Types of Acne Scars: Learn How They Form, the 3 Existing Types, and the Best Treatment.

tipos de cicatrizes de acne

Acne typically appears in early adolescence and can persist for long periods, leaving marks and scars that may worsen if not properly treated. In this article, we will explain the different types of acne scars and how to treat this issue effectively, helping to restore confidence and self-esteem.

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Acne Scars – Dr. Szerman Explains:

Acne Scars – Dr. Szerman Explains:

What Are Acne Scars and How Do They Form?

Different types of acne scars form due to a lack of proper treatment or incorrect handling during the healing process of acne on the skin. For example, when you squeeze a pimple, it further intensifies the inflammatory process, leading to acne scars.

Acne or pimples occur when hair follicles become clogged with oil, dead skin cells, and keratin, mainly in areas where sebaceous glands are more active.

Acne is an inflammatory process of these sebaceous glands and follicles. It is often triggered by hormonal changes, especially during adolescence, but can also affect adults.

Types of Acne Scars

There are various types of acne scars, divided into two main categories:

  • Non-inflammatory lesions, which include blackheads.
  • Inflammatory lesions, which include pustules, papules, nodules, and cysts.
  • Papules – Solid, round, hardened, and reddish lesions, classified as Grade II acne.
  • Pustules – Pus-filled lesions, classified as Grade III acne.
  • Nodules – Lesions that extend into deeper layers of the skin and can destroy tissue, leading to scars classified as Grade IV.
  • Cysts – Larger than pustules, extending into deeper skin layers, highly painful, and leaving scars classified as Grade IV.

Scarring typically occurs in inflammatory acne cases of Grade III and IV. However, even Grade II acne can lead to scarring if there is a habit of squeezing pimples, worsening the condition.

What Are the Main Types of Acne Scars?

Acne scars are mainly classified into three types:

  1. Raised Scars
    Raised scars appear above the skin surface, within the limits of the lesion, and are called hypertrophic scars. They may also form as keloids, with a papular or fibrous appearance.
  2. Dystrophic Scars
    Dystrophic scars have irregular borders, often with a star-like shape, a whitish or atrophic base, and may contain a fibrotic nodule with sebaceous and purulent retention.
  3. Depressed Scars
    These scars create depressions in the skin and can be distensible, showing improvement when the skin is stretched, or non-distensible, where there is no improvement even when the skin is pulled.

Is It Possible to Correct Acne Scars?

Many people who suffer from acne scars wonder if they can be corrected or removed. The answer depends on the specific case.

Some patients experience a significant improvement in the overall appearance of their scars. In other cases, the process takes longer, or the skin may not respond well to treatment. Factors such as age, skin type, and the severity of lesions influence the results, making it impossible to guarantee the same outcome for everyone.

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I had a successful laser treatment for my acne scars and saw noticeable results quickly, and I highly recommend it. The professionals are top-notch and very attentive to the needs of the patient. Many thanks!

H. A.
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After numerous unsuccessful attempts to reduce my acne scars, I found relief at Dr. Szerman’s Clinica de Pele. Investing in my skin care there has been well worth it; I’m regaining my confidence and am thrilled with the results I see in the mirror each day.

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I highly recommend investing in this treatment! It exceeded my expectations with remarkable results: my face continues to improve with each session. Every investment in self-esteem is truly worthwhile.

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That said, acne scar treatments—especially laser treatments—significantly improve the scar’s appearance but do not completely remove them.

If you have acne scars and are looking for the best treatment, it is advisable to consult a dermatologist for an initial evaluation.

Acne Scar Treatments

Now that you are familiar with the different types of acne scars, you may be wondering: What is the best treatment for acne scars?

According to the Brazilian Society of Dermatology, some treatments are considered highly effective. The treatment approach depends on the type of scar presented by the patient.

For raised scars, Fractional and Pulsed CO₂ Laser is considered the gold standard.

For more superficial scars, treatments such as chemical peels, fractional and non-fractional ablative lasers, or intense pulsed light (IPL) have shown positive results.

For deep acne scars, treatments tend to be more complex, often requiring a combination of two or more approaches. However, the effectiveness of any treatment depends on skin characteristics such as oiliness, aging, pigmentation, and even the patient’s age.

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FAQ (Frequently Asked Questions)

Is it possible to remove acne scars?

Treatments for acne scars, from the most superficial to the deepest, do not completely eliminate the scars. They aim to reduce the marks on the skin, making them as inconspicuous as possible.

What medication is good for acne scars?

In general, there are some dermatological creams and gels recommended to regenerate the skin and prevent the appearance of blackheads and pimples that can lead to acne scars. However, the most effective treatments for this type of issue are laser treatments and peels. It is best to have an evaluation with a dermatologist so that the professional can assess your case and recommend the most appropriate treatment.

How much does acne scar treatment cost?

The cost of acne scar treatment depends on the method used, the extent of the problem, and other factors. Therefore, it is recommended to have an initial evaluation at a dermatology clinic to get a realistic idea of the treatment’s cost.

Knowing the types of acne scars is essential to find the best treatment and achieve more effective results. Do you have any questions? Contact us and find out which treatment is most suitable for your case.

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Clínica de Pele is a traditional and specialized dermatological clinic in Rio de Janeiro for over 60 years, since 1969.
Dr. Szerman has over 20 years of experience and teaches other doctors.

Types of Acne Scars

Dica do Dr. Szerman

“Desde 1969, acreditamos que os melhores resultados nascem da união entre a ética médica, tecnologias de última geração e produtos de alta qualidade. Em tempos de forte banalização da estética, reforçamos nosso compromisso inegociável com a sua segurança e excelência científica.

Por isso, alertamos para o cuidado extremo ao escolher quem cuidará da sua pele: quando o assunto é saúde, o ‘barato’ pode sair muito caro e colocar a sua pele em risco. Infelizmente, temos recebido em nosso consultório um número crescente de pacientes com reações indesejadas e resultados insatisfatórios vindos de outros locais.

Não se arrisque. Sempre procure um médico experiente. Aqui, tratamos cada paciente como único, entregando o nosso melhor com dedicação, carinho e responsabilidade. Um abraço, conte conosco.” Dr. Szerman

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