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Common Acne Scars And How To Treat Them

Ice Pick Scars The Most Common Acne Scar

Acne ScarsThere are four major types of acne scar which affect acne sufferers in a major way. They are, in order of regularity: ice pick scars; boxcar scars; rolling scars and hypertrophic or keloid scars. The most common of these is the ice pick scar, it is not difficult to work out how this kind of scar got its name ñ in short, it looks as though the sufferer has been attacked with an ice pick or a similarly sharp, thin instrument. Ice pick scars are characterised by their depth and their narrowness. Some people say that ice pick scars look like a hyper-large open pore. The way that an ice pick scar is formed explains its unique appearance. Usually a result of cystic acne, the scar develops after a cyst, or other rooted, inflamed blemish works its way up from the inner layers of dermis. Al the skin tissue in its path, and nothing else, is effectively burrowed away, leaving behind this long and deep scar. If seen as a cross-section diagram, an ice pick scar looks like a deep, narrow ravine. Treatment is available to improve the appearance of ice pick scars, if not remove the scarring entirely. The most popular method of treatment is a form of surgery known as punch excision. A small tool is pressed into the skin like a cookie-cutter in order to pull away individual scars. The wound, scarcely any wider than the original scar, is then closed using surgical stitches or skin glue. Once it has healed, the skin looks a great deal more normal.

Box Car Scars – The Aftermath of Inflammation

Although not as common as ice pick scars, nor as pronounced, box car scars are a familiar type of acne scar, most frequently found after an inflammatory acne breakout. In comparison with ice pick scars, box car scars are a good deal wider and though not quite as deep as ice pick scars they do give the skin a somewhat pitted appearance. Usually a box car scar will be round or oval in shape and have steep sides. They are recognisable for the amount of tissue that is removed to make them. The box car scar is created when an inflammatory breakout of acne strikes, destroying some of the collagen which gives facial skin its rubbery, flexible texture. Where the tissue is effectively burned away by the inflammation, the skin is left without support and develops a sunken look. There is no set level of severity for a box car scar, and it is recognised purely by its shape. They can consequently be fairly superficial or very severe depending on the severity of the breakout and the amount of tissue destroyed. To treat a box car scar, it is possible to use punch excision, although the nature of that form of surgery is more suited to ice pick scars. Instead, punch elevation is a more frequent choice for surgeons. This style of surgery involves cutting out the base of the scar and lifting (or elevating) it to a point where it is level with the surrounding skin. It is then held in place using surgical sutures until it heals, leaving the skin looking much less pitted.

Rolling Scars – A Rare Form of Acne Scar, But Unpleasant Nonetheless

Although the majority of scarring caused by acne, particularly facial breakouts, falls into the categories of ice pick or box car scarring, there are other forms of scar which can afflict the acne sufferer. One of the two other major forms of scar is the rolling scar, which is characterised by a rolling appearance, almost like a wave breaking across the skin. The skin around it will look absolutely normal, which throws the scarring into an ever clearer view. It is a form of scarring that causes discomfort and embarrassment. It is caused when a fibrous band of tissue forms between the top layer of skin and the subcutaneous tissue as a result of weakening of the connection. These fibrous bands exert a pull on the epidermis and cause it to cling to the deeper structures of the skin. The aesthetic result of this pull is that some of the skin appears sunken while that around it is where it would usually be. This creates the familiar, wave-like appearance which, when moving, appears to be as the name would suggest, rolling across the skin. In order to get rid of rolling scars on the skin, the most popular method of surgery is called subcision. This name comes from the Latin terms Subi, meaning underneath and incisio, meaning to cut. The practice of subcision involves cutting underneath the skin’s surface and inserting a needle which is used to cut out the fibrous tissue that his holding down the top layer of skin when this is done, the epidermis is freed and able to move independently.
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