Hypertrophic Scars – Not Something You Need To Face
Among the many types of acne scar that can be found regularly among sufferers, the hypertrophic scar is unique in that it is rarely found on the face of a sufferer. It is also rare in that it is not seen where tissue has been eaten away by a breakout of acne, but rather where there has been extra tissue created. A hypertrophic scar – taken from the term “hypertrophy” which means an increase in the size of an organ due to overgrowth of cells – actually stands out from the skin rather than being sunken into it.
Most usually, hypertrophic scars are to be found on the torso of a male sufferer and look like a raised, firm bump of tissue. Often, a hypertrophic scar will grow larger than the original wound and they happen as the result of an overproduction of collagen, the tissue that allows our skin to be flexible enough that we can manipulate it easily. Hypertrophic scars are often confused with “Keloid” scars. Keloid scars routinely overgrow the area of the original injury, and may affect the ability to move the skin in the area where they grow.
In order to treat a hypertrophic or Keloid scar, cortisone is injected into the affected area, shrinking and flattening the scar tissue area. The shrinking and removal of this scar tissue is also aided by a softening process involving the injection of Interferon. If you suffer a hypertrophic scar and cannot fund the surgery, it may not be that big a deal – they often decrease in size and improve in appearance over a short time.
Rolling Scars – A Rare Form of Acne Scar, But Unpleasant Nonetheless
Although the majority of scarring caused by acne, particularly facial breakouts, falls into the categories of ice pick or box car scarring, there are other forms of scar which can afflict the acne sufferer. One of the two other major forms of scar is the rolling scar, which is characterised by a rolling appearance, almost like a wave breaking across the skin. The skin around it will look absolutely normal, which throws the scarring into an ever clearer view. It is a form of scarring that causes discomfort and embarrassment.
It is caused when a fibrous band of tissue forms between the top layer of skin and the subcutaneous tissue as a result of weakening of the connection. These fibrous bands exert a pull on the epidermis and cause it to cling to the deeper structures of the skin. The aesthetic result of this pull is that some of the skin appears sunken while that around it is where it would usually be. This creates the familiar, wave-like appearance which, when moving, appears to be as the name would suggest, rolling across the skin.
In order to get rid of rolling scars on the skin, the most popular method of surgery is called subcision. This name comes from the Latin terms “Sub”, meaning underneath and “incisio”, meaning to cut. The practice of subcision involves cutting underneath the skin’s surface and inserting a needle which is used to cut out the fibrous tissue that his holding down the top layer of skin when this is done, the epidermis is freed and able to move independently.
Box Car Scars – The Aftermath of Inflammation
Although not as common as ice pick scars, nor as pronounced, box car scars are a familiar type of acne scar, most frequently found after an inflammatory acne breakout. In comparison with ice pick scars, box car scars are a good deal wider and though not quite as deep as ice pick scars they do give the skin a somewhat pitted appearance. Usually a box car scar will be round or oval in shape and have steep sides. They are recognisable for the amount of tissue that is removed to make them.
The box car scar is created when an inflammatory breakout of acne strikes, destroying some of the collagen which gives facial skin its rubbery, flexible texture. Where the tissue is effectively burned away by the inflammation, the skin is left without support and develops a sunken look. There is no set level of severity for a box car scar, and it is recognised purely by its shape. They can consequently be fairly superficial or very severe depending on the severity of the breakout and the amount of tissue destroyed.
To treat a box car scar, it is possible to use punch excision, although the nature of that form of surgery is more suited to ice pick scars. Instead, punch elevation is a more frequent choice for surgeons. This style of surgery involves cutting out the base of the scar and lifting (or elevating) it to a point where it is level with the surrounding skin. It is then held in place using surgical sutures until it heals, leaving the skin looking much less pitted.
Ice Pick Scars – The Most Common Acne Scar
There are four major types of acne scar which affect acne sufferers in a major way. They are, in order of regularity: ice pick scars; boxcar scars; rolling scars and hypertrophic or keloid scars. The most common of these is the ice pick scar, it is not difficult to work out how this kind of scar got its name – in short, it looks as though the sufferer has been attacked with an ice pick or a similarly sharp, thin instrument. Ice pick scars are characterised by their depth and their narrowness. Some people say that ice pick scars look like a hyper-large open pore.
The way that an ice pick scar is formed explains its unique appearance. Usually a result of cystic acne, the scar develops after a cyst, or other rooted, inflamed blemish works its way up from the inner layers of dermis. Al the skin tissue in its path, and nothing else, is effectively burrowed away, leaving behind this long and deep scar. If seen as a cross-section diagram, an ice pick scar looks like a deep, narrow ravine.
Treatment is available to improve the appearance of ice pick scars, if not remove the scarring entirely. The most popular metjhod of treatment is a form of surgery known as punch excision. A small tool is pressed into the skin like a cookie-cutter in order to pull away individual scars. The wound, scarcely any wider than the original scar, is then closed using surgical stitches or skin glue. Once it has healed, the skin looks a great deal more normal.
