The process of healing from wounds involves scarring. An acne scar can only be created when the dermis, the skin's deeper layer, is damaged.
There may not always be a scar if only the epidermis, the top layer of skin, is damaged. In the deeper layers of the skin, scars cause a structural change that is seen as a shift in the architecture of the usual surface features.
Not the colour of the skin has changed. Mucosal tissues and fetal tissues are capable of healing without leaving a scar. Having a deeper understanding of how and why this is achieved could improve the way surgical scars turn out.
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