| No | Scars Name | Picture | Description of scars |
| 1 | Ice-pick |  | Ice-pick scars are 1-2 mm in diameter. They are so named as they form very narrow incisions into the upper level of the skin; similar to a small ice-pick wound. This type of scarring is characterized by deep pits that are usually less than 2 mm across. They extend into the skin, giving the surface appearance of having been punctured by an ice pick. They are narrow and deep, extending well into the dermis. There are other ice pick scars however that are larger, and don't extend that deep into the skin. Ice pick scars develop from a deep infection in the skin, mostly the dermis. Upon development, the infection makes its way to the skin surface, creating a cyst. The cyst persists and forms the ice pick scar. |
| 2 | Pitted / Boxcar |  | Boxcar scars measure more than 3 mm in diameter and appear similar to chicken pox scars. They cause round depressions on the dermis and give the skin a matted appearance. They are angular scars with sharp vertical edges. Boxcar scars may be shallow or deep. Boxcar scars appear like valleys on the skin. These pit scars are created when there is tissue loss in the skin because of an acne breakout. The skin is left without support and therefore collapses under its own weight. A depression is left in place and this is what causes the pits. The depth of the depression may differ depending on the severity of the acne infection. Usually, the more severe the acne, the more the skin loss and the bigger the boxcar scars. How Boxcars Develop? When an inflammatory breakout destroys collagen, tissue is lost. The skin over this area is left without support, and a depressed area is created. Boxcar scars may be superficial to severe, depending on the amount of tissue lost. |
| 3 | Rolling |  | Rolling scars cause abnormal wave-like undulations on the dermis. They are usually 4-5 mm in diameter. They are caused by damage under the surface of the skin, and give the skin a wave-like appearance. They tend to be wide and shallow. These give the skin a bumpy appearance. The name rolling is used because of how the scars appear. The best term for description is wave like. Fibrous tissue develops in the subcutaneous region of the skin. They then bind to the epidermis, leading to the creation of the undulations. |
| 4 | Hypertrophic / Keloid |  | Hypertrophic or Keloid scars tend to appear when the Acne clears out. They are raised lesions which tend to get larger with time. They might itch or be painful in certain cases. They are often the result of more severe acne lesions, such as cysts or nodules. Hypertrophic scars generally stay within the boundary of the original wound, and may decrease in size as time goes on. Keloid Scars (a type of hypertrophic scarring), on the other hand, may scar beyond the original wound site. These kinds of scars are raised over the skin tissue. They are more apparent in the torsos of men. What happens is that there is an elevation in the production of collagen. They are different from ice pick scars in that there is no loss of skin. By appearance, this kinds of scars look like an accumulated mass of tissue. |
| 5 | Stretch Marks |  | Stretch Marks happen when the skin is pulled. Normally it happen after a woman get pregnant, after a man build bigger muscles, after a person get fat. |
| 6 | Pigmentation |  | Pigmentation or Hyperpigmentation is Post-Inflammatory Hyperpigmentation or PIH. When your skin becomes irritated, your melanocytes become stimulated to produce melanin and the color can range from purple, red, brown or black. Once your pimple starts, melanin already begins to produce, but picking at it stimulates the melanocytes more causing even more hyperpigmentation which then makes it harder to fade (More pigment=longer fading time). Unlike real scarring, PIH still feels like skin (isn’t tougher texture). It just has the coloring. |
| 7 | Burn Scar |  | Burn scars appear after u are burn by heat or fire. |
Treatment for scars :
| Category of scars | Types of Scars | Products to remove them |
| Sink inside scars | 1) Ice-pick 2) Pitted / Boxcar 3) Rolling 4) Wrinkles 5) Stretch Marks | 1) Derma-roller + Dermagist Acne Scars Fading Cream 2) Derma-roller + Revitol Scar Removal Cream |
| Raise up scars | 1) Hypertrophic 2) Keloid scars 3) Surgery scars 4) Burn scars | 1) Scarprin Gel 2) Derma-roller + Revitol Scar Removal Cream |
| Colour scars | 1) Pigmentation 2) Hyperpigmentation 3) Melasma | 1) Nannic's Skin Tone Balancer Triple Action 2) Pycnogenol 3) M2 skin refinish 20% 4) Hydroquinone, Arbutin and Glutathione 5) Citric Acid (lemons) 6) Kojic acid 7) Kojic dipalmitate 8) Exfoliation (Glycolic acid and papaya extract). |
More info at http://dermaroller-malaysia.com
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