Even though acne is a major source of discouragement, a hasty or improper attempt at treatment of an acne flare can unintentionally lead to an acne scar that can be visible forever or very difficult to remove. Typically, an acne scar is caused by someone attempting to clear out a pimple manually. When you squeeze or "pop" a pimple, an opening can be left in the skin that often is slow to heal as it should. Acne scar-forming sores also increase the possibility of further infection caused by bacteria infecting this vulnerable place on the skin.

Acne usually starts building with an abundance of the greasy wax-like substance called sebum from sebaceous glands beneath the surface of the skin. This protective but oily lubricant rises to the skin's upper layer and exits from the pores to help lubricate the skin. However, it sometimes combines with flakes of dead skin and bacteria, plugging the pores. This can then result in blackheads and pimples in most cases, but may give rise to more problematic cysts under the surface of the skin in difficult cases. Manual manipulation of these blemishes may culminate in the transmission of the bacteria and raise the chance of leaving an acne scar.

Sometimes, what first seems to be to be an acne scar is not in reality a scar; instead, it might be only a somewhat inflamed or red area where the pimple has run its course. These small red flat marks, also called macules, look very much like a scar but, fortunately, they normally fade away completely in approximately five to six months.

In more persistent cases, although an acne blemish has healed, the pigment of the skin may be altered, but this might often be misidentified as an acne scar. These marks will usually go away in approximately 12 to 18 months, growing lighter as time passes, and are not really scars.

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