Acne marks
Flat color changes after acne clears are usually marks left by inflammation, rather than scars.
Medical acne care · Belle Meade
Medical care for persistent breakouts, painful acne, and concerns about marks or scarring. Treatment depends on your acne type, skin sensitivity, health history, and what you have already tried.
Evening appointments and select Saturdays with Evan Hatfill.

Select an appointment for acne evaluation and treatment.
Evan Hatfill, PA-C Medical Dermatology
Evening appointments · Select Saturdays
Visit type: Acne Visit
4515 Harding Pike, Suite 310 · Belle Meade, Nashville
Open Evan’s calendar below to choose an appointment.
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An examination helps identify your acne type and severity, including any marks or scars.
Whiteheads, blackheads, and red or tender pimples may appear on the face, chest, back, or shoulders.
Deep breakouts can be painful and are more likely to leave marks or scars. Arrange an evaluation rather than waiting for them to worsen.
You do not need to try every over the counter product first. Seek care if breakouts persist, affect your wellbeing, or may be another skin condition.

Active acne is generally treated before scar procedures because new breakouts can cause more scarring. Once acne is controlled, your provider can assess the remaining marks and scars.
Flat color changes after acne clears are usually marks left by inflammation, rather than scars.
Scars change the skin’s texture. They may be depressed, pitted, raised, or thickened.
Cosmetic care may include microneedling or chemical peels, depending on active acne, scar type, skin tone, pigment response, current treatment, and your goals.

Tell your provider when breakouts began and what you have tried. Treatment recommendations account for skin sensitivity, medications, health history, pregnancy status, and previous response. Conditions that resemble acne may need different care.
Options may include skincare changes, topical or oral medication, hormonal therapy when appropriate, or another prescription treatment requiring monitoring. Your provider explains how to use treatment and when to return.
At follow up, discuss improvement, irritation, other side effects, and how the routine fits daily life. Treatment may continue or change based on your response.
Tell your provider before starting or continuing prescription or over the counter acne treatment. Some medicines must not be used during pregnancy; breastfeeding recommendations depend on the medicine and its use. If you become pregnant during treatment, contact your prescriber promptly.
Medical visits. Eligible acne evaluation, treatment planning, and follow up may be billed to insurance. Coverage for visits and any monitoring depends on your plan.
Prescriptions. Pharmacy coverage depends on your plan’s covered medication list and any prior approval requirements.
Elective scar procedures. Procedures to improve color or texture after acne are cosmetic, planned separately, and typically paid for directly by the patient.
Verify network status, referral and prior authorization requirements, medication coverage, and your share of costs with your insurer. Coverage depends on your diagnosis, medical necessity, and plan, including deductibles, copays, and coinsurance.
Review Cortina’s insurance informationIt often takes at least 6 to 8 weeks to see fewer breakouts. Fuller improvement may take longer, and response varies by patient and treatment.
Treatment can make scars less noticeable, but results vary and complete removal cannot be promised.
Medical evaluation and treatment for recurring or painful breakouts.