The best acne scar removal product should include a biological skin rejuvenation protein substance that also contains topical antimicrobial peptides that counters acne infection.

Once acne inflammation happens, caused by bacteria infection in clogged pores, a person may present several different lesion types. Smaller red bumps are called papules. Larger red bumps are called nodules. Often times, lesions will have a yellowish white color. The color is due to pus that has collected on the inside of the lesion; this lesion type is called a pustule.

Acne scars are left behind, often permanently, after the lesion is healed. Acne scarring occurs when acne is irritated, often by direct touching of the aggravated area. In order to decrease the risk of acne scarring, avoid applying oily cosmetics on the affected area. The affected area should be consistently cleansed, and should not be squeezed. Picking and squeezing the lesion before it is ready to be drained can usually cause the lesion to be embedded deeper, thereby causing more intense scarring. But scarring is not the only complication; doctors often ask patients not to squeeze facial acne for the rare possibility that the infectious material can reach parts of the brain, causing dangerous complications like seizure, stroke, and even death.

Scars are more likely to appear from a sort of acne called nodulocystic or cystic acne; but even when they have the same origin, all scars are different.

Ice pick scars are thin, sharp scars that make the skin appear it has been punctured with an ice-pick. They are commonly narrower than two millimeters and extend into the lower dermis or subcutaneous layer. Icepick scars are commonly too deep to cure with skin resurfacing procedures like dermabrasion or laser resurfacing.

Punch Excision Treatment for Ice-pick Acne Scars

This approach of surgically treating acne scars is used on deep scars such as ice pick and deep scars. This procedure uses a punch biopsy instrument, basically a round, sharp "cookie-cutter" instrument that comes in diameters ranging from 1.5 mm to 3.5 mm. The size of the tool is matched to the size of the scar to include the walls of the scar. Using local anesthesia the scar is excised with the punch instrument and the skin borders are sutured together. The newly made scar eventually disappears and may not be perceptible. If it is perceptible, it is more amenable now to resurfacing methods or the use of skin regenerating accelerators.

Some products contain an exclusive skin regenerating substance and biological antibiotic proven to be effective for acne scar treatment. They not only work for the removal of keloid scars and to reduce pitted or ice pick scars, but also prevent scarring and work as a biological remedy for adult and teen acne. They also act in collaboration with accutane or oral antimicrobials for severe nodular cystic acne.