The best acne scar removal product should include a biological skin rejuvenation protein element that also contains topical antibiotical peptides that fights acne infection.

Once acne inflammation occurs, caused by microbe infection in clogged pores, a person may present several different lesion types. Smaller red bumps are called papules. Larger red bumps are called nodules. Sometimes, 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, many times permanently, after the lesion is healed. This scarring can appear by direct touching of the aggravated area, thus irritating the acne lesion. In order to minimize the incidence of acne scarring, avoid the use of oily cosmetics on the damaged area. The affected skin should be regularly cleansed, and should not be squeezed. Squeezing and picking the lesion before it is ready to be drained can usually cause the lesion to be embedded deeper, thereby causing more severe 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 through the bloodstream, causing severe complications such as 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 narrow, sharp scars that make the skin appear it has been punctured with an ice-pick. They are usually narrower than 2 mm and extend into the lower dermis or subcutaneous layer. Icepick scars are usually too deep to correct with skin resurfacing procedures such as dermabrasion or laser resurfacing.

Punch Excision Treatment for Ice-pick Acne Scars

This method of surgically treating acne scars is used on severe scars such as ice pick and deep scars. This procedure uses a punch biopsy instrument which is 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 eliminated with the punch instrument and the skin borders are sutured together. The newly produced 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 rejuvenating substance and biological antibiotic proven to be effective for acne scar treatment. They not only work for the removal of keloid scars and to minimize pitted or ice pick scars, but also prevent scarring and act as a biological remedy for adult and teen acne. They also work in conjunction with accutane or oral antimicrobials for severe nodular cystic acne.