Ice-pick acne scars usually occur on the cheek. They are usually little, with a somewhat uneven edge and steep sides, like wounds from an ice pick. Ice-pick acne scars can be shallow or deep, and also can be hard or soft to the touch.
Depressed fibrotic acne scars are usually quite big, with jagged edges and steep sides. The base of these scars is firm to the touch. Ice-pick acne scars may turn into depressed fibrotic acne scars over time.
Soft acne scars, superficial or deep are soft to the touch. They have gentle edges that merge with normal skin. They are usually tiny, and either circular or linear shaped.
Atrophic macules are usually quite small when they occur on the face, but may be a lot bigger on the body. They are soft, often with a slightly wrinkled base, and may look bluish due to blood vessels lying just under the acne scars. Over time, these scars change from bluish to ivory white in color in white-skinned people, and become much less noticeable.
Follicular macular atrophy is more likely to occur on the chest or back of a person with acne. These are small, white, soft lesions, often barely raised above the surface of the skin—somewhat like whiteheads that didn’t fully develop. This condition is sometimes also called "perifollicular elastolysis." The lesions may persist for months to years.
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