Acne is usually present on the face, but sometimes it appears also on the chest or on the back. If you think that the actual acne treatment is bad, wait until the acne disappears. The actual pain comes in treating the scars left by the acne. The scars can be superficial of even deep. Not after all acne cases appear scars, because some of them have a good reaction with the treatment used to get rid of it. It is very hard to predict if the acne will leave a scar, of if the scar will be whether superficial or even deep. If you have very inflamed acne, it is most likely to leave a scar. However, there are some cases where even the superficial inflamed acne can leave scars. If you have acne scars, make sure you choose the best treatment.

Types of scars

The tissue responses that can leave acne scars are increased tissue formation or tissue loss.

Increased tissue formation
These scars are also called hypertrophic or keloid scars. The cause for their appearance is the collagen that builds up inside the skin. Keloids are usually genetic, so if your relatives have it, you are more likely to have them too.

Tissue loss
These are the most common types of acne. Also, here are some subtypes:

Ice-pick scar
Deep or superficial, they have a small diameter and look like a wound cause by an ice-pick. This is where they get their name from. The texture can be hard or even soft, the soft ones being superficial, unlike the hard ones, which are deeper.

Depressed fibrotic scar
These scars are usually large, similar with the appearance of the scars left from chicken pox.

Superficial or deep scar
These types of scars can be large or small, having oblique edges that, at first sight, get confused with the normal skin.

Atrophic scars are usually flat and a bit violet, disappearing over time.