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What I Know About … Acne Scars

Sun, 29 July 2012 12:28PM

For the majority of my teen years, I was relatively acne-free. Once I turned 18, I thought I’d managed to avoid the whole pimply business. Hooray! Then, at around 21, it began. Joy.

And it wasn’t just a spot here and there. I’m talking angry, red acne that would cause well-meaning strangers to give me advice on why my skin was so ‘bad’. It took me a number of years and countless products to get my skin under control.

But even though the pimples themselves had gone, my skin was left spotted and scarred. And so, like Megan Fox has supposedly done, I embarked on the bumpy journey to rid myself of acne scarring.

Now? I’m almost at my destination: skin I’m happy with. And I’m most definitely an expert on the subject. So if you’re also on that rocky road, consider me your guide. Let’s go …

Before you start treating the scar, you must deal with the acne. It’s kind of a horse/cart thing. If you’ve tried the usual acne programmes and are not seeing a marked (no pun intended) improvement, see a professional, like a dermatologist or even your favourite G.P. There are so many new products that can be prescribed. And it’s no longer just scary, aggressive medication.

So, now that you’re not seeing any new scars, you can treat the existing ones.

Acne scars fall into two categories: a) red or brown spots, which seem to hang around forever after the pimple itself has gone, called post-inflammatory hyperpigmentation (that’s PIH to you and me), and b) small sunken areas in the skin (where the pimple was) that are referred to as an atrophic scar (if you want to get all technical). Both types are very common and I’m not ashamed to tell you that I know both on a very personal basis.

So, now that we can call acne scars a fancy name, how do we get rid of them?

Let’s start with PIH. This kind of PIH can occur no matter how large the pimple is – it’s just how your skin reacts to the trauma of the pimple. To treat it, you want to use something that speeds up the skin’s turnover process and helps to increase the healing process. Start by looking for something based on alpha hydroxy or beta hydroxy acids. Neutrogena Rapid Clear Fight & Fade Spot Gel, $16.99, from pharmacies, is low in the irritation department, great for small marks, and is a bargain.

For those with more severe or larger areas of pigmentation, like myself, I recommend something a little more hard-core. I’m a big fan of Neostrata products (from David Jones, Priceline and pharmacies). They have a variety of different strengths so you can work your way up if you need something stronger. But always start with the weaker strength – or it will burn your skin and make it go red and peel off.  Yes, it’s just as attractive and pleasant as it sounds. You will be tempted to go with the strongest at first I know, but you must resist! Take it from a girl who’s been there.

Another of my favourite pigmentation fighters is John Plunkett’s Superfade Cream, $29.95, from pharmacies. It comes in both an original formula and one specially designed for the face, which is less greasy.  Both of these products are a little more expensive, but will last a really long time.

If you’re looking to camouflage as well as treat, Clinique Even Better Makeup, $50, Clinique, provides great moderate-to-full coverage while helping to even out skin tone. It also provides SPF15. It’s like a win, win, win situation.

Speaking of SPF, if you’re treating pigmentation you’ll need to be using SPF30+. Every. Single. Day. Acids make you skin super sensitive to sunlight. If you’re worried about it causing pimples, don’t. Kit Cosmetics SPF30+ Face Sunscreen, $31.95, Kit, and Neutrogena Ultra Sheer Dry-Touch Sunscreen Lotion, $17.99, from pharmacies, give you full sun protection and no slime factor.

No matter what treatment you go for, you’re going to be in it for the long haul. Depending on how dark the pigmentation is, it may take a few months to see an improvement. Just hang in there.

Okay, now that we have pigmentation under control, let’s talk about atrophic scaring. Atrophic scars are caused when the skin is aggravated. By picking the area or drying it out too much, you not only damage the skin cells of the pimple but also the cells surrounding the pimple and the new cells underneath, causing the scar. So leave that spot alone! If it’s really bringing you down, find a beauty therapist who is great at extractions (tip: look for sterile tools and fresh gloves). And while you’re there, ask about treatments for atrophic scaring. Unfortunately there’s not much that you can do at home with proven results (Boo!). But at a salon or clinic, peels and injectable fillers are used with a good degree of success.

Me? I’m a massive fan of Omnilux, a gentile light therapy that makes my skin glow and the atrophic scaring less noticeable. It’s also super relaxing, like a day at the beach without the bathing suit anxiety.

 

So, there you go, everything I know about dealing with acne scars. Have I helped anyone out there?

Or do you have any tips you can add?

- Emma Tabler

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15 Comments

  • Posted by: jinny // Sun, 29 July 2012 01:18pm

    Skinstitut and Paula’s Choice are great products. My skin suffered once I went off the pill so I use glyocolic, retinol, rose hip oil and emu oil to keep acne and oil under control. I like the mix of active (chemical) and non-active/chemical products. skin needling (user a roller with small needles) also helps scarring.

  • Posted by: Alishes Enthusiast // Sun, 29 July 2012 03:36pm

    Thanks for the tips. I used to use the Super Fade Cream, but stopped for some reason. I was great stuff. I’m going to get more tomorrow.

