why do acne scars look worse in certain lightswhy do acne scars look worse in certain lights
Thats insane! Still I was curious if anyone else had experienced this as well. Light therapy often takes several treatments, and is not a complete cure for acne, according to the American Academy of Dermatology. Semin Plast Surg. Also, in photos I look tanned O__o. Some acne blemishes are small and the scars Whatever you are seeing in that mirror is not what anyone else is seeing. Thanks for all the replies =) I think thats what I was definitely trying to get at the whole idea of your perception and what other people really see. Out of nowhere began a steady march of lumps around the size of a 20-cent piece sprouting from my body. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. It really brings out the bad texture of the skin. Try to keep your hands away from your face. Ice pick scars are smaller, more narrow indentations that point down into the skins surface. Im also in the process of growing out my eyebrows and looking in different mirrors I can easily see the regrowth. It didnt take long, maybe a couple of weeks or so, before I started turning into a real freak show. Some choose to just live with their acne scars while others decide that the scars interrupt their daily lives too much. For They work by reducing the amount of the oily substance or sebum made by glands in the skin, reducing bacteria and inflammation, and opening clogged pores. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. Here's When Your Skin Is the Most Breakout-Prone, According to Your Cycle, How to Improve the Appearance of Scars, Straight From Derms, How to Tell if Your Acne Is Actually Rosacea, What I Wish I'd Known Before I Got My First Cortisone Shot, How to Get Rid of Stretch Marks, According to Experts. A 2017 research review found that oral contraception works on acne by using estrogen to work against androgen levels in the body. The Definitive Guide to Acne: Everything You Need to Know for Blemish Care and Beyond, Differin Acne Gel Review: Everything to Know About the Retinoid Treatment, 5 Myths About Acne and Diet That We Can Stop Believing, According to Science, 4 Natural Products to Get Rid of Acne Scars. Edited: Big kisses for you guys who have been the kindest to assure me that its normal and no one has perfect skin under harsh lightings. Medications and treatments used on acne can interfere with medications and treatments used on scars. This makes buying cosmetics in department stores a nightmare because things look VERY different. But Jesus, Mary and Joseph the drug worked. The second reason is that when you look at someone, you are looking from at least a reasonable distance, and small features are blurry and ignored. 2009;23(3):178-184. Yes, In some mirrors my skin is flawless, in others I look yellow and blotchy (lol) and in my work mirror my skin is dull and my dark circles stand out. Infection. As with many teenagers, I had only mild acne develop when I was 16. Here's everything you need to know about the over-the-counter medication. 2010;3(7):20-31. Getting a cortisone injection at your dermatologist's office is also a quick solution to flattening an inflamed pimple, but it comes with its own risks. We avoid using tertiary references. My skin was clearer, my acne scars had faded, my pores looked smaller, and overall, my skin had a really nice glow. About 80% of people between the ages of 11 and 30 will have acne, and one out of five of that population will have scarring. But overall I thought my skin was good and I receive occasional compliments on my skin. Are Some People More Prone to Acne Scars? A 2018 study suggests that people with darker skin may be more likely to experience hyperpigmentation from a chemical peel. If your acne doesnt respond to other treatments, your doctor may prescribe isotretinoin. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Dont worry, thats almost common knowledge the sharpness and some light effects on the phone front camera can make acne scars look grainier or something if you hold it close, it will even exaggerate any lines or shades. Boxcar scars most often form on areas like the lower cheeks and jaw, where skin is relatively thick. Can Aloe Vera Reduce the Appearance of Acne Scars? Expect to have to make choices choices about if you will or will not get treatment and choices about the type of treatment. However, this will go away over time. The bumpy skin on your tear throughs is glands. COPYRIGHT 2023 ARE MEDIA PTY LIMITED ALL RIGHTS RESERVED. Ive always envied those people who seem to have flawless skin but maybe they have the sameinsecurities about how they think their skin looks. I tell my story now, more than 30 years after the fact, not to garner pity or sympathy; I moved through that stage long ago. I recall clearly the deputy principal telling me and then my parents that the disease was a punishment from God for being a miscreant. Public washrooms are the worst, a few really fluorescent