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Acne scars, a common aftermath of acne breakouts, can be a source of frustration for many individuals. While some scars may naturally fade over time, the extent to which they fade depends on various factors. 


In this article, we will delve into the world of acne scars, exploring their types and the factors that influence their natural fading.  We will also discuss hyperpigmentation, hypertrophic scars, and the challenge of depressed scars (atrophic). Additionally, we will share tips on preventing new scars and highlight professional treatments available for stubborn scars, including acne scar removal in Singapore.


Types of Acne Scars


Before addressing the question of whether all acne scars can fade naturally, it’s essential to understand the different types of acne scars that can develop:


Hyperpigmentation: These are flat, dark marks left behind after acne breakouts. They are not true scars but rather areas of increased pigmentation and can often fade naturally over time.

Back Acne Scars

Hypertrophic Scars: These raised scars occur when the body produces too much collagen during the healing process. Hypertrophic scars may improve but are NOT likely to fade naturally.

Depressed Scars (Atrophic): These scars result from a loss of tissue, creating depressions or indentations in the skin. Atrophic scars are more challenging and do not fade naturally.

Rolling Scars

Factors Affecting Natural Fading


The ability of acne scars to fade naturally varies from person to person and depends on several factors:


  1. Skin Type: Individuals with lighter skin tones tend to see more significant natural fading of scars compared to those with darker skin.
  2. Scar Type: Hyperpigmentation scars are more likely to fade naturally than hypertrophic or atrophic scars.
  3. Scar Age: Fresh scars are more likely to fade over time, while older scars may be more resistant to natural fading.
  4. Sun Exposure: Prolonged sun exposure can worsen the appearance of scars, making natural fading less likely.


Can Hyperpigmentation Fade Naturally?

Hyperpigmentation, characterised by dark spots or patches, is often the most responsive to natural fading. With proper skincare and sun protection, many individuals experience improvement in hyperpigmentation over several months to a year. Topical treatments like vitamin C serums and exfoliating agents can also aid in the fading process.


What About Hypertrophic Scars?

Hypertrophic scars, which are raised and often reddish in colour, are less likely to fade naturally. They may remain prominent for an extended period, and in some cases, they may require medical intervention, such as corticosteroid injections, eCO2 laser treatments or silicone gel sheets, to reduce their appearance.


The Challenge of Depressed Scars (Atrophic)

Depressed scars, including icepick, boxcar, and rolling scars, pose the greatest challenge when it comes to natural fading. These scars result from the loss of collagen and tissue, creating indentations in the skin. While some improvement may occur over time, the majority will remain permanent if left untreated.


Preventing New Scars

Preventing new acne scars is a crucial aspect of scar management. To minimise the likelihood of scarring, it’s essential to:


  • Avoid Picking or Squeezing Pimples: Manipulating acne lesions increases the risk of scarring due to more inflammation.
  • Seek Early Treatment: Address acne breakouts promptly to reduce the severity of potential scarring
  • Use Sunscreen: Protect your skin from sun exposure, as UV radiation can exacerbate the appearance of scars.
  • Consult a Medical Professional experienced in treating scars: They can provide guidance on skincare routines and recommend treatments to prevent scarring.


Professional Treatment for Stubborn Scars

For individuals with persistent or severe acne scars, professional treatments can significantly improve their appearance. Some effective treatments include:


Chemical Peels/ High Concentration TCA CROSS: Chemical peels can help with hyperpigmentation and the TCA CROSS technique can effectively treat depressed ice pick scars and box scars. 


Microneedle Radiofrequency: Microneedle Radiofrequency destroys the scar tissue and stimulates collagen production and can be effective for atrophic scars.


Laser Therapy: High intensity Laser treatments, such as the fractional eCO2 laser and Pico Lasers target specific scar types and encourage collagen remodelling.


Dermal Fillers: Injectable fillers can temporarily fill in atrophic scars, providing a smoother skin surface.


Acne Scar Removal in Singapore


In Singapore, individuals seeking professional acne scar removal have access to a range of effective treatments and experienced medical professionals. At M-Aesthetic, we not only offer the full range of acne scar removal treatments, but we personalise treatment plans to suit your needs to suit each individual scar type and skin tones. 


In conclusion, not all acne scars can naturally fade, and the likelihood of natural fading depends on various factors, including scar type, skin type, and sun exposure. While some individuals may see improvement in hyperpigmentation and some shallow scars with time, others may require professional treatments for effective scar reduction. 


Feel free to send in your enquiries regarding acne scar removal treatments.

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M-Aesthetic Clinic

Novena Medical Center,
#11-07/08, 10 Sinaran Drive
Singapore 307506

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