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Acne scars are permanent textural changes and indentations that occur on the skin as a result of severe acne. They arise when an acne breakout penetrates the skin deeply and damages the tissues beneath it. Depending on their severity and the skin's response to inflammation, acne scars can take various forms, including ice pick scars (deep, narrow, pitted scars), boxcar scars (broad, rectangular depressions with steep edges), and rolling scars (broad depressions with a sloping edge).

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