This requires a combination approach with lasers, microneedling, skin care, TCA cross for the best results. Dr. Emer.
Hard to say, I think the most cost effective method is micro needling, followed by subcision - dermal filler (with caution in this area). Some smaller scars (but deep) can be addressed with TCA CROSS.
All the best
Dr Davin Lim
Laser and aesthetic dermatologist
I think at least some of the scars are much too wide to consider TCA cross at least in it's traditional high strength. Using a lower percentage of TCA so as not to risk as much development of a white (hypopigmentated scar) can help as can repeated subscisions that the doctor can do in the office with a local anesthetic. All these procedures should only be performed by an experienced board certified dermatologist or plastic surgeon. The lowest price can be the most expensive as it is far more costly to repair a mistake or complication. If it's too expensive, then rather than shop around I would wait for a time when it is affordable. Your scars will continue to improve somewhat for a year or so after Accutane.
In this sutation I would do a deep chemical peel just on those areas. CROSS is the term or Chemical reconstruction of skin scars. Subcision can work but the scars can come back. Microneedling can work but sometimes the results are subtle.
Micro-needling is probably the least expensive way to improve your depressed acne scars. Fillers are a great option as well. Good Luck!
In my opinion, depressed scars need to be raised. The simplest way to raise depressed scars is subcision. Micro-needlingRF with infini is also successful when used alone or combined with subcision. In terms of devices that you can purchase yourself, a simple microneedle roller of .25 millimeters used 2 to 3 times per day can be helpful. Hope this helps. Good luck.
I think microneedling is perhaps the least expensive way to help acne scars. It requires 8 treatments or more but is effective. There is minimal downtime and risk associated with this procedure.
The best suggestion for these scars is to fill them with something such as Restylane to help heal these scars. In the future you might also consider Fraxel or microneedling to help with the surface irregularities. Best, Dr. Green