COLUMN: “Prity, people call me ‘pizza face’. Can you help me?”

Acne scars run deeper than skin – and so should the treatment

Over the decades I have been treating patients, one concern has come through my clinic doors time and time again. It affects men and women of all ages, backgrounds and skin types. It’s acne scarring.

People often think acne scars are simply a cosmetic issue. They see the marks on the surface of the skin. What they don’t see are the years of lost confidence, the photographs people avoid, the make-up layered on in the hope of hiding imperfections, or the conversations and social occasions they quietly choose not to attend.

Acne scarring isn’t just about how your skin looks. It’s about how it makes you feel.

Over the years, I have listened to countless personal stories, many of them deeply painful. Patients have told me how relatives would refer to their skin as “honeycomb”, reducing their condition to something to be commented on rather than understood. Others recall their school days, where something as ordinary as a bus journey became a source of dread. They were called names like “pizza face” or “pizza skin”, laughed at, and made to feel different at an age when all they wanted was to fit in.

These are not just passing comments. Words stay with people.

For some, those experiences have had a devastating and lasting impact. I have treated individuals who went on to struggle with severe anxiety, social withdrawal and, in some cases, long-term mental health challenges rooted in years of bullying and judgement.

One of my patients recently shared something that stayed with me long after her appointment. She told me she was worried her acne scars would affect her chances of finding a life partner. Within many South Asian families, where introductions and rishtas still play an important role, she feared she would be judged before anyone had the chance to know the person behind the scars.

It was heartbreaking to hear, but it is also a reality many quietly live with.

The truth is that people can be incredibly quick to judge what they see on the surface. We live in a world of filtered photographs, flawless social media feeds and unrealistic beauty standards. Yet the irony is that while people often judge skin at face value, successful treatment requires us to look much deeper.

Acne scarring is far more complex than many people realise. Every scar tells a story. Some are shallow, others are deep. Some have tethered the skin beneath the surface, while others have affected collagen production. No two faces are the same, which means no two treatment plans should be either.

One of the biggest mistakes I see is people chasing miracle creams or the latest trend they have seen online. Unfortunately, there is no single treatment that can erase every scar. Achieving natural, long-lasting improvement requires a personalised approach, often combining different technologies and techniques to stimulate your skin’s own healing process.

That is why a proper consultation is so important. Before recommending any treatment, I spend time understanding not only the skin in front of me but also the person behind it. What has their journey been? What have they already tried? How has it affected their confidence? What outcome are they hoping to achieve?

Because treating acne scars isn’t just about improving skin texture. It’s about restoring confidence and, in many cases, rebuilding it.

One of the greatest privileges of my work is seeing that transformation. Not when someone looks in the mirror and says, “My scars have gone,” but when they stop talking about their scars altogether. When they smile more freely. When they no longer feel the need to cover their face. When they begin saying yes to photographs, interviews, weddings, dates and opportunities they once avoided.

Healthy skin is never about perfection.

It is about feeling comfortable in your own skin again.

If you have been living with acne scars for years, please don’t believe that nothing can be done. Advances in medical aesthetics mean we now have more effective treatment options than ever before. The first step is understanding your skin, because every journey is different.

Remember, the goal isn’t to change who you are.

It’s to help you see the confidence that has always been there beneath the surface.

Got a skincare issue or a wellbeing issue? Ask Prity.

- Advertisement -spot_imgspot_img

Latest News