The bad news: There's no secret ingredient or miracle gadget that makes scars totally disappear. Don't get discouraged, though. A lot of what you think is acne scarring is really just hyperpigmentation or erythema (brown or red spots) rather than an actual change in the texture of the skin. Plus, there's a bevy of gels, creams, and treatments that can bring that discoloration down. We asked top dermatologists to recommend the most effective of the bunch.
Consider exfoliating with baking soda. Baking soda can be used to exfoliate the skin and minimize the appearance of acne scars. All you need to do is mix one teaspoon of baking soda with two teaspoons of water to form a liquid paste. Apply this paste all over your face and use gentle circular motions to rub the baking soda into the skin, concentrating on the scarred areas, for about two minutes. Rinse off with warm water and pat the skin dry. 
"Leafy green vegetables and other brightly-colored fruit and vegetables which are rich in antioxidants and nutrients dampen inflammation and improve skin quality (studies have shown acne patients have higher oil production and lower antioxidant levels)," says Dr. Weiser. "Limit intake of dairy products, which can contain hormones and antibiotics that can worsen acne breakouts." Other skin-boosting superfoods include eggs, nuts, legumes, and quinoa.
Clean your skin gently with a mild soap or cleanser twice a day — once in the morning and once at night. You should also gently clean the skin after heavy exercise. Avoid strong soaps and rough scrub pads. Harsh scrubbing of the skin may make acne worse. Wash your entire face from under the jaw to the hairline and rinse thoroughly. Remove make-up gently with a mild soap and water. Ask your doctor before using an astringent.
Some people swear by the disinfecting power of tea tree oil for acne treatment. It can be applied either full strength or slightly diluted with water directly onto pimples. Use a small amount on a clean cotton swab or cotton pad and dab on the affected areas immediately after cleansing. Because tea tree oil can be drying, you might choose to use both tea tree oil and coconut oil for acne as part of your clear skin regimen.
Some skin advocates suggest foregoing this method. The pH of baking soda is 7.0, which is far too basic for skin's pH. Optimal skin pH occurs between 4.7 and 5.5, which is an inhospitable environment for p. acne (the bacteria responsible for causing most acne). By raising the pH to a more basic level, p. acne is able to survive longer and cause more infection and inflammation. So try this method with care, and stop using it if it's not effective for you.
There are many treatments for mild acne. Mild acne can consist of whiteheads, blackheads and small pustules. At home, you can wash your face twice per day with warm water and a gentle cleanser or soap. Your doctor may suggest you also try an over-the-counter lotion or cream. These medicines may make your skin dry if you use them too much. Be sure to follow the directions.
Similar to the above natural acne remedies, these acne treatments can be inexpensive and worth giving a try. Best of all, these use products you probably already have in your household, like apple cider vinegar and toothpaste. Use home remedies for acne with caution if you have cystic acne, open sores, or inflammatory acne, which are best treated with medical supervision.
This powerful pink acne treatment is formulated with 10 percent Sulfurthe highest level allowed to effectively fight acneto help clear skin of blemishes and acne-causing bacteria. It also contains AHAs to reduce the appearance of enlarged pores and help control sebum production. This acne treatment also prevents future breakouts, resulting in a clearer complexion.
EradiKate™ Mask Foam-Activated Acne Treatment gently exfoliates dead skin cells and helps unclog pores while sulfur reduces the appearances and helps prevent pimples, zits, and future breakouts. Within minutes Kate’s unique foam-activated technology penetrates to help dissolve impurities and dirt, and address oily skin. An advanced botanical complex of boswellia serrata, honey extracts, and rice bran work to calm and soothe skin. Use this mask with Kate Somerville’s bestselling EradiKate Acne Treatment for an acne regimen that promotes a clearer complexion.
What you can do differently: Gently wash and moisturize your face with a gentle yet effective system (cleanser, toner, moisturizer) that contains pore-clearing ingredients, like alpha hydroxy acids and glycolic and lactic acids. That way you keep the scrubbing to a minimum. Wright recommends Obagi Foaming Gel, Toner and Exfoderm Lotion, her favorite system to suggest for Dangene's acne-prone clients.
