I have struggled with adult, cystic acne and self inflicted picking scars for the last ten years. I have been working for years to clear my skin, cutting wheat, dairy, and most refined sugars as well as having my Mirena IUD removed. All of this has helped greatly to clear my skin, but I have been left with scars and now am dealing with signs of aging. After much research here on Realself I decided I was ready to take a bigger step towards better skin and I have started with micropen treatments with PRP. I have received three of seven treatments and the results have been great so far. It can take up to 6 weeks for results to be seen so I am very hopeful that my results will continue to improve for months to come after my final treatment in September. I will keep you all posted! Updated on 7 Sep 2018: I was told that the real results of the prp and microneedling can take up to 6 months, so I suppose that means I am just now seeing the real results. When I look back over the old before shots I know that my skin and face look so much better than before. I would have never left the house without geisha level layers of foundation and concealer on, now I feel pretty comfortable with a bare face. It is not perfect, but I never expected it to be. The issue I am having now is deep, old clogs that are now brought up just below the surface of my skin, they aren't really visible but I can feel them when I wash my face. I am hoping the next few treatments will help to purge them completely. I am also struggling with just plain old aging now that the acne has cleared up significantly I can notice all the other wrinkles and sagging, which the microneedling does not seem to help too much. I would recommend this for real acne scarring, raised, pitted, rolling. My ice pick scars are much smaller, my raised scars are softer and flatter, and my dark spots are much lighter. Updated on 7 Sep 2018: It is all relative, I know my skin isn't perfect, and some might not even consider it nice, but it is a huge improvement to what I have been living with for years. I feel like I look normal, like people can't see my scars from a polite distance. I can accept my flaws a little more now, I don't cry when I look in the mirror or have an event where I know pictures will be taken. I still have two more treatments ahead, still hopeful for continuing improvement.