Why Do Acne Scars Occur?
Why do some people have acne scars, while others don’t?
The reasons vary, but genetics is one risk factor for scarring. If a blood relative struggles with acne scarring, you might, too, according to the American Academy of Dermatology (AAD). Also, scarring tends to happen more as the skin loses collagen with age.
Because collagen plays a role in the healing process, your skin produces new collagen as it repairs itself after a breakout. But sometimes, it produces too little or too much, resulting in a scar.
Keep in mind that acne is an inflammatory condition. Scar development has a lot to do with the extent and duration of skin inflammation, so delaying acne treatment raises the risk of scarring, according to the AAD.
“Acne scars result from a complex and abnormal inflammatory response, which results in poor wound healing,” says Kara Shah, MD, a board-certified general and pediatric dermatologist with Kenwood Dermatology in Cincinnati.
Because scarring is a complication of acne, anyone who experiences a breakout can have temporary or permanent scars, according to the NHS; yet scarring is most common in those who suffer from inflammatory acne characterized by numerous pimples and cysts, says Dr. Shah.
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