Which would you recommend; Dermapen vs. fractional laser for acne scarring? (photos)

Thank you for your question.  It's difficult to say if one is better than the other as the laser offers many other benefits that microneedling doesn't.  However, if improvement in your acne scars is your goal, and if you're on a budget, microneedling is the way to go.  Having professional dermapen treatments at the highest setting over 5-6 sessions will give you 30-40% improvement in the acne scars on the entire face.  I would consider performing Bellafill first into all of the scars to maximize the scars before microneedling to get the best results.  If you have deep icepick scars that don't improve when you pull the skin apart, then you want those removed surgically first, then have the Bellafill, then have the professional microneedling performed. Hope that helps. 

A combination of deep and superficial treatments work best.  Under the acne scar I use an FDA approved 5 year filler; Bellafill.  Bellafill plumps out the acne scar and stimulates collagen production under the skin.  For the surface I use Dermapen with Regenica Growth factor recovery serum to also encourage collagen production.

For patients with pigment to their skin, like anyone other than Caucasians, I prefer microneedling.  There is no risk of hyperpigmentation or scarring with microneedling like there is with lasers.