Why Does Acne Scarring Look Worse Over Time
Acne scars form when severe breakouts like cysts or nodules damage deep skin layers, leading to uneven collagen repair that creates dents or raised areas. Over time, these scars often appear more noticeable due to natural skin changes and daily habits.
As people age, skin loses collagen and elasticity, especially after age 30, making surrounding tissue thinner and scars look deeper or more defined. The skin around scars sags slightly, casting shadows that highlight the uneven texture. Dehydration worsens this by reducing skin plumpness, so dry surface layers emphasize pits and bumps even more.
Sun exposure plays a big role too. UV rays trigger extra melanin production, darkening scars and post-acne marks, while breaking down collagen to slow natural healing. Without sunscreen, scars in sunny areas like the face turn brown or red and stay that way longer.
Lighting matters as well. Harsh overhead lights or bathroom mirrors create shadows that make scars pop out, tricking people into thinking they have grown worse. Stress and poor sleep raise cortisol levels, which break down collagen faster and spark new breakouts near old scars.
New acne in the same spots adds fresh damage, blending with old marks to make the area look rougher. Picking pimples or using harsh scrubs increases inflammation, deepening scars over months or years. Even treated scars can stand out if lifestyle factors like high-sugar diets promote ongoing inflammation.
Sources
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https://liniaskinclinic.com/ice-pick-scars/
https://www.london-dermatology-centre.co.uk/blog/acne-scar-recurrence-maintenance/
https://www.kins-clinic.com/blogs/what-are-the-main-acne-scar-types-a-skin-friendly-guide-with-treatment-options
https://sozoclinic.sg/how-to-remove-acne-scars/
https://www.optimiseaesthetics.com/conditions/acne-scarring-and-other-scars/
https://slmdskincare.com/blogs/learn/the-5-kinds-of-acne-scars-how-to-treat-each-type
https://glojasaesthetic.com/skin-blog/reasons-acne-scars-persist/
https://www.aesthetispa.com/blog/3-things-making-your-acne-scars-worse-and-what-you-can-do-about-it/
