Acne scars can be sunken (depressed) due to the loss of tissue. They may look like ice pick pits. They can be rolling, creating a wavy texture in the skin or they may also be boxlike. These are sometimes called boxcar acne scars and are often on the face.
Acne scars do not go away entirely on their own. Depressed acne scars often become more noticeable with age as skin loses collagen. However, there are a variety of treatments that can make acne scars less noticeable. Post-inflammatory hyperpigmentation or redness may lighten on its own within several months.
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.
Moderate to severe cases of acne can result in scars that cause discoloration and indentations in the skin. In most cases, acne scars do improve over time without treatment. That's particularly true of discoloration. Indentations may be more stubborn and less prone to disappearing on their own.
They often look like small oval holes, similar to a chicken pox scar. Because of these characteristics they are the most difficult acne scars to treat. As the deeper under the skin they go the harder it is to heal them.
Acne scarring can sometimes develop as a complication of acne. Any type of acne spot can lead to scarring, but it's more common when the most serious types of spots (nodules and cysts) burst and damage nearby skin. Scarring can also occur if you pick or squeeze your spots, so it's important not to do this.
Most serious scarring is caused by the more severe forms of acne, with nodules more likely to leave permanent scars than other types of acne. The best approach is to get treatment for acne soon after it appears to prevent further severe acne and more scarring.
It's natural to wonder, “Do indented scars fill in over time?” Unfortunately, these scars won't disappear on their own. Atrophic scars rarely go away completely, but with the help of a dermatology provider, you may be able to successfully reduce their appearance.
Soft-tissue fillers are a common treatment specifically for rolling atrophic acne scars. They are used to level or raise the indented scars to match the normal layer of skin. Fillers are injected under the scar and provide almost immediate results.
Pockmarks, which are also called pick marks or acne scars, are blemishes with a concave shape that can look like holes or indentations in the skin. They occur when the deeper layers of the skin become damaged. As these deeper layers heal, extra collagen is produced.
Depressed scars can be improved by removing the scar surgically – usually in the office. Skin fillers can also be used to improve most depressed scars in an easy, immediate, and quick way. Advanced lasers or dermabrasion can also be used to treat skin areas with depressed scars, such as in acne scarring cases.
Acne scars can be sunken (depressed) due to the loss of tissue. They may look like ice pick pits. They can be rolling, creating a wavy texture in the skin or they may also be boxlike.
Depending on the location of the scar, acne scars can appear more severe as you grow older because of collagen depletion in the skin. Depressed acne scars or atrophic acne scarring will usually look worse as your skin loses natural volume as part of the natural aging process.
The acne pore swells and a breakdown occurs in the wall of the pore. Some acne blemishes are small and the scars created are shallow and heal quickly. Sometimes the contents of blemishes spill into the surrounding tissue and cause deeper scars. The skin's response is to repair the scar by forming new collagen fibers.
An acne scar is a change in texture in your skin. Usually, it's depressed. It's not a brown spot. Discoloration is temporary, but texture changes are permanent.
Because it increases cell turnover, retinol resurfaces the skin to smooth acne marks and scars and even hyperpigmentation while improving its overall texture.
Silicone gel sheeting
If you have a scar on the face or other exposed area, silicone sticks with SPF are the ideal solution. If you wish to conceal your scar, applying silicone gel sheeting in natural skin color will completely cover the scar site while allowing it to blend in with the surrounding tissue.
Dermal fillers: Dermal fillers such as JUVÉDERM™ Injectable Gel and Restylane® can be used to add volume to recessed areas of the skin, such as indented scars. Although results are temporary, treatments can safely be repeated as necessary.
A minor wound like a cut will usually heal to leave a raised line, which will gradually fade and flatten over time. This process can take up to 2 years. The scar will not disappear completely and you'll be left with a visible mark or line. Fine-line scars are common following a wound or after surgery.
Alternatives to laser acne scar removal
Fillers injected in the skin (such as Juvederm) can range in price from $600 to over $1,000. Chemical peels (like alpha-hydroxy acids) can cost about $400. Microneedling can cost $300 or more. Surgery to help remove or fill acne scars costs $200 or more.
Most rolling scars will soften a bit eventually. But you'll probably need treatment to get your skin back to its original state. The good news is, since rolling scars are so shallow and soft, they're the easiest to treat.
Yes and no. There may be some types of acne scars that do get better as you age, such as post-inflammatory hyperpigmentation that may gradually fade as your skin naturally turns over new skin cells. Other types of acne scars, such as depressed or atrophic scarring, may not improve as you age.
Various factors will determine how long it will take to get rid of acne scars, but you can generally expect it to take several months to see significant improvements in your appearance. Usually, you will need three to six consecutive treatments to greatly reduce the appearance of your scars.