The 10 most common acne scars questions

15% of the People with untreated acne are left with acne scars. The best treatment for acne scars, is to prevent them. Early acne treatment is now much more effective easy and affordable than ever. People that will use a good set of anti-acne products, that are customised to their skin type and acne severity can expect great results, even without oral medications. What should one do if she/he are left with red spots, brown of depressed scars (=valleys in the skin). Here are the 10 most common acne scars questions people with acne are interested in.

  1. How do I get rid of acne scars? What is the best solution?

Acne scars are caused by damage to the deeper part of the skin (Dermis). There are 3 different types of acne scars: 1. "Ice-pick" scars that have a small opening but go deeper into the skin. 2. "Boxcar" scars are usually wider and more shallow, with steep, almost vertical walls. 3. Soft rolling scars that can be circular or linear. These are often greater than 4 mm in diameter and have gently sloped edges that merge with normal-appearing skin.

Acne scars can be improved by minimally invasive treatment that are available today in many Dermatologists offices. Systems that use non-insulated fractional microneedle RF technologies (such as Endymed’s Intensif system) seem to be more efficient and safe than the fractional lasers, especially on darker skin types.

  1. Should I buy a Derma Roller for acne scars?

Derma rollers are not the best for people with acne. If you have active acne they can spread the bacteria, and cause more acne breakouts. In some cases, Derma rollers can also cause more brown spots. Derma roller is a good option for people with fair skin types that have depressed acne scars without active pimples. Using sun protection and whitening creams are a more effective and much better option for brown spots.

  1. Is there a way to get rid of the red marks that acne spots leave after they go away?

Post-acne red marks are caused by enlargement of microscopic capillaries. Fortunately, pink spots will usually fade without special treatment in a few weeks after your active Acne is over. All you need to, is prevent new pimples with a good mild anti-acne cream and use an oil free sunscreen each morning. If needed, persistent pink can be also treated with light sources, called Intense Pulse light (IPL). These IPL’s produce intense pulses of light very similar to camera flash. The light is absorbed in small capillaries in the spots causing them to fade faster.

  1. How to get rid of post acne dark spots?

Treatment for brown post acne spots is usually quite easy and will include over the counter whitening creams or stronger prescription based whitening creams that contain hydroquinone. The best brown spots treatment ingredients available over the counter are arbutin, kojic acid, Licorice and green tea. Licorice and green tea are natural ingredients that have been shown to be very safe and can help face post acne brown spots if used for at least 3 months. (a good example for anti-acne products that contain Licorice and green tea are MDacne products). Arbutin is a natural derivative of hydroquinone derived from plants, including bearberry, blueberry, and cranberry. Some cosmetic products contain 3% concentrations, which studies show can significantly lighten the skin. Kojic Acid is an antioxidant derived from a fungus. It works by breaking down melanin in the skin and preventing its production in the skin. Kojic Acid is found in cosmeceuticals in 1% to 4% concentrations either combined with other skin-lightening agents or by itself.

  1. Is there anything I can do to clear up my post-acne marks faster? Does benzoyl peroxide work?

Benzoyl peroxide (BP) is the best single topical ingredient to prevent and treat red active acne pimples. Unfortunately, BP does not help with existing post acne brown spots. To fade these post acne marks, you need to look for whitening creams. Some of the new anti-acne products contain ingredients that also help face brown acne spots.

  1. I have some red spots (But there actually isn't anything there, like underneath the skin, they're just red) — how do I get rid of them?

The treatments for red/pink spots are different than the ones for brown spots. The flat pink reddish spots that remain on your skin after the pimples heal, are actually enlarged blood capillaries. In most cases these pink spots will fade in a few weeks to months without special treatment. If these pink spots do not fade, they can be treated with lasers or Intense Pulse light (IPL). These lasers, used by many Dermatologists. produce intense pulses of light that absorbed in these small capillaries. The heat produced by the laser, coagulates these capillaries eliminating the pink spots. Treatment for brown post acne spots is usually quite easy and will include over the counter whitening creams or stronger prescription whitening creams that contain hydroquinone. The more persistent brown spots can be treated by special superficial chemical peels (Jessner’s solution) or by the same lasers or IPLs used to treat red spots. These lasers destruct the excess melanin in the skin fading the brown spots.

  1. I have school in 2 weeks. What can I do to get rid of my acne scars and acne?

Even the most powerful anti-acne drugs, like accuatne, will need 3-5 months to control active acne. To get rid of your acne you need some patience and commitment. If your acne is mild- moderate, you can expect to see some improvement after 4-6 weeks and get much better in 8-12 weeks.

The best way to make your acne go away is; 1. Learn what causes your acne breakouts and learn how to avoid these factors. 2. Use your MDacne app to understand what is the severity of your acne and which products you need to use. 3. Commit to your treatment and track your skin improvement with the app at least twice a day. It was shown that people that track their skin improve faster.

  1. Is there any way to stop foundation creasing around depressed scars on the forehead?

Here some tips for reducing foundation creasing around depressed acne scars:

  • Use less foundation: the more you use, the more there will be available to migrate into the creases.
  • Translucent setting powder with a damp sponge: applying the powder with a damp sponge makes the powder cling more tightly to the foundation, and therefore sets it better.
  • Use a setting spray: setting spray can make all the difference as to whether the makeup creases over time. The best part is that if you apply it after you set the area with powder then it helps everything to look more natural and skin-like as well.
  • Try a sticky glycerine based primer: glycerine helps makeup stick to the skin, but it is not heavy or thick so it’s perfect to keep things looking natural and keeping your makeup in place. Good options are Laura Mercier hydrating foundation primer or the Nivea men’s sensitive after shave balm. These are cheap and works well.
  • Try not to make facial expressions until the foundation sets: Just try not to scrunch your face up for a minute or two after you apply your base. It will save you some trouble later.     
  1. Why are my acne scars red? What can I use to make the scars disappear?

Acne scars are red due to of enlarged capillaries in the newly formed scar tissue. Fortunately, this redness will decrease by itself with time, even without any special treatment. Nevertheless, you need to be patient. This process can take 3-9 months. Till then you need to continue with your anti acne treatment to prevent new pimples and to apply every morning an oil free sunscreen to protect your skin from the sun. If your red spots do not disappear after 9 month it’s possible to fade them with lasers.

  1. I've had a couple of spots for over six months now - they were large and red, but now they're flat (But still red). Are they scars? What can I do to get rid of them?

If the spots are flat - they probably post acne marks. These will fade by themselves 2-3 months after active acne is controlled. In some cases, it may take up to 6 months. Till then you need you keep on using a mild anti-acne cream in the evening and an oil free sunscreen in the morning. If these spots do not fade in 3 months, it's possible to fade them faster with a laser.

10 unknown facts about acne scars

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