Acne scarring has a strong genetic predisposition and depends much on an individual's unique inflammation response. People with a "secondary inflammatory response" to trauma tend to scar, whereas those with a "single inflammatory response" to trauma tend not to scar.
Acne scarring involves postinflammatory color changes, seen after inflammatory acne lesions have recently healed. These changes include:
- Postinflammatory erythema – pink or purple flat patches
- Postinflammatory pigmentation – brown marks (pigmentation), seen in people who tan easily
- Postinflammatory hypopigmentation – white marks
Improvement of those color changes requires time (up to a few months for complete resolution). Your scars are still mild and most likely will heal with time. So you are advised to ensure prevention of future scarring, which is the best thing to start with in your case. Vigorous acne treatment (especially with tretinoin), applying oil-free sunscreen, and NOT picking at your skin are of critical importance.
Scars that persist for longer periods of time or are disfiguring need more aggressive interventions, like dermabrasion ( a surgical procedure that uses a power-driven hand device which has an abrasive end piece. It is used by moving it gently over the surface of the scar causing the topmost layers of the skin to wear off) Laser resurfacing ( like pulsed dye laser (PDL) and intense pulsed light (IPL) ) and dermal filler injections (collagen, hyaluronic acid etc).
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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