Acne & scars

Active acne, dark marks and scars are different concerns

Updated

In short

  • What people often call "acne scars" can be three separate concerns, and they respond differently.
  • Scar procedures generally make more sense once acne is under control.
  • A single product or procedure rarely addresses everything.

Three different concerns

Many people have more than one at the same time.

  • Active acne

    What it is
    Blocked pores and inflammation that are still forming new spots
    What to expect
    Treatment takes time, often several weeks or more
  • Marks

    What it is
    Flat pink, red or brown areas left after a spot heals, without a change in texture
    What to expect
    They often fade over months
  • Scars

    What it is
    Permanent changes in texture, either indented or raised
    What to expect
    Procedures can improve texture, but they don’t usually remove scars completely

Simplified drawings of a cross-section of skin, for general education. They can't be used to identify a skin concern.

Why the order matters

New inflammation can create new marks and scars. That’s why scar procedures generally make more sense once acne is under control.

Limits and risks

  • Acne treatments take time and can cause dryness or irritation.
  • Some prescription acne medicines carry significant risks and are not suitable during pregnancy, so they need medical supervision.
  • Scar procedures may cause redness, infection or changes in pigmentation.

When to see a doctor

It's a good idea to see a qualified doctor early if spots are:

  • Painful
  • Widespread
  • Leaving scars

Which options are suitable depends on individual assessment.

Questions to ask your doctor

  • Which of these concerns do I have?
  • Does my acne need to be under control before anything else is considered?
  • What side effects could this cause, and how would they be managed?
  • Is this option suitable if I'm pregnant or planning a pregnancy?

The information on this website is for general education only and is not a substitute for individual medical advice, diagnosis or treatment. Outcomes vary and all procedures carry risks.