Christina,
What you are describing is a very difficult problem that we encounter in plastic surgery. As you know, options include laser, dermabrasion, or direct excision of the scars. The reason why these scars are so noticeable is because they are deep, and anything that deep on the skin will cast a shadow which is what catches the eye when you look at it. So the key to fixing this, regardless of the type of treatment, is to make the scars less deep so that there is very little shadow remaining.
For patients whose skin does not respond to lasers or dermabrasion, I will sometimes directl excise the deepest scars and then close the skin. This can be done with just a local anesthetic and with several small (a few millimeters long) incisions. I find that these scars heal very well and will look far better than most acne scars. I will usually treat a couple of the worst areas first and see if the patient likes the result, and then come back for the rest.
I hope that helps,
Dr. S
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