Why do people scar?
Scarring tends to be genetically linked to an individual’s unique inflammation response. Those people with a “secondary inflammatory response” to trauma tend to scar, while those with a “single inflammatory response” to trauma tend not to scar. This explains why some people will scar easily and others maintain a smooth complexion even through moderately severe battles with acne.
When it comes to scarring, preventing any future scarring is the best first course of action. First, agressively treat acne, thus preventing further scarring. There are two ideal options when it comes to treating acne. The Acne.org Regimen should clear up most cases of acne. In very severe cases, doctors will often prescribe Accutane (isotretinoin) to their patients. Also, it is vitally important that you do not pick at your skin. Many dermatologists contend that scars are really more from picking than from the acne itself. This is not to say that the occasional popping of a zit will lead to scarring. Occasional popping can often be performed quickly and safely. It is the picking afterward that often leads to the worst scarring. Try to leave your skin relatively untouched.
What to expect
Once acne is under control, surgical scar revision is an option. However, scarring is a permanent condition, so scar treatments may improve the condition, but rarely remove it. The aim should be improvement, not cure. Depending on the dermatologist or plastic surgeon and his or her level of expertise as well as the topography of a person’s skin, surgical results vary widely. The scientific community agrees that topical treatments are largely ineffectual.