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. Lasers like CO2 (and Fraxel, Erbium) and fractional RF treatments like Infini both work well for textural issues and superficial scarring. All lasers are combined with microneedling/PRP to improve the results and accelerate your healing time. We also use injectable fillers like Bellafill and Sculptra (with or without subcision) for atrophic, indented scars; subcision for depressed, tethered scars; and TCA CROSS and punch excision for deep ice pick scars and narrow box car scars. It's really important to treat each individual acne scar type.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.