Our body’s response to acne results in scarring. The problem begins within our skin as it naturally produces oil in our sebaceous gland. Acne-causing bacteria metabolize this oil and that metabolized oil is irritating to our skin. As the skin becomes increasingly irritated by this oil our hair follicles will become plugged, thereby collecting debris. This debris then erupts down into the deeper layer of our skin, the dermis. This debris is an intruder in the dermis, a foreign body, which doesn’t belong there. As a result our body attempts to get rid of this foreign body with an inflammatory response.

As our body struggles to remove this foreign debris with this inflammatory response, a wound in our skin is the result, and we end up with a scar. Acne scarring, like any other scarring, are the result of a wound in the skin, which then heals, leaving too much collagen behind.

Successful treatment of a scar requires both the removal of damaged epidermal tissue and the stimulation of new collagen to improve the region's tone and texture.