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For more severe acne, isotretinoin is an option: Isotretinoin (Accutane) is an oral retinoid for severe, cystic acne unresponsive to other treatments

There are 3 main types of acne scars: ice pick scars small, deep holes in the surface of your skin that look like the skin has been punctured with a sharp object rolling scars caused by bands of scar tissue that form under the skin, giving the surface of the skin a rolling and uneven appearance boxcar scars round or oval depressions, or craters, in the skin Treating acne scarring Treatments for acne scarring are regarded as a type of cosmetic surgery, which is not usually available on the NHS

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Indian Journal of Dermatology, Venereology and Leprology , 82 (3), 262272