Doxycycline is another of the tetracyclines that is equally effective in treating acne. It comes in generic versions and also as the branded Doryx and Acticlate which are easier on the stomach. Originally FDA approved for the treatment of rosacea, Oracea is a non antibiotic dose of doxycycline that is often used as an acne treatment, as well. Taken orally, it can be used as solo therapy or in combination with a topical acne treatment regimen. More severe cases of acne might need higher doses of doxycycline, but since Oracea is not an antibiotic, many patients can be “down-graded" to Oracea after improvement and it is suitable for longterm use as it does not cause antibiotic resistance.
If you really must do something about your pimple beyond washing your face and spot treating, ice or a cold compress can help reduce swelling. Wrap an ice cube or the compress in a soft tissue or cloth and apply it to your zit for 20-30 seconds at a time, a few times a day. In case of an emergency (like, prom), you can also see a dermatologist for a cortisone injection, which can help shrink the cyst down quickly in a day or two.
As far as pimple scars on the nose are concerned, this oil is the most beneficial in healing of the hypertrophic scars that are generally raised and red, such as those we get after a burn injury or a surgery. Raised acne scars too are however not very uncommon. So if you have the raised acne scars, you can effectively use tea tree oil to get rid of them.
Minocycline is available in generic form or the branded formulation, Solodyn. The most-prescribed oral antibiotic acne medication for moderate to severe inflammatory acne like cystic acne, Solodyn is a minocycline like those mentioned above. However, it comes in an extended release formula that allows it to work to clear skin over the course of the day with just one daily dose.
"If you occupy the area [under the skin] with a cyst, it destroys fat around it. Once the cyst goes away, the loss causes indentation," Dr. Karolak explains. A boxcar scar is a depression that has hidden scar tissue, which acts like an accordion pulling the scar downward. Subsicion is one solution for these deeper scars. Subsicion uses a sharp needle to go under the surface and break up that scar tissue. Then, you can fill it in with fillers made specifically for acne scars like Bellafill. Or you can do a fat transfer. "One of my favorite treatments for volume loss is fat transfer, which allows me to take inject a patient's own body fat instead of synthetic filler," says Dr. Karolak. Another treatment for boxcar scars is punch excision where the indented area of the scar is removed and the edges are pulled together with a suture. These treatments are often followed up with a collagen-boosting laser treatment.
Worried moisturizer will make your acne worse? Think again — it can actually help improve your skin. “If the skin surface is dry and dehydrated, the oil glands tend to overproduce oil and this can make acne worse,” Dr. Weiser says. “Hydrating the skin surface can re-balance oil glands and help control acne and improve healing.” When buying a moisturizer, she recommends looking for a lightweight, oil-based product that won’t clog your pores. Dr. Levin likes Differin Soothing Moisturizer because it's "a great lightweight pH balanced moisturizer you can use in combination with acne topical treatments."
Shower twice a day. Take a shower or bath in the morning and at night. Alternatively, take a shower in the morning and then again after physical activity, like exercise, or sweating. Wash your entire body with a mild cleanser and use shampoos that limit oil production in your hair. Be sure to always shower after exercising to remove the dead skin cells your body has sloughed off through sweating.
Drink plenty of water and follow a balanced diet. Although eating healthily and staying hydrated isn't going to magically make acne scars disappear, it will allow your body to perform at its best and help skin to heal itself. Water will flush toxins from the body and keep skin looking plump and firm, so you should aim to drink 5 to 8 glasses a day. Vitamins such as A, C and E will also help to feed the skin and keep it hydrated.
I can't disagree with much of this. I was almost half expecting some wild remedy. :) When I was younger I had very bad cystic acne. I took tetracycline, minocycline, doxicycline, I used topicals like Retin-A, Cleocin-T, salicylic acid, benzoyl peroxide. I began using the Citrus Clear products on a regular, daily basis. Also I never touch my hands to my face, and the result has been acne free. NOt even an occasional pimple.
