Atrophic Scars: What It Is, Causes, and Treatment Skip to content
Atrophic Scars

Atrophic Scars: What It Is, Causes, and Treatment

Atrophic scars are a common concern for many people who have experienced severe acne.

These pitted scars can affect self-esteem and overall skin health, making it important to address them effectively. Understanding their causes and the treatment options are essential for achieving healthier, smoother skin.

By exploring various treatments and preventive measures, you can take control of your skin’s appearance and restore your confidence. With the right approach, you can reduce the appearance of these scars and enjoy a revitalised complexion.

What are Atrophic Scars?

Atrophic scars, including ice pick scars, are indented scars that form below the upper layer of the skin due to a loss of collagen. Unlike hypertrophic scars, which are raised and form above the skin, atrophic scars result from insufficient collagen production during the healing process.

Atrophic scars can be categorised into three main types:

  • Ice Pick Scars: Narrow, deep scars that extend into the dermis, resembling small holes.
  • Boxcar Scars: Broad, rectangular depressions with sharp edges, often appearing on the temples and cheeks.
  • Rolling Scars: Wide depressions with rounded, sloping edges, giving the skin a wave-like appearance. That is why they are called rolling scars.
liftera machine on the face

Causes of Atrophic Scars

Atrophic scars primarily result from severe acne that damages the skin’s deeper layers. When acne lesions penetrate deeply, they damage the skin and the underlying tissue.

If the body produces insufficient collagen during healing, atrophic scars form. Improper acne treatment can exacerbate this issue, leading to more pronounced scarring.

Atrophic Scars Treatment Options

Depending on your skin type, there are various effective treatments or multiple procedures for atrophic scars, each targeting different aspects of scar improvement.

Laser Therapy, Fractional Co2

Fractional Co2 Laser, also known as laser resurfacing, uses focused light beams to remove damaged skin layers and stimulate collagen production. This promotes the growth of new, healthier skin cells, reducing the appearance of atrophic scars.

Microneedling, Intracel

Microneedling, also known as skin needling, involves creating tiny punctures in the skin with fine needles. This process encourages collagen and elastin production, which helps to smooth out scars and improve skin texture.

Chemical Peels

Chemical peels involve applying a chemical solution to the skin, which exfoliates the top layers and encourages new skin growth. This can help to reduce the depth and visibility of atrophic scars.

laser therapy
subcision

Dermal Fillers

Dermal fillers, also known as soft tissue fillers, are injectable substances that temporarily fill in an atrophic scar, making the skin surface appear more even. They can be an effective option for immediate, although temporary, improvement.

Subcision

Subcision is a minor surgical procedure where a needle is inserted into the skin to break up the fibrous tissue that causes atrophic scars. This encourages new collagen formation, which can help raise the depressed areas.

Polynucleotide (PN) injectables

PN such as Rejuran S can help to treat atrophic scars. It can trigger the release of growth factors to initiate skin healing. This helps to reduce the appearance of unwanted scars.

Benefits of Treating Atrophic Acne Scars

Treating atrophic acne scars can significantly improve your skin health and appearance.

Improved Skin Texture

Treatments can smooth out your skin, making it feel more even and supple.

Enhanced Confidence

A clearer, smoother complexion can boost self-esteem and confidence.

Even Skin Tone

Effective scar treatments can help you achieve a more uniform skin tone, reducing the appearance of discolouration.

Prevention of Future Scarring

Proper acne treatment and atrophic scar management can prevent future scars from forming.

Minimised Hyperpigmentation

Treatments can reduce the dark spots and discolouration often associated with atrophic scars.

5 Tips for Preventing Atrophic Acne Scars

Preventing atrophic scars involves proactive and consistent skincare practices:

1. Act Fast

Address breakouts quickly to minimise inflammation and scarring. Early treatment can reduce the inflammatory response, help the skin heal properly, and prevent damage to deeper skin layers.

2. Hands Off!

Avoid picking or squeezing acne, as this can push bacteria deeper into the skin and increase the risk of atrophic scarring.

3. Skincare for Acne

Use skincare that’s suitable for acne. Products that contain BHAs, retinols might be helpful in acne reduction. Topical creams and gels might also be useful to reduce acne quickly.

4. Sunscreen is Essential

Daily sunscreen with SPF 50+ protects the skin from UV damage, which can worsen acne and darken scars.

5. Schedule Regular Consultations

Regular consultations with a dermatologist can ensure acne is treated effectively and scars are managed properly.

Improvements can be seen 1-3 months after the first session. As treatments are usually done 1 month apart, typically some improvements can be seen by the 2nd or 3rd session. This depends on the atrophic scar treatment used and the severity of the scars.

Side effects may include redness, swelling, and temporary skin sensitivity. Always consult a dermatologist for personalised advice.

While treatments can significantly improve scars, they might recur if the underlying acne is not properly managed.

Some treatments, like topical creams, mostly have no impact on acne scars.  Professional scar treatments often yield better results and minimise risks.

Costs vary widely depending on the treatment type and clinic. It’s best to consult a clinic for specific pricing.

Atrophic scars can be long-lasting, but treatments can significantly reduce their appearance.

Conclusion

Understanding and treating atrophic scars can transform your skin and boost your confidence. With the right approach and professional guidance, you can achieve a clearer, smoother complexion. From laser and microneedling to chemical peels and dermal fillers, different treatment options are available to address different types of atrophic scars.

Preventive measures, such as acting quickly on breakouts, maintaining a gentle skincare routine, and using sunscreen, are crucial in minimising scar formation.

For personalised advice on treating acne and managing scars, consult with us at Lux Medical Aesthetic Clinic. Our team will assess your skin and recommend treatments tailored to your needs, helping you achieve your desired results.

Important Information

*prices stated are exclusive of 9% GST.

Nothing in this website constitutes or is intended to constitute medical advice and readers rely on the statements contained herein at their own risk. Treatment results, experiences and downtime (if any) may vary by individuals. Please make an appointment with our clinic for a thorough medical assessment of your condition and treatment requirements.

MEDICAL DIRECTOR
Dr. Kellyn Shiau
Dr Kellyn Shiau graduated from University with a Bachelor of Medicine and Surgery. She also holds a Graduate Diploma in Family Medicine from the National University of Singapore. After graduation, she practiced medicine in various major restructured hospitals and also privately with a well-established medical group in Singapore. She is experienced and has trained extensively in medical aesthetics for many years.
lady looking up lux microbtx services

MICROBTX

A special injection technique that helps to combat pores and oily skin for that ‘airbrushed’ skin.

lux-ultherapy-skin-tightening-service-1

ULTHERAPY

Have you been wanting to look refreshed and turn back the hands of time?

korean-ultra-v-threadlift

KOREAN ULTRA V THREADLIFT

Face thread lifts can greatly improve facial sagging and help in creating a youthful V-shaped face.

YOU MIGHT ALSO LIKE...

Open chat
Hello,
How can we help you?