Deep acne scarring and large pores. I've tried all treatments. Nothing has worked. What can I do?

I have had deep acne scarring since I was 16. I am now 42. I have tried chemical peels, laser, collagen boosting needle treatment and not much has worked. I have large open pores too and redness of skin. My acne scarring is very deep. What else can I try? Please help me.

Doctor Answers 4

Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen

you likely need a combination of lasers, fillers, needling, subcision, and TCA cross.  please see an expert for a formal evaluation.  Best, Dr. Emer.


Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 167 reviews

Deep Acne Scars and Best Treatments

Deep Acne Scars may best be treated with a combination of Lasers and Fillers. I really like a combination of Restylane and Sculptra for the deep and enlarged craters.  I also do a combination of fillers such as Fraxel, eMatrix, V-Beam, and PRP for these types of scars.  Please consult an expert for these advanced techniques.  Best, Dr. Green

Ice pick scars and deep scars- identify the scar type

If you have an expert identify your scar type, they can improve your scars by finding the best METHOD. This may involve several different methods, as most patients will have a mixture of acne scars. 

See this short clip on treating really deep Ice pick scars to gain an understanding of some of the procedures scar experts perform. 

All the best

Dr Davin Lim 
Laser and aesthetic dermatologist
Brisbane, Australia. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 62 reviews

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Acne scars - what works when nothing has worked

Thank you for asking about your acne scars.

  • I am so sorry you are plagued with these scars.
  • Since treatment depends on the depth of these scars, one can't give advice without a photo, at least.
  • The deep ice-pick scars are almost impossible to treat.
  • more superficial scars respond well to fillers, Radiesse especially.
  • TCA peels may help the large pores.
  • Skin redness may respond to treatment with a vascular laser.


Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.

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.