Soft scars, superficial or deep are soft to the touch. They have gently sloping rolled edges that merge with normal skin. They are usually small, and either circular or linear in shape.

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Depressed fibrotic scars are usually quite large, with sharp edges and steep sides. The base of these scars is firm to the touch. Ice-pick scars may evolve into depressed fibrotic scars over time.

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Ice-pick scars usually occur on the cheek. They are usually small, with a somewhat jagged edge and steep sides

Scars Caused by Loss of Tissue
Acne scars associated with loss of tissue

Scars Caused by Increased Tissue Formation
The scars caused by increased tissue formation are called keloids or hypertrophic scars. The word hypertrophy means “enlargement” or “overgrowth.” Both hypertrophic and keloid scars are associated with excessive amounts of the cell substance collagen. Overproduction of collagen is a response of skin cells to injury. The excess collagen becomes [...]

Types of Acne Scars:
There are two general types of acne scars, defined by tissue response to inflammation:1 – scars caused by increased tissue formation 2 – scars caused by loss of tissue.

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Prevention of Acne Scars: It is difficult to predict who will scar, how extensive or deep scars will be, and how long scars will persist. It is also difficult to predict how successfully scars can be prevented by effective acne treatment.
Nevertheless, the only sure method of preventing or limiting the extent of scars is to [...]

Life cycle and the impacts of scarring: Some people bear their acne scars for a lifetime with little change in the scars,
but in other people the skin undergoes some degree of remodeling and acne scars diminish in size.
People also have differing feelings about acne scars. Scars of more or less the same size that may [...]

Post-inflammatory pigmentation is discoloration of the skin at the site of a healed or healing inflamed acne lesion. It occurs more frequently in darker-skinned people, but occasionally is seen in people with white skin. Early treatment by a dermatologist may minimize the development of post-inflammatory pigmentation. Some post-inflammatory pigmentation may persist for up to 18 [...]

Macules or “pseudo-scars”: are flat, red or reddish spots that are the final stage of most inflamed acne lesions. After an inflamed acne lesion flattens, a macule may remain to “mark the spot” for up to 6 months. When the macule eventually disappears, no trace of it will remain -unlike a scar.

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