Microdermabrasion would not help Bottom acne or acne scars
Acne is caused by plugging of the oil glands. The plugs are too deep for microdermabrasion to be of any help.
Microdermabrasion is equivalent to a mild peel. It may help the acne medicine penetrate easier, but it adds greatly to the irritation.
The best treatment is similar to that of facial acne, with Benzoyl Peroxide in a.m., a retinoid at night, and, in the beginning, some oral antibiotics.
It is also very important to avoid tight fitting garments which contribute greatly to plugging...