
Severe acne can leave acne scars when the skin takes on a 'volcanic' shape. There are two main categories of acne scars: physical scars and pigmented scars.
Physical acne scars are often referred to as "icepick" scars because the scars tend to cause an indentation in the skin's surface. The term pigmented scars suggests a change in the skin's pigmentation which actually is slightly misleading.
Pigmented scars are usually the result of nodular or cystic acne (the painful 'bumps' lying under the skin) which often leaves behind an inflamed red mark. Pigmentation scars can usually be avoided simply by avoiding aggravating the nodule or cyst. Pigmentation scarring becomes significantly worse, and may even bruise the affected area when sufferers try to 'pop' cysts or nodules.
Pigmentation scars often fade with time, and those who suffered from acne before, and have developed scars are generally relieved that the acne has gone, and emotional effects of acne scars tend to be less distressing.
Acne scars are unsightly and it is for this reason that they can be psycholigically and emotionally disturbing as the actual acne was which may affect one's confidence. Acne scars can also be difficult and expensive to treat, and it is unusual for the scars to be successfully removed completely. However there are a range of treatments available.
If acne scars are causing severe psychological distress, social withdrawal and/or emotional ill-health, a doctor should be contacted.