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What Kind of Acne Do I Have?

Non-Inflamed Lesions 

  • Blackheads (Open Comedones) - Distended pore with oxidized sebum.

  • Whiteheads (Closed Comedones) - Blackhead that has failed to mature.  They never make it to the surface and just create a white blanched-out bump on the skin.

  • Sebaceous Filament - Acne Fraud. Some think they are blackheads, they are not. Oxidized sebum.

Inflamed Lesions

  • Pustules

  • Papules

  • Cysts

Less Common Acne

Click links to read more information and see photos. 

Acne Frauds - Lesions that can look like Acne

Click links to read more information and see photos. 

Types of Scars you can get from Acne Lesions

Click to read more information and see photos.  
  • Boxcar - Wide, deep depressions with raised sides.

  • Rolling - Wide, shallow depressions.  Skin looks wavy.

  • Ice Pick - Small, deep holes that look like a puncture.

  • Atrophic - Firm, raised scars that have a iridescent appearance.

  • Keloid - Very firm, raised, itchy scars that are skin colored.

Hyperpigmentation 

  • Post Inflammatory Hyperpigmentation (PIH)

    • Brown pigment that appears after a pimple has healed and is no longer present. This is NOT A SCAR.  Darker skin types are more prone to PIH. It will fade with time and proper skin care products. Imperative to use a Mineral SPF 30 - 50 and reapply every 2 hours if outside. ​

  • Post Inflammatory Erythema (PIE) or Angiogenesis

    • Generally appears after a pimple is no longer visible but leaves a red spot.  This redness is a capillary bed that indicates the skin is still healing.  Sometimes the redness persists, but most will fade over time.  ​

Closed Comedones image
Blackheads image
Sebaceous Filament image
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