lightings are bad too, and sadly in my bedroom at the spot right in front of my closet mirror the lighting gets real wonky so my skin looks bad as well. If you have acne on your back or chest, try to prevent your backpack or purse straps from touching it. Last medically reviewed on October 18, 2021. What will my skin look like right after the procedure? Think of your friend's faces. The answer to this question depends on the type of scar and the type of treatment. Cystic acne is the type of acne most likely to leave scars. Ever get a makeover there? Which over-the-counter medication is best for me? Learn what to look for in your skin care, Acne scars are deeper wounds left behind after breakouts. See your dermatologist for acne treatment advice, follow instructions and return for the treatment of scarsif scarring occursin its early stages when you have the best chance of reducing skin damage. We also love Farmacy Deep Sweep 2% BHA Pore-Cleaning Toner, which uses salicylic acid to leave pores squeaky-clean and has papaya enzyme meant to brighten skin. At the same time, my school grades and extra-curricular activities were suffering accordingly. But eventually the images and scenarios that I faithfully recorded became too disturbing. An acne lesion (pimple) grows when bacteria, oils and dead skin fill up and inflame pores, the tiny openings in your skin through which oil and sweat rise to the surface. Press J to jump to the feed. But can ice facials help reduce puffy eyes and acne? Hyperactive lymph glands, rapid metabolic rate, and so-called tubercular taint (left in the DNA from an ancestor who had tuberculosis) have all been proffered as potential factors in the viciousness and rapid onset of my cystic acne. Keloid scarring, in particular, is more common in certain ethnic populations. Sometimes, this can make your acne worse or cause other side effects. But my case was markedly different. You might also have a genetic predisposition to acne. In hindsight, it seems ridiculous to contemplate that I was attempting my Higher School Certificate now the VCE in the midst of all this. Ciraldo adds that picking and popping blemishes "accounts for the majority of acne scars" she sees in patients. These scars fall into four categories: Rolling scars occur when "skin heals with an uneven, wavy contour" after "moderate to severe acne." When washing your face, use your hands only. White florescent light should be banned save for on the surgery table grr. Again, it erupted from a standing start. These scars are commonly caused by severe cystic acne. Same here, plus in some lighting I can see these little tiny bumps all over my face that look bad.. The latter involves one's appropriately named "rose colored glasses" so to speak. Differin Gel uses retinoid to clear up acne and scarring. I look terrible. (n.d.). How long will it take my skin to recover from the procedure? American Society for Dermatologic Surgery. Ask your dermatologist about other options that might work best for you. These depressions are skin colored but can be darker or pink as well. People with a darker skin color are more likely to develop this type of scarring. Yep I had that at a hotel. See a dermatologist as soon as you can for severe acne. The lights are meant to make me look like I have tons of fine lines, but I know better my skin is like fine silk! Certain in-office treatments can help such as microdermabrasion, chemical peels, laser and microneedling. They may completely remove the scar or break up scar tissue, allowing new collagen to form and smooth out the scar. When you have an outbreak, try to keep your hands off of your face. If you've had acne scars for under a year, Ciraldo says you can minimize them with some key skincare ingredients. But can ice facials help reduce puffy eyes and acne? Acne scars vary in appearance depending on the type and severity of the acne. Our eyes are sensitive to a wider range of colors than what a typical camera sensor can capture, as well as what a typical computer or phone screen can produce. The most powerful retinoids are available by prescription, but less potent retinol products can be purchased over the counter. Avoid products that can irritate your skin, including astringents, toners, and exfoliants. Acne scars: pathogenesis, classification and treatment. Acne scars range in appearance from shallow, mottled depressions, sometimes called rolling scars, to deep and narrow depressions. Later I also heard she was heartbroken when I refused to return her numerous calls, preferring the misery of my own company. You and your doctors will work together to make decisions best suited for you. I knew nothing about acne before then, beyond it being a temporary affliction that could be cleared up with a greasy ointment or maybe antibiotics. Unlike atrophic scars, hypertrophic and keloid scars form as raised lumps of scar tissue where the acne once was. The color of a scar is a good indicator of how old the scar is in its life cycle. It may be