Depressed fibrotic scars compared to ice-pick scars are very large which has sharp edges and steep sides. The metamorphosis of ice-pick scars leads to depressed fibrotic scars with the duration of time. Soft scars as the name suggest is soft to touch and like a mountain erupts from your skin. They are small, circular and incredibly linear in shape. Atrophic macules are little but when it happens to surfaces the real face it becomes very big. Over a period they could turn blue and dry to be less conspicuous.As national quality initiatives are implemented in coming years, ACE will continue steadily to lead in efforts that produce tangible impacts on quality treatment through accreditation programs that assist facilities because they maintain and strive to enhance their cardiovascular outcomes. By concentrating on improvements in cardiac and endovascular care solely, ACE is certainly poised to execute models of care that are good National Quality Technique priorities for reducing and preventing cardiovascular disease. Founded by the Culture for Cardiovascular Angiography and Interventions and the American University of Cardiology Base in ’09 2009, ACE provides professional review of facilities where invasive cardiac and endovascular techniques are performed and will accredit those that achieve pre-determined benchmarks for appropriate usage of procedures, quality treatment, and the establishment of a rigorous constant quality improvement system requiring external review of the peer review process.