Several factors can contribute to the appearance of acne scars, including the severity of acne, genetics, sun exposure, inflammation, and the body's healing process. Inflamed and deeply rooted acne, such as cysts and nodules, are more likely to cause scarring. Inflammation plays a crucial role in scar development. When acne breakouts penetrate the skin deeply, they damage both the skin and underlying tissue. The body responds by producing collagen to support healing. Insufficient collagen production can lead to depressed acne scars, while excessive collagen production can result in raised scars. The balance of collagen production during the healing process determines the type of acne scar that forms.
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