There are basically three types of scars due to the ravages of acne. They are: ice pick scars, rolling scars, and boxcar scars. Each of these involve the dermis, the icepick scars generally being the deepest. Note these are all dermal scars which makes them non-amenable to treatment to microdermabrasio. Microdermabrasion, even at its most aggressive, can only affect the very upper dermis. For ice pick scars, one can use punch excision ( using a punch biopsy) for the smaller ones and punch grafts for the larger, the difference being that in the graft version a small piece of a patient's skin is placed on top of the punch. Trichloracetic acid at 30-40 per cent can also be used in a very simple and inexpensive method. Boxcar scars can be treated with punch elevation technique in which the scar is torn away from the underlying fat tissue and then elevated and closed. Filler injections are also effective for this type of scar. Fillers can also be used for the rolling variety of scar. As far as which filler is best this would depend on the choice of the dermatologist or plastic surgeon who is being called upon. My preference is collagen, since I have been using this filler for acne scars for a long time. Others may prefer a hyaluronic acid filler, Sculptra or Radiesse. A technique termed subcision is also employed by those who have expertise in this modality. Finally, if you scarring is diffuse and severe there are a host of worthy treatments. The gold standard remains ablative laser resurfacing. However, this has a high complication rate. In the past few years, fractionated laser ( Fraxel, Pixel etc.) have been developed which has made the procedure, although somewhat less effective, safer. Dermabrasion is still used, but less often than it was 20 years ago. Many practitioners are reluctant to use dermabrasion for the same reasons as ablative laser treatment ( plus blood flows freely, enhancing the possibility of picking up HIV or Hep C). Medium and deep peels in skilled hands leads to excellent cosmetic results. So you can see, there are many choices. However, microdermabrasion, despite the relatively low cost is not one of them. My advice: if you have a limited number of scars, use the less expensive methods mentioned above ( punch excision, punch grafting etc. If you have extensive scarring, I would save up your money for one of the more expensive procedures.