What are acne scars?

Acne scars are permanent skin lesions that result from inflammatory forms of acne, such as cysts or nodules. They occur when inflammation damages the hair follicle and surrounding skin, leading to disorganized collagen structures during the healing process. The result is deformities such as depressed (atrophic) scars or raised hypertrophic/keloid scars.

Acne scars can have a significant impact on a person’s self-esteem, affecting their psychological well-being and social life. Their restoration requires a specialized approach and a combination of advanced medical treatments.

What are the types and “symptoms” of acne scars?

Acne scars vary in shape, depth, and texture. The most common types include:

• Ice-pick scars: Deep, narrow scars that resemble needle punctures.
• Boxcar scars: Wide and deep, with sharp, defined edges.
• Rolling scars: Wave-like depressions with soft edges.
• Hypertrophic or keloid scars: Raised areas caused by excessive collagen production.

Although they don’t cause physical symptoms like pain or itching, they may be accompanied by:

• Uneven skin texture
• Discoloration
• Visible distortion under bright lighting
• Psychological distress

Timely treatment of active acne significantly reduces the likelihood of scar formation.

How is diagnosis made?

Diagnosis is clinical and based on:

• Visual examination: Determines the type, depth, and extent of scars.
• Medical history: Evaluates previous acne treatments, genetic predisposition to keloids, and signs of active inflammation.
• Assessment of underlying acne: Any active acne must be treated first.

Accurate evaluation is essential for selecting the appropriate treatment strategy. Often, a combination of methods is recommended for optimal results.επιλογή της κατάλληλης θεραπευτικής στρατηγικής. Πολλές φορές, συνιστάται ο συνδυασμός μεθόδων για καλύτερο αποτέλεσμα.