Acne Scarring 101

When acne heals or when treated by a dermatologist, there are some instances when it will leave some scarring on skin. This is especially true with acne that appears on the later stages of life. Adult skin does not have a store of collagen that helps the skin heal and regenerate. Scarring may also occur when the acne is quite severe. This is because the problem is more intensive, cutting through the skin with more depth than what is usually seen with acne that are only on the surface.

A scar may initially appear as reddish in appearance. After a white, when the skin heals and try to regenerate, the scar will become lighter, sometimes turning white, several shades lighter than the skin tone. There may be pain sometimes, even irritation. Itching is of course not uncommon because as the skin heals, the wound dries up. Sometimes, there may also be some inflammation, swelling and redness.

Normally, only nodules and cystic acne types result in scarring. However, there are people who are more prone to scarring than others. With these people, even the common lesions may result in scarring if not treated well. This is why it is important that people have their acne treated even at the initial stages to prevent scarring and permanent damage to the skin.

Basically, there are two kinds of acne. One kind is the one caused by the increase in tissue formation while the other is caused by the loss of tissue on the skin. The former is what people call keloids, which does not look like your usual scar. Keloids are bumps of skin that resemble a pimple, forming even after the wound has already healed. It can even form on the surrounding healthy tissue. Keloid scarring is actually quite rare and only affects people who have family history of it.

Hypertrophic scars, on the other hand, form above the skin level and appear as bulges and bumps on the skin. Because of this, some people do not think of it as scars but rather pimples that have not yet healed.

The more usual scars are the deep and shallow kind that resembles small crevices on the skin. These are called the Atrophic scars, which are formed below the skin level. There are several types of these kind of scar depending on the shape that it forms on the skin. The ice pick scars, which is the most common, is characterized by deep pits that form v-shapes on the skin. Another form is the boxed scars that are usually seen on temple and cheeks. They are angularly shaped, almost similar to the ones gotten in chicken pox. They can be either superficial or deep depending on the severity of the acne condition. The rolling scar, on the other hand, is the kind that gives the skin a wave-like appearance.

Scarring can actually be treated depending on the severity of the scarring problem, your skin type and of course the type of scars that you have. Sometimes, the location of the scars will also affect the treatment. Often, scarring at the back and at the chest are more difficult to treat compared to those found on the face.

There are a lot of treatment procedures available for scarring such as corticosteroid injections and cryosurgery. Surgical procedures may also be done to remove the scarring as well as x-ray therapy.

Acne Cysts And Their Treatment

Deep cysts, inflammation, extensive damage to the skin and scarring characterize severe acne. It often requires an aggressive treatment regimen and should be treated by a dermatologist. Severe forms of acne can require years of treatment and may experience one or more treatment failures. However, almost every case of acne can be successfully treated. There are five popular treatments for acne cysts. There are many effective treatments that are available currently.

Drainage and surgical excision, inner lesion corticosteroid injection, isotretinoin (a potent drug for treating severe cystic acne), oral antibiotics, and oral contraceptives are the most popular treatments. Some people may choose a more natural treatment for severe acne, which will also be covered briefly in this article.

Drainage and extraction, or acne surgery as it is also called, should not be performed by patients and is used on some large cysts that do not respond to medication and require drainage and extraction. Dermatologists are trained in the proper technique and perform acne surgery under sterile conditions. Patient attempts to drain and extract acne cysts, by squeezing or picking, can lead to infection, worsening of the acne and scarring.

When an acne cyst becomes severely inflamed, there is a good chance it will rupture and scarring will occur. To treat these severely inflamed cysts and prevent scarring, dermatologists may inject such cysts with a diluted corticosteroid. This lessens the inflammation and promotes healing of the acne cyst. An inner lesion corticosteroid injection works by melting the cyst over the course of a few days.

