Can acne cause atrophic scars?

Deep or inflamed acne can injure the skin structures that support its surface. During healing, the replacement tissue may not fill the original space, leaving a depression. Atrophic scars can look like narrow holes, rounded depressions, or shallow uneven areas. They are different from temporary red or brown marks, which change the colour of the skin without creating a dip.

Active breakouts and established scars can occur together. Picking, squeezing, or repeatedly irritating lesions can increase tissue injury. A clinician can assess whether a mark is a scar, colour change, or both before recommending treatment.

Control new acne early with a treatment plan suited to your skin, because preventing fresh inflammation reduces additional scarring risk. Use a gentle cleanser, non-comedogenic moisturiser, and broad-spectrum sunscreen on exposed skin. Avoid picking and harsh exfoliation. Once acne is controlled, a dermatologist may discuss options such as microneedling, laser resurfacing, subcision, chemical treatments, or carefully selected combinations. Choice depends on scar depth, skin tone, active acne, and healing history.

Seek dermatology advice if acne is painful, deep, repeatedly scarring, or affecting your confidence, or if indented areas continue to appear despite basic care. Earlier assessment can address active inflammation before you pursue scar procedures. Contact a clinician promptly for spreading redness, warmth, pus, severe swelling, or fever.

Ask whether the marks are atrophic scars or colour changes, which acne treatment is appropriate now, whether a procedure suits your skin tone, and what downtime and aftercare to expect.