Acne Marks vs Acne Scars: What’s the Real Difference?

Almost everyone who has struggled with acne knows the frustration—breakouts may heal, but the reminders often linger. However, not all post-acne blemishes are the same. Understanding whether you’re dealing with acne marks or acne scars is the first and most important step toward choosing the right treatment.

What Are Acne Marks?

Acne marks are temporary discolourations that appear after a pimple heals. They occur when inflammation triggers excess pigment production or causes blood vessels near the surface of the skin to dilate. Importantly, the skin texture remains smooth.

Common Types of Acne Marks:

• Post-Inflammatory Erythema (PIE): Pink or reddish spots, more common in fair skin tones.
• Post-Inflammatory Hyperpigmentation (PIH): Brown or dark marks, often seen in medium to darker skin tones.

The good news is that acne marks can fade naturally over time, especially with medical-grade skincare, sun protection, and appropriate aesthetic treatments.

What Are Acne Scars?

Acne scars form when deep or cystic acne damages collagen during the healing process. Unlike acne marks, scars permanently alter the skin’s texture, resulting in indentations or raised areas that can be felt.

Types of Acne Scars:

• Ice-pick scars: narrow, deep pits
• Boxcar scars: broad scars with sharp edges
• Rolling scars: uneven, wave-like texture
• Hypertrophic or keloid scars: raised scars caused by excess collagen

Acne scars do not fade on their own, but with the right combination of treatments, significant improvement in texture and appearance is achievable.

Why Identifying the Difference Matters

Acne marks and acne scars require very different treatment approaches. Treating scars with products meant for pigmentation—or vice versa—often leads to disappointment and wasted time. A professional assessment ensures the right solution is applied from the start.

Not sure whether you have acne marks or acne scars? Book a personalised consultation at Luna Clinic to receive an accurate diagnosis and a targeted treatment plan for clearer, smoother skin.