Author Archives: Dr. M. P. Almaguer

Acne is a chronic condition. It affects up to 80 percent of teenagers, as well as many adults. Adult acne is not infrequent women between the ages of 30 and 40. This inflammatory disease, which occurs through inflammation of the sebaceous glands, near the hair follicles. Inflammation tears the collagen, therefore, changes appear in the pigmentation of the affected skin, and causing acne scars. Those sequels can negatively impact the quality of life of those who suffer it.

If you suffer from acne and the treatments used so far have not worked, maybe you should try something different. Instead of fighting the symptoms, you should concentrate on eliminating the causes of the outbreaks. You should change eating habits and improve your skin care routine. You will find the guidelines to follow inside this accurate step by step amazing acne guidebook.

Acne no more

If the outbreaks have passed and you have been left with sequels, surely you want to know what options exist to recover the smoothness of your skin. If so, continue reading.

What causes acne scars?

Worst scars usually remain after suffering from cystic acne. However, severe acne scars can occur after a simple breakout. This is particularly true when pimples are squeezed or ruptured incorrectly, creating more damage to the skin and surrounding tissues.

Infection and inflammation of the pore (cyst ), affects the deep tissue of the skin. This occurs when the pore becomes clogged and filled with sebum, becoming pus due to bacteria. This inflammation in the pore can tear the collagen and fat layer of the skin. This creates skin lesions in very painful occasions. As the lesion heals, the skin generates scar tissue, which is different from the previous one. This is usually denser in collagen and often leaves a thick, uneven skin surface. Being stronger and less flexible, this tissue tightens the layers of the skin deforming them and causing imperfections.

Types of acne scars

Rolling Acne Scars

Rolling Acne Scars

Rolling acne scars are broad skin depressions, having rounded, sloping edges. The wavy appearance of the skin is due to the existence of several such scars in the same area. These types of scars are common in people who have been affected by long-term inflammatory acne (cystic acne). The scar tone can fade, but the scar may become more pronounced as the skin ages.

Boxcar Acne Scars

Boxcar Acne Scars

If you had acne in your teen years, you may have some scars. May be when you look in the mirror, you discover some depression. If this is wide, with deep edges and defined as a box, you have what is called Boxcar acne scar.
This type of scar is one of the deepest, causing greater damage to the appearance than rolling scars. Like other acne scars, these scars are due to the tearing of collagen and other skin tissues by inflammation

Ice pick Acne Scars

Ice pick Acne Scars

Narrow, deep scars can be found in many patients with acne sequels. It may appear to be an empty pore or that the skin has been punctured by a thick needle. This type of scar is call Ice pick acne scar, because of the similarity with the marks left by an ice pick. They arise when skin cells are unable to produce enough collagen. This affects the healing process leaving a deep and narrow depression very difficult to treat.

Red and Black Acne Scars

Red and Black Acne Scars

Unlike the above, red or black acne scars are not directly caused by collagen tearing. It is caused by the overproduction of melanin (pigment that gives color to the skin) by the scar tissue. This usually happens in patients with Hispanic, Asian, African or Middle Eastern heritage. These skin types are more prone to pigmentation disorders. So any skin lesion, including acne, often leaves a discoloration that is very difficult to remove on skin types.

If you have acne sequels, you’ve probably wondered.

Are acne scars permanent? Do acne scars go away?

Unfortunately the answer is yes and no. Acne scars are for life and do not go away by them self. Worse yet, they tend to get worse as we age, and our skin loses elasticity. 
For many this will be bad news, but you must pay attention to the last part of the answer. The key is BY THEM SELF.

Today there is a wide range of treatments that allow us to prevent and also get rid of acne scars. Nowadays it is not difficult to recover the freshness and smoothness to our face.

How to get rid of acne scars?

Chemical Peels

chemical peels for acne

Caustic substances are generally used in chemical peelings. In order of power they are. Alpha-hydroxy acid (AHA) or glycolic acid, trichloroacetic acid (TCA), or phenols . One of the favorites is the TCA, which is a mild chemical peel, burning scar tissue, allowing the formation of healthy tissue. TCA concentrations range from 15% to 50%.

This type of treatment is very effective, above all, in the treatment of shallow scars. It is minimally invasive and more economical in comparison with treatments with laser or surgical re-fillers, not fat and collagen. It is normal to suffer from mild swelling, itching and flaking in the treated area days after treatment.
Normally the skin tissue heals within 5 to 8 days. It is frequent that the reddening of the area lasts up to 2 weeks. More than one session is required to obtain results, and the time between sessions is usually 21 to 30 days.



Dermabrasion, as well as chemical peeling, is another technique that stimulates the generation of healthy tissue. Generally, specialist use rotary instruments to remove superficial layers of skin, mostly on the face. 
This treatment is very popular, especially among people who suffer from sun damage, acne sequels and uneven texture.

Dermabrasion should be performed in a dermatologist’s or cosmetologist’s office. This procedure requires local anesthesia to numb the skin before removing the outer layers of the epidermis. This is a simple outpatient procedure, where the patient can return home to continue their daily activities.

Acne scar laser treatment

Lasers are very intense beams of light. Lasers have many uses, including stimulating skin cells to form connective tissues. This facilitates wound healing. If main advantage is that they act on specific cells that remodel the collagen and elastin, remembering the flexibility that lost the skin due to scars.

Ablation or Laser resurfacing

laser skin resurfacing

This procedure improves the appearance of the skin, for instance ,reducing scars and lines of expression. Rejuvenation removes the outer layer of skin and removes skin cells that have been damaged on the surface. The doctor may use a carbon dioxide laser for deeper scars or an erbium laser for superficial scars.

Fractional Laser Rejuvenation

Fractional laser skin resurfacing

The fractional CO2 laser emits hundreds of small pulses into the skin. Each beam heats a column of tissue penetrating the tissue in depth. The heating caused by the pulses shrinks the collagen and tightens the skin immediately. Another advantage of heating the deep layers of the skin is the stimulation of collagen formation, further tightening the skin.

Non-Ablative Laser Rejuvenation

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Infrared lasers produce enough heat to penetrate the inner layer of the skin leaving the skin intact. As a result , this stimulates collagen production and cell renewal, replacing damaged skin cells. Laser treatments for scars are outpatient procedures, although the duration of the procedures varies. You can expect some mild discomfort during treatment. Your doctor will apply a topical anesthetic to numb the area. You may ask for a sedative if you are treating a larger scar.


Collagen Induction Therapy

Micro-needle procedures use a dermaroller, a device with small needles to prick the skin.
The goal of the treatment is to produce new collagen and skin tissue to smooth and tone the skin.
Microneedling is mainly used on the face and is very effective in treating rolling acne scars.

All of the above procedures must be performed by a certified specialist or cosmetologist. Each of them has advantages and contraindications besides requiring more than one section and the cost of them can be high. for these reasons you may want to try to reduce the marks on your face with cosmetic products of proven effectiveness, but they are not miracle solutions and take some time before appreciating results.

Acne scar treatment products

  • Amaira Advanced Scar Cream: Many people have seen impressive changes in a series of days, but you will definitely see the scars clear up dramatically in as little as two weeks.
  • SkinMedica Scar Recovery Gel: It is clinically proven that this gel is effective in the treatment to reduce scars and rejuvenate your skin.