What is a Pimples?
A pimple, zit or spot is a kind of comedo and one of the many results of excess oil getting trapped in the pores. Some of the varieties are pustules or papules.Pimples can be treated by various acne medications prescribed by a physician, or purchased at a pharmacy with a wide variety of treatments.
Inside the pore are sebaceous glands which produce sebum. When the outer layers of skin shed (as they do continuously), the dead skin cells left behind may become 'glued' together by the sebum. This causes the blockage in the pore, especially when the skin becomes thicker at puberty.The sebaceous glands produce more sebum which builds up behind the blockage, and this sebum harbours various bacteria including the species Propionibacterium acnes, causing infection and inflammation.
Severe acne usually indicates the necessity of prescription medication to treat the pimples. Prescription medications used to treat acne and pimples include isotretinoin, which is a retinoid. Historically, antibiotics such as tetracyclines and erythromycin were prescribed. While they were more effective than topical applications of benzoyl peroxide, the bacteria eventually grew resistant to the antibiotics and the treatments became less and less effective. Also, antibiotics had more side effects than topical applications, such as stomach cramps and severe discoloration of teeth. Common antibiotics prescribed by dermatologists include doxycycline and minocycline.For more severe cases of acne dermatologists might recommend accutane, a retinoid that is the most potent of acne treatments. However, accutane can cause various side effects including vomiting, diarrhea, and birth defects (women).
What is a Pimple Scar?
In order to treat acne marks and scars, it's helpful to learn how to distinguish between the two. "Patients often mistake dark spots for acne scars but they're actually very different," says experts. "Post-inflammatory hyperpigmentation are red or brown marks that usually go away when you gently stretch out the skin," says experts. "These marks can take 3-6 months to go away on their own, and you can expedite the process with a diligent treatment of topical retinoids, vitamin C serums, sunscreen, and over-the-counter brighteners." True acne scars, however, are permanent indentations from collagen damage and can come in many shapes and forms, says experts, and laser treatments and temporary dermal fillers are the only ways to treat the issue. Some scars are thick, raised hypertrophic scars that stick out above the skin; others are keloid, which are scars with over-produced skin tissue. Then, there are atrophic scars that appear as depressions in the skin and they're the most challenging to treat. The three main categories of atrophic scars are:
Ice pick scars: Deeper than they are wide, with jagged edges. Sometimes they resemble a large, scooped out pore.
Boxcar scars: Broad, rectangular depressions with steep, defined edges.
Rolling scars: Broad depressions that have rounded, sloping edges, hence the name.
Before & After