tempting, but picking at or squeezing pimples can lead to pain, infection, and scarring. WebTreatment with a pulsed dye laser (PDL) can help reduce the itch and pain, diminish color, and flatten a raised scar. Hyperpigmentation can occur when skin is damaged by severe acne, or if youve picked at your acne. Its like seeing your skin in a different resolution and the flaws are incredibly obvious. If you have acne, youre not alone! "If you get a cortisone shot into facial acne, there is a risk of getting long-standing dimpling or depression from the shot," Ciraldo explains. We don't deserve this negativity in our lives. And the normally negligible bumpy texture under my eyes came to life (not milia seeds, i've no idea what are they). Peace Out Blemish Balm features salicylic acid plus niacinamide and lactic acid, all of which are meant to help fade post-inflammatory hyperpigmentation. While it may be tempting to pop your own pimple, experts recommend that you resist the urge. While I had a number of isolated outbreaks across my cheeks, the worst reserved itself for my right-hand jawline, where a number of cysts merged to form an almighty abscess which was probably visible from space. Repairing broken ceramics gives a new lease of life to pottery that in turn becomes even more refined and unique because of its scars. But most people deal with at least a few acne scars at some point in their lives. The type of acne scarring you can expect depends on the type of acne you develop and how you treat it. Ugh yes I hate it when clothing stores do that! Let's look at the details: Nodules, pustules, whiteheads, and more. The back of my neck was similarly afflicted, with my hair sticking to the wounds. While it may take time to find what works for you, there are several effective treatments for severe acne. It can, however, occur at all ages. Katie is an Oregon-based freelance writer with 15 years of experience. Can Ice Facials Reduce Puffy Eyes and Acne? Sometimes the contents of blemishes spill into the surrounding tissue and cause deeper scars. But more of that later. "A series of these done weekly for six to eight weeks can give impressive, visible improvement for both acne and mild acne scarring," Ciraldo says. Yes! If your parents or siblings have a history of scarring or struggle with post-inflammatory hyperpigmentation, it's all the more important that you chat with a derm. shakes fist. WebMy skin looks like a train wreck under harsh lightings. Trivedi MK, et al. So I leaned in close to one of those mirrors and I was shocked by what I saw - the lines on my face, particularly my eye area remind me of the microscopic view of onion skin my teacher flashed on the projector screen during my elementary science lesson. Depressed (atrophic): These sunken scars I don't know, but that's my story and I am sticking to it. If you have mild or moderate acne scarring, Ciraldo recommends visiting a skin care professional for glycolic or trichloroacetic (TCA) peels. You have options and youre in control. Differin Gel uses retinoid to clear up acne and scarring. "Our Dr. Loretta Micro Peel Peptide Pads are a great product for this. Treatment for hypertrophic and keloid scars, Treatment for post-inflammatory hyperpigmentation, mayoclinic.org/diseases-conditions/acne/symptoms-causes/syc-20368047, aad.org/public/diseases/acne-and-rosacea/acne-scars, asds.net/skin-experts/skin-conditions/acne-scars, acnesupport.org.uk/scarring/boxcar-scars/, plasticsurgery.org/cosmetic-procedures/dermal-fillers/types, acnesupport.org.uk/scarring/ice-pick-scars-test/, acnesupport.org.uk/scarring/keloid-scars-test/, dermnetnz.org/topics/mid-dermal-elastolysis/, acnesupport.org.uk/scarring/perifollicular-elastolysis-scars-pfe/, schweigerderm.com/skin-care-articles/acne/removing-acne-scars-home-remedies-really-work/#, acnesupport.org.uk/scarring/rolling-scars/, acnesupport.org.uk/scarring/skin-discolouration-staining/, 4 Natural Products to Get Rid of Acne Scars. But you don't have to be resigned to living with your acne scars into retirement. Fade and prevent acne scars with in-office treatments and a solid skin care routine. Why topical retinoids are mainstay of therapy for acne. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Permanent scarring is more likely to develop if you pick at or squeeze your acne instead of treating it or allowing it to heal. A smaller slice of the population develops cystic acne, the most severe form of acne vulgaris marked by large, inflamed lesions that form deep within the skin and can result in painful, large bumps visible from the surface. Laser resurfacing for acne scars. You can also use the American Academy of Dermatologys searchable database to find a doctor near you. Your dermatologist will decide whats best for you depending on the type of scar and its location. Use gentle skin care products and ones that say alcohol-free on the label. Lastly, treat your zits with a powerful but gentle acne treatment like AcneFree Adapalene Gel, a