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Causes of Acne Scars Fix the simplest terms, scars construction at the site of an injury to tissue. They are the visible reminders of injury and tissue repair. Reputation the plight of acne, the injury is caused by the body ' s inflammatory response to sebum, bacteria and interminable cells prestige the plugged sebaceous follicle. Two types of actual scars come about, seeing discussed later: ( 1 ) depressed areas double thanks to ice - pick scars, and ( 2 ) raised thickened tissue resembling seeing keloids.