Acne scars

A condition commonly experienced by people with a history of acne is acne scars. These pits and scars exhibit outwardly as a depression, indentation, or sometimes even as a raised tissue in the skin , leading a person to feel less confident and distressed.

Why do we get scars?

This unpleasant occurrence is generally owing to the varied response of the body towards collagen production. At the time of injury or formation of a lesion, the skin experiences inflammation, and the severity of this inflammatory response and also the depth of the lesion or injury play a crucial role in scar formation. At the time of healing, if the body is not able to produce enough of an appropriate quantity of collagen, it leads to the formation of an atrophic scar in the skin; however, if the body has a tendency to produce more collagen than required, a different type of scar, known as a keloid or commonly known as a hypertrophic scar, is formed.

Types of Acne Scars

The presentation of scars is categorized into two major forms :

• Atrophic scar— This type of scar is formed owing to insufficient collagen production and presents itself as box scars, ice pick scars, and rolling scars.
• Box scar— As the name suggests, these are broad, box-shaped, round or oval depressions in the skin formed after chickenpox or severe acne with sharply defined edges. These scars are wider but less deep, making it
• Ice pick scars— These types of scars are very narrow and, like the tip of the iceberg, go deeper with insufficient collagen till the dermis. Ironically, these tiny-looking scars, which are often visible like large open pores, are the toughest ones to heal. These small punctures in the skin are the outcome of cystic acne that has caused damage in the deep dermis because of severe inflammation.
• Rolling scars — These scars, like box scars, are less deep, but the edges are sloppy and not clearly defined, often resembling a wave or a valley. If the skin is stretched, the rolling scars generally are not visible. Rolling scars are formed when bands of scar tissue under the skin pull it down, leading to a rolling and uneven appearance on the surface.

Treatment for Acne Scars

Treating acne scars involves inducing collagen synthesis by creating controlled injury or skin resurfacing. At Pachouli we offer a wide range of procedures, from microdermabrasion to microneedling, for different scar presentations. Advanced procedures like MNRF , plasmax, and carboxy deliver faster results when combined with procedures like PRP or PRF, which help in building up the quality of collagen in quantity.