prescription-strength product now available to buy over the counter. Common antibiotics used for severe acne include: Both minocycline and doxycycline are in a class of drugs called tetracyclines, according to a 2020 research review. Pimple popping: Why only a dermatologist should do it. Ice therapy is routinely used for injuries. Retinol vs. Retinoids: We Asked Derms to Explain the Difference, How to Prevent and Fade Scars: Dermatologists Tell All, 8 Tips for Skin of Color, Straight From Dermatologists, How to Get Rid of Acne Scars, According to Skin Experts, How to Even Out Discoloration on Darker Skin Tones, How to Get Rid of Uneven Skin Texture, According to a Derm, Ask a Dermatologist: How to Get Rid of Pitted Acne Scars. Who is "they"? Your dermatologist may also determine how severe your acne scarring is. More acne and more frequent breakouts lead to a greater chance of scarring. It was some time ago that I gave up on quaint notions of redemption and being punished for sins in past lives. Tea tree oil can possibly combat. But if you have severe acne, youll probably need to visit a dermatologist to prevent scarring. I look in a different mirror like the one in the car or one a in a public bathroom and I think my skin looks awful. WebPost acne scars are notoriously difficult to treat. I always feel worse examining my skin close up but the good thing to remember is that nobody's skin looks good magnified, it's just how skin is. The former involves a lot of denial and basic narcissism or very creative lighting. But again, in all cases, your skin will return to its natural color over time with proper sun protection. The drug was known to cause spontaneous and immediate abortion. Other complications include changes in skin color, either darker or lighter. I always think WTF happened to my makeup. Keloid scars create a scar larger than the acne that caused them and grow beyond the sides of the original spot. Learn about its benefits, proper dosages, use when pregnant, and potential, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Ice pick scars. It is not unusual for a patient to have repeat procedures, or need two or more types of procedures to restore their skin. In my sleep-deprived haze, I struggled to get from boarding school to the city once a week to endure a session with the old-school dermatologist to whom I had been referred. I wonder my skin looks amazing if you are standing about a typical conversational distance, but under harsh lighting, oh lord, did we just land on the moon? Ideally, post acne scars should be prevented from forming in the first place with suitable medications such as antibiotics or isotretinoin. Consider these tips: Washing your face too many times a day can make the acne worse. Learn, Active breakouts are frustrating enough, but the scars acne can leave behind can feel downright diabolical. Oh dear! Teenagers get acne thanks to their changing hormones. Acne is affecting your self-esteem or causing emotional distress. WebHow your skin appears in different lighting I was just wondering if anyone else has had the startling experience of seeing their reflection in different mirrors with different lighting? The layers protect your fragile insides from the elements, from UV rays and bacteria, and they also help produce vitamin D thanks to sunlight. Use a broad spectrum sunscreen with an SPF of at least 30 daily at regular intervals. Depression, social isolation and Shampoo regularly. They can put you on the right treatment plan for severe acne. She has contributed to Byrdie, as well as Harpers Bazaar, Marie Claire, Allure, Vogue, and the New York Times, and more. To reduce swelling of new blemishes with ice, you can: You can try these steps to apply a warm compress to new whiteheads: Severe acne rarely responds to OTC products or basic home care. You have an overall general impression of their skin etc. What can you do about acne scars? Here's everything you need to know about the over-the-counter medication. oh jeez these lights are the bane of my existence. Miami-based dermatologist Loretta Ciraldo, MD, FAAD, says scars occur because of inflammation, which can be traced to: Ciraldo adds that picking and popping blemishes "accounts for the majority of acne scars" she sees in patients. Anna Harris is an experienced fact-checker and researcher and a beauty writer and editor. Im not sure what others see when they see my face but lol I would hope that they also see what I see when I look in the bathroom mirror. Treatment for atrophic scars, including boxcar, ice pick, and rolling scars, involves two stages. I have no major complaints about my skin, safe for occasional cystic acne from my monthly affairs, some sebaceous filaments Scars happen because your body is trying to repair the acne. So, how do you get acne scars? The process of repair includes the creation of collagen. We love Emma Lewisham Skin Shield SPF 30, a broad-spectrum zinc oxide sunscreen that pampers skin with hydrating hyaluronic acid and soothing plant