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As if dealing with painful, pus-filled spots wasn’t bad enough, often those pesky pimples don’t just disappear completely. Acne can leave a scar – anything from a faint red mark to a significant dent in the skin. And while some of these residual blemishes fade away fast, others are harder to get rid of, but there are various at-home and clinic options to help diminish the signs of acne and pimple scarring. Here, dermatology experts talk through the options… Why does acne cause scarring? When pores become clogged and infected, a spot forms, leading to inflammation, which is the main cause of acne scarring. “Because of the injury that occurs with increased inflammation and pus, it causes damage to the dermis [the middle layer of the skin],” says Dr Ifeoma Ejikeme, medical consultant and Kelo-Cote skin ambassador. “When damage occurs to the dermis, that heals with some form of scarring. Scarring can be red if you’re a lighter skin type, or brown if you’re a darker skin type.” The amount of inflammation often determines how severe the scar will be. However, genetics can also play a role, as well as other factors. “It can also be caused by squeezing or picking at the spots,” says Dr Rabia Malik, GP and holistic aesthetic doctor, which is why it’s important to avoid popping your pimples. “If the way you extract the spot isn’t done properly, you may stress or tear the skin and permanently damage the tissue, leaving behind scarring.” What are the different types of acne scars? Acne scarring can generally be separated into two main categories: hypertrophic and atrophic. “Hypertrophic and keloid scars are thick lumpy scars,” says Malik. “Atrophic scars are flat shallow depressions that are commonly caused by cystic acne.” There are three main types of the latter, she explains: “Boxcar scars have defined edges that are wide and box-like and are commonly found on the lower cheeks and jaw. Rolling scars vary in depth and make the skin appear uneven. Ice Pick scars are narrow indentations that are commonly found on the cheeks.” There is a difference between scarring and post-acne pigmentation, however. “Often people think the pigmentation left behind is also scarring, but technically speaking, it isn’t,” says Dr Christine Hall, aesthetics doctor at the Taktouk Clinic. “It’s the body’s response to having the injury in the skin, and your body produces and sends melanin to the skins surface. It’s the pigment in our skin that also causes us to have a tan.” Skincare solutions Finding the most suitable skincare solution for you can depend on your individual needs. When it comes to mild or moderate scarring however, Ejikeme says: “Skincare is definitely the first step.” She recommends serums and face creams that contain niacinamide or retinoids: “They increase collagen production, they’re more likely to improve the texture of the skin.” Alpha and beta hydroxy acids, which usually come in serum, gel or liquid form (applied with a cotton pad) can also be effective for skin renewal. “Ingredients such as azelaic acid, lactic acid and salicylic acid encourage cell turnover and as a result, diminish the appearance of acne scars,” Malik says. “Treatment can vary and some people may need prescription grade medication to treat their acne and thereby prevent scarring.” Aesthetic treatments For more severe scarring, you may want to consult your GP, a dermatologist or specialist aesthetic practitioner to discuss possible treatments. “Microneedling helps to stimulate collagen and smooth out scars,” says Hall. “Laser resurfacing treatments can also be helpful and chemical peels can help remove some of the damaged skin layers.” Similar to hair removal, ablative laser works by targeting the pigment in the scars and zapping it away. With treatments starting from around £400, it’s a significant investment, however. “Dermal fillers can be used on atrophic scars to temporarily reduce the appearance of scars that are significantly depressed,” says Malik. Fillers can also be used on pitted scars. Be sure to seek professional advice to determine the appropriate treatment for different types of scarring. “Microneedling is not known to work for icepick scars, for example,” says Ejikeme. “And if you have a keloid scar, there are very few lasers that you should be doing because the more you agitate a keloid scar, the more likely that scar is to grow.” If you have ongoing acne, it’s important to find an effective skincare routine or get medical treatment to prevent further scarring. “There are lots of things your GP can do to help prevent spots from appearing in the first place,” says Hall. “If you are developing acne scarring, the GP can help or refer you to a dermatologist.” Getaway scars: 8 super serums and key ingredients to try 1. Purifide by Acnecide Post-Breakout Serum, £14.99, Boots 2. Q+A Niacinamide Daily Toner, £8, Sourcerie 3. Eucerin DermoPurifyer Triple Effect Serum, £12, Boots 4. Glow Hub The Scar Slayer Facial Serum, £14 5. IT Cosmetics Bye Bye Breakout Serum, £22, Cult Beauty (available August 30) 6. E.l.f Cosmetics Youth Boosting Advanced Night Retinoid Serum, £22 7. Kelo-Cote Scar Treatment Gel, £32.18, Boots 8. Teoxane Brightening Night Peel, £59 Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live 5 viral TikTok fake tanning tips for the perfect summer glow Not got the A-level grades you needed? Here’s how to get started with the clearing process Jennifer Lopez shares her beauty regime – here’s how to look after skin in your 50s

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Jonny Evans is convinced Manchester United have a “good thing going” under Erik ten Hag despite their shaky start to the season. Things have gone awry after a promising first campaign under the Dutchman, with the Red Devils losing four of their first six matches in all competitions for the first time since 1986. There were some mitigating factors in that poor run but that did not stop the pressure mounting on the Old Trafford giants heading into Saturday evening’s Premier League trip to Burnley. Ten Hag’s troops were far from their best but Bruno Fernandes’ brilliant volley secured a 1-0 win for a side that begin their Carabao Cup defence at home to Crystal Palace on Tuesday. Evans watched February’s Wembley triumph from the stands and is now back at the club he came through at as a boy, with the experienced defender confident about United’s future. “I’ve had some up and down moments at Man United over the years,” said the defender, who won three Premier League titles and a Champions League during his previous spell at the club. “I think you get that if you want to be at the top. You know, it’s going to be very up and down. “You’ve got to be able to deal with setbacks and this club is a fantastic club, always want to be challenging at the top, so it’s all part and parcel of it. “The manager’s got a good thing going here. “I’m a fan of the club so I was able to watch them a lot last year, been at both finals to support. Like I say, I think the manager’s got a good thing going.” Evans made his second appearance of the season and first United start in eight-and-a-half years on Saturday evening. The 35-year-old impressed against Vincent Kompany’s Burnley, scoring a goal that was disallowed before providing an exceptional pass for Fernandes’ volleyed winner. “That was great,” the beaming Northern Irishman said after his 200th United appearance. “I was really looking forward to it all day. “I got the shout yesterday in training that I was going to be starting, so I couldn’t wait for the game, really. “I was more nervous in the pre-season, my first pre-season game, to be honest, playing up in Edinburgh. “I didn’t feel any nerves tonight. I actually felt a lot of excitement going into the game. I couldn’t wait for it and I felt good, I felt ready.” Evans produced an impressive all-round display at Turf Moor, leading captain Fernandes to pass on the man of the match award that he had been handed. The centre-back joked it was just the third of a career he never expected to return to such heights having left Leicester on the back of relegation and an injury-hit campaign. Asked if he ever thought he would get back to this level, Evans immediately responded: “No, definitely not. “It’s not a case of winding down. I think people’s career trajectories kind of end up that way and it’s very difficult for a club when you’re 35 years old to take a chance on you. “I had a lot of injury problems last year as well, so for the club to do that and see the value in me, I’m very grateful to be given the opportunity. “On one side it feels really surreal and then on the other side it just feels completely normal. “It’s quite difficult to get my head around sometimes, but I’m loving it. “For a 35-year-old I suppose to come back in – they wanted me to come back in and provide cover – not many people get to do that. “I know it’s going be a big challenge but hopefully it’s one that I can take on. “I feel like it’s one that was perfect for me at this stage of my career.”

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