" Thou are all fair, my love; there is no spot in thee." Song of Solomon 4:7.

The above passage was taken from the old testament in the Bible. Even then, people equated beauty with good clear skin. The unfortunate who have acne, or worse, acne scars, while no longer publicly ostracised today, are still not regarded as beautiful as though with clear skin.

Acne scars are terrible to have. They are there as permanent reminders, even after the acne has long run it's course and the redness is gone. Some people develop severe acne spots, and yet, when the acne resolves, there is no trace of the disease. Others may have smaller, less red spots, but they can scar quite badly. Any form of scarring should be treated as severe acne, and needs aggressive treatment.

There are different types of acne scars. Some are shallow. Often, they are deep, called "ice-pick" scars. These are the result of a deep-seated severe inflammatory reaction in the hair follicle and sebaceous gland. These are hard to disguise with cosmetics and almost impossible to remove surgically.

Other forms of acne scars include keloid scars. These start like ordinary scars but can continue to grow so that they become heaped up and hard. These are difficult to treat.

Prevention of acne scars is still the best treatment. However, if acne scars have formed, these are some of the methods available to treat them.

Cryotherapy involves freezing the area of skin where shallow acne scars have formed. The hope was that peeling would occur but it did not work well. However, cryotherapy can still sometimes be used for severe acne cysts. But the treatment in itself can cause scarring.

Dermabrasion involves removing top layers of skin where scars are formed. This can be effective if shallow scars are present. It is not useful for ice-pick scars.

Lasers may be used to recontour scar tissue and reduce the redness of skin around healed acne lesions. In some cases, a single treatment is all that will be necessary to achieve permanent results. Because the skin absorbs powerful bursts of energy from the laser, there may be post-treatment redness for several months.

Chemical peels work on the same principle with the aim of using a powerful chemical irritant to remove the top layers of the skin.

Collagen implants work by injecting collagen, a normal substance of the body. It is injected under the skin to "stretch" and "fill out" certain types of superficial and deep soft scars. Collagen treatment

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