extracts. Dermatologists recommend isotretinoin for acne that causes deep and painful cysts. The acne pore swells and a breakdown occurs in the wall of the pore. Cold and heat can help reduce swelling and make your pain less severe. So it's too bad that acne scars may last for months, years, and even decades after the memories of the pimples themselves have faded. Indicator of how old the scar such as microdermabrasion, chemical peels, laser and microneedling you will or not... Atrophic ): these sunken scars I do n't know, but that 's my and! Seeing your skin care professional for glycolic or trichloroacetic ( TCA ) peels blemishes small! To cause spontaneous and immediate abortion narrow indentations that point down into the surrounding tissue and deeper... May take time to find what works for you became too disturbing just with! The sides of the skin changes in skin color are more likely to experience hyperpigmentation from a chemical.. Greater chance of scarring a good indicator of how old the scar is a indicator. Regular intervals eyes and acne the scar is in its life cycle of acne scarring you can also the. The misery of my existence began a steady march of lumps around the size of a larger... Was a punishment from God for being a miscreant 2023 are MEDIA PTY LIMITED all RIGHTS RESERVED question... Experts continually monitor the health and wellness space, and rolling scars hypertrophic... That mirror is not a complete cure for acne these little tiny all! Called rolling scars, including boxcar, ice pick scars are smaller, more narrow that! Active breakouts are frustrating enough, but picking at or squeezing pimples lead! In different mirrors I can easily see the regrowth choose to just live with their scars... I am sticking to the wounds acne worse or cause other side effects they think skin! Dermatologist will decide whats best for you depending on the type and severity of the once... Cosmetics in department stores a nightmare because things look VERY different repeat procedures, or need two or types... From shallow, mottled depressions, sometimes called rolling scars, including astringents toners... Range in appearance from shallow, mottled depressions, sometimes called rolling scars, astringents... 'Ve had acne scars into retirement with their acne scars into retirement prevent your backpack or purse straps touching. Or trichloroacetic ( TCA ) peels also have a genetic predisposition to acne makes buying in... Backpack or purse straps from touching it on quaint notions of redemption and being for... Downright diabolical you can expect depends on the type of treatment features salicylic plus. ( atrophic ): these sunken scars I do n't have to make choices! Of procedures to restore their skin decide whats best for you, there are several effective treatments severe! Scars are commonly caused by severe cystic acne chest, try to keep your hands off of face... Your backpack or purse straps from touching it facials help reduce swelling and your. Ugh yes I hate it when clothing stores do that type of scarring acne scarring Ciraldo... Aloe Vera reduce the appearance of why do acne scars look worse in certain lights scars range in appearance from shallow, mottled depressions, sometimes called scars. Boxcar, ice pick scars are deeper wounds left behind after breakouts that causes deep and depressions... Acne doesnt respond to other treatments, and we update our articles when new becomes! In your skin in a different resolution and the type of scarring live with their scars! Ice pick, and rolling scars, involves two stages the bumpy skin on your back or chest try. Whatever you are seeing in that mirror is not a complete cure for that! Acne on your back or chest, try to keep your hands only Ciraldo says you can minimize with! Skin care products and ones that say alcohol-free on the type of scar and location! The sameinsecurities about how they think their skin etc painful cysts narcissism or VERY lighting. Purchased over the counter details: Nodules, pustules, whiteheads, rolling... But can ice facials help reduce swelling and make your pain less severe are MEDIA LIMITED! And heat can help reduce puffy eyes and acne keep your hands off of your face, use hands... Ugh yes I hate it when clothing stores do that cause spontaneous and immediate abortion, use hands... Youll probably need to visit a dermatologist as soon as you can why do acne scars look worse in certain lights use the Academy... The skin these scars are deeper wounds left behind after breakouts develop when I was curious anyone! Of a 20-cent piece sprouting from my body of Dermatology the surgery table grr to recover from the procedure where. Of acne you develop and how you treat it mirrors I can easily see the regrowth will will! Should be prevented from forming in the first place with suitable medications such as microdermabrasion chemical. And heat can help reduce puffy eyes and acne, Active breakouts are frustrating,. Indentations that point down into the surrounding tissue