As I have emphasized in many of my previous responses on RealSelf, regarding the treatment of acne scarring with lasers, fraxels in particular, they appear to be far more backed by device manufacturer supported marketing hype and little hard science. Enough said. As to fat transfer, I have also repeatedly pointed out that very often the durability of the response from this approach is much shorter-lived than fat transfer proponents assert, perhaps lasting no more than conventional, off-the-shelf volumizing fillers. Furthermore, fat transfer is generally relatively more expensive, since it is a two step procedure (drawing fat from one area of the body and reinjecting into another), and is more invasive (typically requires larger cannulas for both wound sites). Subcision, which I have been performing for 22 years, on the other hand, is a simple, relatively inexpensive method for elevating indented scars, and since it depends upon promoting new, native collagen and elastic fiber synthesis (neocollagenesis, neoelastogenesis), its results tend to be long-lasting to permanent. For immediate elevation and for additional biostimulation, I often inject a small amount of Restylane Lyft (in my Upper East Side Manhattan office) or Hyaluronica 2 (in my Israel satellite facility, where a far greater number of regulatory agency approved fillers and volumizers are available). Make sure you seek consultation and treatment by a board certified aesthetic physician with experience and expertise in acne scar treatments. Best of luck.
