Why Does Skin Texture Change After Acne

Post-Inflammatory Hyperpigmentation (PIH) After Acne

Why Does Skin Texture Change After Acne

Acne starts as red bumps or pimples on your skin. These are not just surface problems. They cause swelling deep inside the skin layers. This swelling hurts the tiny fibers that hold your skin smooth and strong. Those fibers are called collagen and elastin. When they get damaged, your skin tries to fix itself. But the fix does not always work perfectly. That leaves your skin bumpy, pitted, or uneven.

Think of your skin like a soft mattress. Acne pokes holes in it. Your body rushes in to patch those holes with new material. If it uses too little collagen, the spot sinks in. You get dents or dips. These are called atrophic scars. They look like ice pick marks or rolling hills on your face. If your body makes too much collagen, the spot puffs up. Those are raised scars like hypertrophic ones or keloids. Either way, the flat smooth surface you had before is gone.

The swelling from acne digs into the dermis. That is the middle layer of your skin. It keeps going even after the pimple goes away. Over months, this changes how your skin rebuilds. You might not see the scar right away. It shows up after six months or a year. Picking or squeezing pimples makes it worse. That adds more damage and slows healing.

Your age plays a big role too. In adults, skin heals slower. There are fewer cells that make collagen. Blood flow is weaker, so nutrients do not reach the spot fast. Years of sun exposure break down collagen even more. Stress, bad sleep, or pollution can keep swelling going longer. All this means adult skin ends up with sharper dents than teen skin.

Sometimes the change is not a true scar. It can be dark spots or red marks. Dark spots come from extra color pigment made during healing. Red marks are from tiny blood vessels showing through. These are flat but still make texture feel off. Sun makes them stick around longer.

Healing takes time because skin cells turn over slowly after acne. New cells push up from below. But damaged areas lag behind. That keeps the rough feel until collagen rebuilds right.

Sources
https://www.london-dermatology-centre.co.uk/blog/adult-acne-scarring/
https://www.kins-clinic.com/blogs/what-are-the-main-acne-scar-types-a-skin-friendly-guide-with-treatment-options
https://sozoclinic.sg/acne-scar-vs-hyperpigmentation/
https://www.pristyncare.com/consult/acne-scars-why-do-they-form-and-what-are-the-common-causes/
https://drhaach.com/treatments/acne-scars/
https://www.tuftsmedicine.org/about-us/news/acne-over-30
https://worldofasaya.com/blogs/acne/essential-checklist-healing-skin-texture-after-acne
https://www.mesoestetic.com/blog/acne-scars/
https://rejuvadermatology.com/conditions/acne-scars-in-venice-fl/

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