Different Types Of Acne

Nov 09, 2017 - By Dr. Martin Kassir

Degradation of collagen during the healing process leads to various types of acne scarring. In most cases, there is a net destruction of collagen in the dermis that results in atrophic or depressed scars. Atrophic scars are classified according to their depth and size. There are three major atrophic scars; the first being icepick scars. These scars are narrow v-shaped tracts, which have sharp margins that extend vertically to the deep dermis and subcutaneous tissue. The depth of involvement can make icepick scars more resistant to conventional skin resurfacing treatments. Another type of scarring is identified as boxcar scarring. These scars are wider, round to oval shaped depressions with sharp vertical edges. Shallow boxcar scars can be more responsive to skin resurfacing treatments, whereas deeper boxcar scars can be more resistant. Lastly, we can identify rolling scars. These scars are the widest and can result in superficial shadowing. Treatment should focus on identifying the cause, age, and depth of scars, along with patient's natural skin color. In our Dallas office we perform a thorough initial examination that includes clinical photography in order to customize and individualize every patient's treatment.