Our Kent Island office is accepting new patients.

Skip to main content

Acne Scars: Learn Why They Show Up and The Difference in Each Type

It’s one thing to experience acne during puberty and even early adulthood. But when those years of acne breakouts follow you as you get older by way of acne scars, well, that just doesn’t seem fair. Shouldn’t we all have the opportunity for clear, smooth skin? 

Yes, we should, and the expert dermatologists at Easton Dermatology Associates are dedicated to making that happen for everyone. Part of successfully getting rid of acne scars is understanding the different types of acne scars — and what treatments are best for each kind.

Types of acne scars

There are two main categories of acne scars: raised acne scars and depressed acne scars. Within those two categories are many different kinds of scars

Depressed scars

Flat and shallow, depressed acne scars — also called atrophic acne scars — appear as a small indentation in your skin. They form this way because the acne blemishes heal below the surface of your skin, and your skin can’t regenerate enough tissue to even out the top layer. Within this category, there are three types of acne scars.

Boxcar scars: These scars form as a broad, box-shaped depression in your skin. They can give your skin a pitted appearance, and they usually form in areas where your skin is thicker, such as your jawline. 

Icepick scars: Icepick scars extend deep into your skin; they’re shaped like a cone with the point facing inward. Think of icepick scars as if you were poked with a sharp needle and formed a scar in the shape of the puncture. 

Rolling scars: These depressed scars can give your skin a wave-like appearance, or a generally uneven complexion. They aren’t as deep as boxcar or ice pick scars, and they aren’t as sharply defined.

Raised scars

Raised scars are the opposite of depressed scars: They form when your skin produces too much excess tissue after acne breakouts. They appear as raised bumps on your skin, and they’re typically very firm. 

Hypertrophic scars: These scars tend to be the same size as the acne blemishes that caused them, and they most commonly come from acne on the back or other non-facial areas, although they can form anywhere. 

Keloid scars: Keloid scars are a more severe version of hypertrophic scars, growing larger than the blemishes that caused them. They can have shoots or “arms” that extend from the origin of the scar. 

Hyperpigmentation

Hyperpigmentation, or over-coloration, is not a true acne scar, but can be just as frustrating. Dark brown spots are more common in people with darker complexions, while red hyperpigmentation is more common in people with lighter complexions. Often, hyperpigmentation goes away on its own with time and usual care. 

How to get rid of acne scars

Different types of acne scars require different treatments to effectively solve the problem. 

Depressed scars respond well to: 

Raised scars respond to: 

To learn more about the different types of acne scars and which type of treatment you need, schedule a consultation appointment with a dermatologist at Easton Dermatology Associates. Call 410-819-8867 (Easton) or 410-819-8867 (Salisbury).

You Might Also Enjoy...

Does Psoriasis Get Better with Age?

Does Psoriasis Get Better with Age?

Everyone living with psoriasis and its signature scaly, itchy skin patches wants to know how to get rid of it. Unfortunately, there’s no cure for psoriasis, but there is hope. Here’s how to reduce flare-ups and what to expect as you age.
The Link Between Nutrition and Skincare

The Link Between Nutrition and Skincare

They say beauty comes from within, and that’s certainly true when it comes to your skin. Keep reading to learn how your diet impacts your skin and how to use nutrition to your skin’s advantage.
Skin Cancer Screening

What to Expect During and After Your Skin Cancer Screening

Skin cancer screening is the best way to spot the early signs of cancer and start life-saving treatment, but getting checked may create unnecessary anxiety. Don’t worry — it’s quick, simple, and painless. Here’s what your appointment will be like.

How Dry Skin Can Damage Your Feet

You may dismiss dry skin as a minor annoyance that needs nothing more than a quick swipe of lotion. However, overly dry skin can do serious damage, especially to your feet. Keep reading to find out if your dry feet are in danger.
Are Your Shoes Causing Your Fungal Toenail?

Are Your Shoes Causing Your Fungal Toenail?

You may think that a bit of pain is a small price for fashion, but those trendy shoes may damage your feet. Find out how ill-fitting shoes can cause all kinds of health problems, including toenail fungus.