Acne scar treatment: “Rolling scars can be treated with microfat injections followed by microneedling with platelet-rich plasma (PRP),” says Dr. Imber. Microneedling creates tiny wounds or pinpricks in the skin. The body’s natural, controlled healing process then kicks in to boost internal collagen production. Microneedling is also a great acne scar treatment because it opens up channels within the skin that give PRP—the healing factors in your own blood—and skin care products direct access to deeper layers of the skin where they’re needed most. PRP is created by taking some of your blood, isolating the platelet-rich plasma, which contains proteins and other growth factors, and injecting it back into the scar. “The objective is to build up the collagen layer under the depression in order to raise it to the level of the surrounding skin,” Dr. Imber says. You’ll likely need multiple treatments, but the results are worth it. This approach is backed up by a new study in the January 2017 issue of Aesthetic Plastic Surgery, which found that fat plus PRP improve depressed scars alone and in combination with laser skin resurfacing. What’s more, the treatment improved the social life and relationships of people with scarring, the study showed. These are the innocent habits that practically guarantee your acne will scar.
Fractional laser treatment is less invasive than ablative laser treatment, as it targets only a fraction of the skin at a time. Fractional lasers penetrate the top skin layers, where its light energy stimulates collagen production and resurfaces the top layer of the epidermis. Treatments typically last between 15 and 45 minutes and effects become visible in 1 to 3 weeks.
Acne scar treatment: Injections of steroids can flatten keloid scars, according to Dr. Elbuluk. When they are discolored or red, there is some active inflammation in the skin. “The goal is to make the inflammation go away,” she says, “and certain lasers, such as pulsed dye laser, can improve any discoloration by targeting blood vessels.” Cryosurgery freezes the scar tissue, causing it to slough off, but this can cause pigmentation problems of its own among people with darker skin, who are already at higher risk for keloids. Prevention has an important role to play for anyone who is prone to keloids, she says. Using a scar-minimizing treatment like Mederma and/or silicone gel scar sheets before scars form can help stave off a keloid. Vitamin C serums such as Kiehl’s ‘Clearly Corrective’ Dark Spot Solution, Perricone MD Vitamin C Ester Serum, Skinceuticals C E FERULIC® vitamin C serum, or Kiss My Face C The Change (Ester C Serum) can also reduce pigmentation around a keloid scar.
Lasers. Your dermatologist can use a laser to remove the outer layer of your skin, contour areas of acne scars, or lighten redness around healed acne lesions. Various types of lasers are used, depending on whether the acne scar is raised or flat. More than one laser treatment may be required and, depending on the laser used, you may need to several days to heal.
"Fluctuation in hormones, such as before one's menstrual cycle, is the main cause," explains dermatologist Julia Tzu, M.D., of Wall Street Dermatology. Specifically, androgens (male hormones) like testosterone. This usually rears its ugly head in the form of deep (painful) cystic acne around the chin, neck, and back, says dermatologist Rebecca Kazin, M.D., F.A.A.D., of the Washington Institute of Dermatologic Laser Surgery and the Johns Hopkins Department of Dermatology.
Those who consume a bevy of seafood, seaweed, and iodized salt experience high iodine levels. These iodine levels have also been purported to trigger acne flare ups. Word spread about iodine’s potential for causing skin issues in the 1960s, and it’s had a bad rap ever since. However, recent studies have fought against this pervasive thought, as some studies have seen no difference between acne in those who were given iodine and those who weren’t. It’s important to take these studies with a grain of salt, and understand that depleting your diet of iodine can have negative effects on holistic health. Iodine is essential for proper thyroid function, and is responsible for the manufacture of T3 and T4 thyroid hormones and it’s important to maintain proper levels of iodine in your diet.
Laser resurfacing involves directing concentrated pulsating beams of light at irregular skin. This procedure may be used to reduce wrinkles, blemished, or acne scars. There are two types of lasers commonly used in laser resurfacing: carbon dioxide and erbium. Treated areas heal in 10-21 days. Possible complications include milia, hyperpigmentation, and swelling.