Does subcision and fat transfer with PRP (for acne scars) give visible, long-lasting results? (Photos)

As anyone who regularly reads my answers will tell you, I am not surprised at your lack of success with prior laser treatments.  Like PRP, these relatively expensive "bells and whistles" are backed far more by device manufacturer supported marketing hype than hard science. Subcision accompanied by the use of a filler ( used not to fill, but instead to enhance new collagen and elastic fiber synthesis) is relatively inexpensive and works well as a standalone procedure. If there are any residual texture or color irregularities after subcision elevates and smooths the scars, then simple microneedling may be used to help blend the treated areas with the surrounding normal skin. Be wary of claims for this or that relatively expensive "next big thing" device. Make sure that you consult with a board certified aesthetic physician. Best of luck to you.

Acne scar treatments require precision and attention to detail. There are several types of acne scars, including atrophic, hypertrophic, PIH hyperpigmented, and hypopigmented scars. Depending on the types of scars you have, our office can recommend a Hidef treatment protocol that can recontour existing scars and reduce complexion irregularities. The results are simply life-changing.

As a general rule, we recommend fillers, subcision, acne surgery, RF ablation, and laser ablation to help with atrophic scars. Hypertrophic and keloid acne scars require pulsed dye laser and IIT SC. PIH scars require chemical peels, Melarase creams (AM and PM) and laser.
If you have ice-pick scars, we recommend RF ablation and TCA Cross.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Acne scars need a combination approach for long-term improvement. Everyone has a unique pattern of acne scarring, and most people have various types of scars, so we create a tailored treatment plan for each patient. We often use:- Injectable fillers like Bellafill and Sculptra (with or without subcision) for atrophic, indented scars. - Subcision for depressed, tethered scars. - Vascular lasers like Yellow laser, Aerolase, excel V, or IPL for redness or thick acne scars. - Lasers such as Fraxel, Erbium, CO2 or fractional radiofrequency (Venus Viva, Skinfinity, Intensif microneedling RF) for textural issues and superficial scarring. - TCA CROSS and punch excision for deep ice pick scars and narrow box car scars.
All lasers are combined with microneedling/PRP to improve the results and accelerate your healing time. Keep in mind that a personalized combination treatment by an expert physician will give you the improvement you're looking for. I recommend getting a formal evaluation with an experienced cosmetic dermatologist and acne scarring expert. Best, Dr. Emer.

In my opinion, you have predominantly saucer shaped and box car shaped scars. Subcision should be helpful. This can be performed with PRP, fillers or microfat injection. We prefer PRP because of the permanent nature of the results. Follow up treatment of the area with a low density ablative laser is suggested. Find an acne scar expert.Jeff Rapaport MD FAADRealself Verified All-star

From the look of your photos you would benefit from a combination of eMatrix, subcision, and fillers placed at the same time as the subcision.  Restylane lasts about six months and gradually increases the collagen production of new collagen and through the subcision and fillers you will have new collagen and improved results. Please consult an expert in acne scar surgery for the best cosmetic results. Best, Dr. Green

Agree with the amount of atrophy, subcision to release and filler to correct maybe the best option. Some scars may respond nicely to surgical elevation. 4-6 sessions over 12 months. All the best, Dr Davin Lim, Brisbane. Australia.