A scarless face is not a realistic goal. If this is what you are looking for you will surely be disappointed.
In general, there are alot of options available when it comes to scar revision; sunscreen, camouflage make-up, topical medications/creams/bleaches/peeling agents, silicone gel or sheeting, microdermabrasion, chemical peels, collagen injections, subcutaneous fillers (fillers, grafts, implants), tattoo, dermabrasion, laser resurfacing/ablation/treatment, scar revision surgery, etc. These can be administered by the patient, nurse, and/or doctor.
Specifically, management of Acne scars can be a difficult undertaking and is generally aimed at reducing/altering rather than eliminating the visible scars. Many procedures have been described but there is no " wonder cure." Please read on for a description of the various options.
In other instances, more aggressive treatment may be warranted. For example, the following information is based on dermabrasion and the laser resurfacing procedures. During the consultation we may determine that other procedures are better suited for your optimal outcome.
Treatment of darker complexions: olive (mediterranean descent), hispanic, asian, black, etc. has a higher risk of post-operative hyperpigmentation (darkening or blotchiness) and erythema/hyperemia (redness) when compared to a fair complexion (typically northern european). I oftentimes will try a test area to asses an individual's responses to healing. In some darker skin individuals, I have found that I get a better response with dermabrasion. Again, I recommend performing a test patch in the high forehead or cheek regions to assess the individuals response to treatment. Multiple treatments may be required and will have to be spaced at least 4 months apart. It is extremely important that you avoid sun exposure with any technique post-operatively.
In some cases, I recommend the CO2 Laser. Other lasers are available. The procedure takes about 1 hour and is performed on an outpatient basis. Additional treatments my be required.
In certain cases, the only way to eliminate a deeply pitted scar is to excise (cut it out) and occasionally graft the hole followed by dermabarasion 6 weeks later.
Skin needling is an alternative to fractionated laser treatments.
I have also found that addition of fillers and/or fat for greater volume losees following cystic acne can provide additional benefits.
Unfortunately, there is no one right path and the correct procedure for you may actually involve using a combination therapy approach