Background: Most people with acne are at risk of developing acne scars, but the impact of these scars on patients' quality of life is poorly researched.
Objective: To assess the perspective of patients with acne scars and the impact of these scars on their emotional well-being and social functioning.
Methods: A 60-minute interview of 30 adults with acne scars informed and contextualized the development of a cross-sectional survey of 723 adults with atrophic acne scars.
Results: The main themes identified in the qualitative interviews included acceptability to self and others, social functioning, and emotional well-being. In the cross-sectional survey, 31.6%, 49.6%, and 18.8% of the participants had mild, moderate, and severe/very severe acne scarring. The survey revealed that 25.7% of the participants felt less attractive, 27.5% were embarrassed or self-conscious because of their scars, 8.3% reported being verbally and/or physically abused because of their scars on a regular basis, and 15.9% felt that they were unfairly dismissed from work. In addition, 37.5% of the participants believed that their scars affected people's perceptions about them, and 19.7% of the participants were very bothered about hiding their scars daily. Moreover, 35.5% of the participants avoided public appearances, and 43.2% felt that their scars had negatively impacted their relationships.
Limitations: The temporal evaluation of the impact was not estimated.
Conclusion: Even mild atrophic acne scarring can evoke substantial emotional, social, and functional concerns.
Keywords: SEM, standard error of the mean; acne scarring; atrophic scars; mixed methods; population-based survey; quality of life.
© 2021 by the American Academy of Dermatology, Inc. Published by Elsevier Inc.