developing, ”said Jaliman.
Also, use products with antioxidants, vitamins and fruit enzymes. Microneedle devices at home can also reduce scars and acne marks, as well as firm skin. Just be careful not to use them during an outbreak because it can irritate the skin.
Fine says a dermatologist can recommend creams and medications to lighten dark or red spots.
Retinoles and their equivalent equivalent retinoids, such as tretinoin and adapane, can help in cell turnover, which can cause spots to fade faster. Ingredients such as hydroquinone, kojic acid, glycolic acid, lactic acid, arbutin and vitamin C can also be effective in lightening brown spots. Niacinamine and other forms of vitamin B can reduce redness. Chemical peels can also reduce discoloration, says Fine.
"Once the scars form, there is almost always something we can do to improve their appearance," says MacGregor.
"The scars are more susceptible to treatment when treated as soon as possible," Fine adds. "But with that said, even the scars of decades can be improved with proper treatment."
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