Very unusual pattern to have this kind of scarring. I have seen tiny uniform hypertrophic scars before, but usually not so extensive, and usually around the the chin area. Are these hard?
They could represent micro cysts, and in this case, I use laser to extract them.
I think a diagnosis is needed before any treatment.
Dr Davin Lim
Im not convinced they are acne scars. You have what appears also to be some fibrous papules on your nose. Some lesions look dermal (deep). I'm wondering if these are multiple trichoepitheliomas. A few look like sebaceous hyperplasia (oil glands) but many do not. Some appear deeper. Are they rock hard? They could be osteoma cutis (ectopic bone growth in the skin) which can be related to acne scars. Perhaps it's an artifact of the photos but maybe consider a diagnostic biopsy if the dermatologist has any doubt.
Your photos are not too clear, but getting a clear diagnosis is critical. If truly hypertrophic or keloid scars, treatment with steroid injections and fractionated laser or radio frequency devices are an option. However, sometimes, in lesions that are unclear, a biopsy may distinguish between what is scar and what is not. Regardless, options are available, so seek help today with a specialist experienced in treating darker skin-types, if these lesions bother you. Best wishes, Shobhan.
A combination of lasers and PRP with microneedling with help treat these scars. Please consult a specialist in acne scars for the best cosmetic advice. Best, Dr. Green
In my opinion, I would first try to inject the scars with steroid, 5 fluorouracil or verapamil. TheNext Step would be to combine this with fractionated ablative or non-ablative laser or micro-needling. Multiple treatments will be necessary. A good scar gel is also a helpful adjunct to the above regimen. Find a scar expert who can coordinate your treatment.