Is There an Alternative to Dermabrasion for Acne Scars?

Dermabrasion is one component of a vast armamentarium of treatments for acne scars and skin resurfacing. Dermabrasion can acheive contouring of mildly depressed and wide scars on the face and perioral area. It should not be performed concurrently with Accutane treatment.
Acne scars should be individualized and assessed to determine which acne scar procedure works best for the scar.

  Of course there are many alternatives to dermabrasion as a treatment for deep acne scarring.  Numerous lasers are available, all with their own proponents, as well as medium and deep chemical peel procedures, subcission of deep scars and use of various fillers.  You need to find a doctor who will work with you to help you achieve the desired results.

Resurfacing options (peels, dermabrasion, laser resurfacing) may all improve the scars a little. Personally, I focus first on options that address the deeper aspect of acne scaring with deep fractional CO2 lasers (i.e., Encore DeepFX) or percutaneous collagen induction therapy (a.k.a. medical needling). I consider resurfacing 2nd tier treatments for acne scaring.
Whatever option you choose, improvements will be moderate at best.