Acne scarring develops when inflamed acne damages the deeper structure of the skin. Understanding how it forms explains why controlling active acne early is the most effective way to limit long-term scarring.
This article covers how scars develop and how they are approached, without treating scars while acne is still active.
What causes a scar to form
When an acne lesion is deeply inflamed, it can damage collagen in the dermis. As the skin repairs, it may produce too little collagen, leaving a depression, or occasionally too much, leaving a raised scar. The more intense and prolonged the inflammation, the greater the risk of scarring.
Why some people scar more
Depth and duration of inflammation, a tendency to pick or squeeze lesions, delays in controlling acne, and individual healing differences all influence who scars. This is why early, effective control of active acne is the single most important step in preventing scarring.
Scars versus marks
It is important to distinguish true scars, which are textural changes in the skin, from post-inflammatory hyperpigmentation, which is flat discolouration left after a spot. They are different problems and are managed differently, so assessment is needed to tell them apart.
The right sequence
Scar management only begins once active inflammatory acne has fully resolved. Treating scars while acne is still active tends to be counterproductive. At Regener8, this is handled in order within the Acne Recovery Programme.
Frequently Asked Questions
Can acne scars be prevented?
The most effective prevention is controlling active acne early and avoiding picking or squeezing lesions. Once inflammation is controlled, any residual scarring can be assessed and managed.
Are acne marks the same as scars?
No. Flat brown or red marks left after spots are usually post-inflammatory pigmentation, not true scars. True scars are textural. They are assessed and treated differently.
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