  • Posted by: Laydee Love // Sun, 29 July 2012 03:46pm

    I too have tried many products, but found the best treatment was a combination of 2 things. First is a sugar based facial cleanser, i.e. Mark That’s Deep Purifying Gel Cleanser. Sugar is a great natural exfoliator and really helps keep my face clear and smooth. Second, a weekly exfoliator, Micabella’s VITA-C EXFOLIATING PEELING GEL. This combo really helped boost the natural collagen back into my face. Less wrinkles, smaller pores, and filled in all those acne scars.

  • Posted by: nita01 Master Fan // Mon, 30 July 2012 06:25pm

    Luckily I’ve never suffered with bad acne, just the occasional pimple around my monthly’s. But I do have pigmentation that drives me crazy. I’ve started using Mario Badescu’s Lightening/Whitening Face Mask. I’ve used it 4 times so far so a bit too early to say if it works but I do like it and will keep using it.

  • Posted by: soMuchPretty Master Fan // Tue, 31 July 2012 01:47pm

    This is a terrific article. I have done lots of personal research into the topic of acne and scarring and everything you wrote, confirms my research.

    I’ve had acne since my late teens and I’m now 38 – still suffering! But I have it mostly under control with prescription products. I use Retin A as my acne fighter and scar treatment. It’s fairly strong stuff. But before I had my acne under control, my scarring was so bad, my chin was purple. Permanently. I ended up getting laser IPL it was that bad. I would recommend that to people if the scarring is severe enough but you have to have the right skintone for it to be effective.

  • Posted by: Rose // Tue, 31 July 2012 02:12pm

    I have suffered with cystic acne for 7 years, and in that time I have tried countless products so much so I am on breaking point. The scars are extremely pigmented and very course and dark. Not only that, I’m still breaking out cysticly at 18 years old so my cheeks are a total disgusting mess. It really brings my confidence to an all new low. Any recommendations on what it could be beyond it being just my skin type. I was always convinced that something might not be right in my body… I dont want to get my hopes on any new products just yet. It all seems to never work.

  • Posted by: MissPaigeLauren Devotee // Tue, 31 July 2012 02:19pm

    Great article, I actually have just stopped my ongoing pimples by using proactive, next step is laser or a peel then hello to healthy skin!

  • Posted by: stef // Tue, 31 July 2012 04:07pm

    I’m 25 and still get pimples! Mostly around my jawline.. I use proactiv in the morning, and md formulations glycolic cleanser at night and that helps. I had bad acne scarring/pigmentation, but underwent fractional resurfacing and its given huge results for me. Its pricey ($650 per treament, 3 or more recommended for results) but def worth it!

  • Posted by: Nikki // Tue, 31 July 2012 04:16pm

    I suffer from mild acne and also sensitive skin, I tried prescriptions tropical lotions/gels and other products like proactive which helped but isn’t good if you have sensitive skin.

    I have been using for 2 weeks now Natio acne clear set and I have not had a break out since using it, (touchwood) I also pat on Grapeseed oil/Roship oil on my damp face when I come out of the shower, also Grapeseed oil is great for removing make up.

    I am also trying out Burts bees radiance serum which has vitamins a,c,d and k + to help with any scaring and uneven skin tone i might have.

  • Posted by: Lisa-1294413802 Devotee // Wed, 1 August 2012 02:49pm

    You’ve helped! Thanks so much. For a topic that affects numerous people, it is rarely discussed.

  • Posted by: Jade // Sat, 4 August 2012 09:28am

    I agree, i started using Paula’s Choice about 1.5 years ago and saw a great improvement.

  • Posted by: Jenni // Sat, 4 August 2012 02:01pm

    Thankyou for this article!

    Acne has caused me so much trauma! I still suffer breakouts after 20 years! I am now 33 and it started around 13. It truly has affected my self confidence dramatically, almost taking over my life.

    I appreciate the names of some products that will hopefully help me with my red scarring. I have sensitive skin (will never use Proactiv again after the reaction to that! lol), so will try a gentle solution.

    Being natural redhead with pale skin, I have to be careful. I haven’t had any sort of dermabrasion etc as I don’t know how my skin will react. It’s so hard!!

  • Posted by: nita01 Master Fan // Sat, 8 September 2012 10:10pm

    Her skin is terrible.

  • Posted by: diva89 Master Fan // Wed, 5 December 2012 03:47pm

    great article

  • Posted by: delvin // Sat, 13 April 2013 01:59am

    I also had a flawless skin untill the age of 17 years. It was so bad I was devistated and it seemed when it bothered me more it got worser. Im 18 years old no and the acne is gone but I do have red spots,therefor I use Clinqiue 3 steps that cleans your face and exfoiliate your skin. Im not sure if it helps I havent seen much improvpent, but I dont want to switch from product to product every time. I live in Holland so the products you mention we don’t have here. Maybe I should just have to accept it…

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