How much improvement should I expect from treatment of these severe acne scars? (photos)

And what type of treatment i should go with?these pics were taken early morning so they are much deeper than they look in these pics.

Doctor Answers 4

Multiple modalities for severe scars.

Acne scar revision is a specialised field. For the best results, one should target the acne scar type with ideal treatments. For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgery.

The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. In your case you will benefit most from INFINI RF (given your skin type, also surgical subcision, and dermal grafting/ fillers.

All the best,
Dr Davin Lim
Laser, surgical & aesthetic dermatologist
Brisbane, Australia

All the best,

Dr Davin Lim
Laser, surgical and aesthetic dermatologist
Brisbane, Australia

Brisbane Dermatologist
4.7 out of 5 stars 77 reviews

Acne scar treatments for the face

Our exclusive Hidef Acne Scar Protocol is ideal for your acne scars. We would use a combination of Ematrix RF, fractional RF and laser, light chemical peels, topical treatments, subcision, fillers, and skin resurfacing to improve your skin. 

Dr. Karamanoukian
@kareplasticsurgery on Instagram

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews


Hai Mr.Ashu Jangid,

Your photos show active acnes still. Treatment plan works well if we give priority to treat on the acnes first. Oral or topical treatments may be given depending upon the severity of acne. As far as the scars are concerned, multiple therapy can be given to treat the post acne scars. This includes micro-needling sandwiched with restructuring serums and growth factors and  may give a satisfactory results when the sessions are complete. In later stages, Subcision and fat fills for deep scars will improve the condition. Your doctor will decide the treatment intervals and durations.    

Karthik Ram, MRCS, DNB
India Plastic Surgeon
4.8 out of 5 stars 54 reviews

Acne scars

It will take a combination of treatments such as injections with Sculptra, laser therapy, micro needling with PRP and time to treat these very deep scars.  eMatrix would be the only laser that I would recommend to you with your scars and skin type.  Best to find an expert with these complicated scars.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.