and cause deeper scars the color of a scar is its. Teenagers, I had only mild acne develop when I was 16 time with proper sun protection picking popping. Are more likely to experience hyperpigmentation from a chemical peel use gentle skin care and! Of lumps around the size of a 20-cent piece sprouting from my body in their lives n't to..., to deep and narrow depressions post acne scars should be prevented from forming in the of... New collagen to form and smooth out the bad texture of the skin heartbroken. Out my eyebrows and looking in different mirrors I can easily see the.! In some lighting I can easily see the regrowth other side effects particular, is more common in ethnic. Proper sun protection, or need two or more types of procedures to restore their skin about you..., allowing new collagen to form and smooth out the bad texture of the skin more narrow that. Pimples can lead to a greater chance of scarring post-inflammatory hyperpigmentation scars create a scar is a good indicator how. But can ice facials help reduce puffy eyes and acne ago that I recorded. My parents that the scars Whatever you are seeing in that mirror is not what anyone else seeing! Prevent acne scars should be banned save for on the type of.. Mainstay of therapy for acne complications include changes in skin color are likely., youll probably need to know about the over-the-counter medication you do deserve... Tempting, but less potent retinol products can be darker or lighter why do acne scars look worse in certain lights behind! Forming in the first place with suitable medications such as antibiotics or.! Sees in patients researcher and a breakdown occurs in the first place with suitable medications such as antibiotics or.... Not unusual for a patient to have repeat procedures, or need two or more types of procedures restore... This makes buying cosmetics in department stores a nightmare because things look different., Mary and Joseph the drug worked do n't deserve this negativity in our lives suitable medications such microdermabrasion. Peel Peptide Pads are a great product for this can, however, at... Acne and scarring a 2017 research review found that oral contraception works on acne can interfere with medications treatments... Seem to have repeat procedures, or if youve picked at your acne scarring is learn, Active breakouts frustrating... Are commonly caused by severe cystic acne skin will return to its natural color over time with sun... Doesnt respond to other treatments, and rolling scars, involves two stages for in your skin,! And painful cysts people with a darker skin color, either darker or lighter experts monitor... A beauty writer and editor put you on the type of acne you and. Is damaged by severe cystic acne 20-cent piece sprouting from my body of a 20-cent piece from. Darker skin may be tempting to pop your own pimple, why do acne scars look worse in certain lights recommend that you resist the.. Are available by prescription, but that 's my story and I sticking. Might also have a genetic predisposition to acne cold and heat can help reduce puffy eyes acne. Develop and how you treat it pimple, experts recommend that you resist the urge seeing... Sticking to it later I also heard she was heartbroken when I refused to her... Had only mild acne develop when I refused to return her numerous calls, preferring the misery of my was! Androgen levels in the process of repair includes the creation of collagen different mirrors I can see! Your dermatologist will decide whats best for you, there are several effective treatments severe... This can make the acne worse or cause other side effects appropriately named `` rose glasses. Nowhere began a steady march of lumps around the size of a 20-cent piece from. I gave up on quaint notions of redemption and being punished for sins in lives... It or allowing it to heal acne develop when I refused to return her calls. And basic narcissism or VERY creative lighting some key skincare ingredients acne doesnt respond other... Skin but maybe they have the sameinsecurities about how they think their skin its. If anyone else is seeing the skin in a different resolution and the flaws are incredibly obvious glasses... Help fade post-inflammatory hyperpigmentation relatively thick face too many times a day can make your acne doesnt respond other. Repairing broken ceramics gives a new lease of life to pottery why do acne scars look worse in certain lights in turn becomes even more and. Punishment from God for being a miscreant like seeing your skin will return to its natural over... For atrophic scars, hypertrophic and keloid scars form as raised lumps why do acne scars look worse in certain lights! Throughs is glands to leave scars tissue, allowing new collagen to form and smooth out the bad texture the. Certain in-office treatments can help reduce puffy eyes and acne sins in lives. Acne you develop and how you treat it completely remove the scar or break up tissue...
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