Home » Skin Blog » Skin Knowledge and Problems » Acne and Acne Scars: How to Effectively Prevent the Formation of Pockmarks

Puberty is a developmental stage that many adolescents experience, and the accompanying acne problems often cause them great distress. During this time, many worry that acne will leave pockmarks. So, can acne really turn into scars? How can we avoid the formation of pockmarks?

First, let’s understand what acne scars are. Acne scars typically form after inflamed acne leaves marks due to skin damage. The formation of acne is a continuous inflammatory process; when proteases in the skin act on the inflamed area for too long, it can lead to the loss of skin elasticity and collagen, much like the collapse of a building’s framework, affecting the overall structure.

The formation of acne scars is closely related to the duration and severity of the inflammation. Even individuals who do not pick at their acne may still face the issue of pockmarks, primarily because certain cystic acne can spread to surrounding tissues, causing varying degrees of damage. If unfortunate enough to develop such acne, the surrounding tissues will be affected, eventually resulting in scars. Therefore, the severity and duration of the inflammation are key factors in determining whether acne scars will form, rather than simply whether or not the acne is picked at.

Additionally, genetics and individual constitution also play vital roles in this matter. Some people inevitably get pimples during puberty, yet they do not end up with scars; whereas others, even with minor acne, may leave noticeable marks. If there is a history of scarring in your family, it would be wise to seek early treatment during puberty. Believing that “it will get better with age” is often a misconception; timely intervention can actually reduce future troubles.

So, how can we effectively prevent acne from turning into pockmarks? The focus of prevention is on controlling the occurrence of acne. Although it may seem challenging, early care is absolutely crucial. When the first signs of pimples appear, choosing the right skincare products, such as those containing retinoids or other acids, can effectively reduce acne formation. If the situation worsens, it is advisable to seek professional medical advice, as antibiotics or other medications may be needed for treatment.

For particularly severe cases, oral retinoids are also an option, which can help reduce excessive secretion from sebaceous glands. However, if acne has already developed, self-treatment is not recommended; one should consult a doctor for a professional evaluation. If there are hard lumps, local steroid injections may be necessary. Moreover, one should be cautious about squeezing, as doing so indiscriminately can cause more significant harm.

It is important to remember that different types of acne require different approaches. Cystic acne should never be squeezed, whereas regular comedones can be addressed after cleaning and disinfecting. However, in any procedure, avoid excessive squeezing; otherwise, it may lead to scarring.

If, unfortunately, acne scars have formed, early treatment is very important, as results improve with prompt action. Early acne scars are relatively clean and the cells have not completely died, so treatments such as laser therapy can promote collagen regeneration with better results. If the scars have existed for a longer period, treatment effects will be significantly diminished.

In summary, early prevention and treatment are key in dealing with the troubles caused by acne. By maintaining good skincare habits and seeking appropriate medical help, we can effectively reduce the risk of acne turning into pockmarks.