Oral antibiotics have been a basis of therapy for severe acne for many years. Like topical antibiotics, oral antibiotics work to reduce the “P. acnes”. “P. Acnes” are normal residents on the skin, which decreases inflammation. Treatment with oral antibiotics usually begins with a high dosage, which is eventually reduced as the acne resolves. Over time, the “P. acnes” bacteria can become resistant to the treatment. When resistance occurs, another antibiotic can be prescribed or other treatment options may need to be explored.

Oral contraceptives have been shown to effectively clear acne in women by suppressing the overactive sebaceous glands. Oral contraceptives can be used as long-term acne therapy; however, this medication should not be prescribed to women who smoke, have a blood clotting disorder, are older than thirty-five or have a history of migraine headaches, without the advice of a gynecologist.

Spironolactone, a synthetic steroid, may be used in combination with oral contraceptives to treat acne in adult females. Spironolactone inhibits androgen, hormones that stimulate oil glands in addition to other effects on the body, production. There are possible side effects that may accompany Spironolactone treatment. A few side affects include irregular menstruation, breast tenderness, headache and fatigue.

Some people choose more natural ways to combat cystic acne. Some natural treatments are eating a whole foods diet that consists of only natural foods that have not been chemically or mechanically processed. Yoga or deep relaxation techniques may be used to reduce the amount of stress that is put on the body and the mind. Essential oils are another natural treatment that may be added to the diet of sufferers of severe acne.

Acne Cysts And Their Treatment

Deep cysts, inflammation, extensive damage to the skin and scarring characterize severe acne. It often requires an aggressive treatment regimen and should be treated by a dermatologist. Severe forms of acne can require years of treatment and may experience one or more treatment failures. However, almost every case of acne can be successfully treated. There are five popular treatments for acne cysts. There are many effective treatments that are available currently.

Drainage and surgical excision, inner lesion corticosteroid injection, isotretinoin (a potent drug for treating severe cystic acne), oral antibiotics, and oral contraceptives are the most popular treatments. Some people may choose a more natural treatment for severe acne, which will also be covered briefly in this article.

Drainage and extraction, or acne surgery as it is also called, should not be performed by patients and is used on some large cysts that do not respond to medication and require drainage and extraction. Dermatologists are trained in the proper technique and perform acne surgery under sterile conditions. Patient attempts to drain and extract acne cysts, by squeezing or picking, can lead to infection, worsening of the acne and scarring.

When an acne cyst becomes severely inflamed, there is a good chance it will rupture and scarring will occur. To treat these severely inflamed cysts and prevent scarring, dermatologists may inject such cysts with a diluted corticosteroid. This lessens the inflammation and promotes healing of the acne cyst. An inner lesion corticosteroid injection works by melting the cyst over the course of a few days.

Oral antibiotics have been a basis of therapy for severe acne for many years. Like topical antibiotics, oral antibiotics work to reduce the “P. acnes”. “P. Acnes” are normal residents on the skin, which decreases inflammation. Treatment with oral antibiotics usually begins with a high dosage, which is eventually reduced as the acne resolves. Over time, the “P. acnes” bacteria can become resistant to the treatment. When resistance occurs, another antibiotic can be prescribed or other treatment options may need to be explored.

Oral contraceptives have been shown to effectively clear acne in women by suppressing the overactive sebaceous glands. Oral contraceptives can be used as long-term acne therapy; however, this medication should not be prescribed to women who smoke, have a blood clotting disorder, are older than thirty-five or have a history of migraine headaches, without the advice of a gynecologist.

Spironolactone, a synthetic steroid, may be used in combination with oral contraceptives to treat acne in adult females. Spironolactone inhibits androgen, hormones that stimulate oil glands in addition to other effects on the body, production. There are possible side effects that may accompany Spironolactone treatment. A few side affects include irregular menstruation, breast tenderness, headache and fatigue.

Some people choose more natural ways to combat cystic acne. Some natural treatments are eating a whole foods diet that consists of only natural foods that have not been chemically or mechanically processed. Yoga or deep relaxation techniques may be used to reduce the amount of stress that is put on the body and the mind. Essential oils are another natural treatment that may be added to the diet of sufferers of severe acne.