Thank you for your question. After reviewing your pictures, it appears you have some deeper areas of scarring. More aggressive treatment would likely provide you with the most cosmetic improvement in your skin. Choosing from one of the following treatments or a multi-treatment approach would be most beneficial:
- Micro Laser Peel
- Fractional Laser
To be sure, see two
or more board-certified providers in your area for a complete evaluation to
make sure you are a good candidate and that it is safe for you to have
I hope this helps.
Have a read of my review article on acne scarring. You will require someone who does acne scar revision day in day out as you will require multiple sessions of different treatments including fractional laser, surgical subcision and most importantly filler for atrophic scars.
Think of this as a project that will take 6-12 months to complete. Combination treatments will give you at a least a 60% improvement.
All the best,
Dr Davin Lim
Laser and aesthetic dermatologist
You need a cosmetic dermatologist who specializes in acne scarring/pigmentation and does a combination of treatments including: surgery, subcision, or TCA cross for deep or pitted "ice pick" scars; fillers like Bellafill or Sculptra or Radiesse for broad "boxcar" or "rolling" scars; Eclipse Micropen for all types of scars and improvement in texture and tone; lasers such as co2 laser resurfacing or Fraxel/Clear+Brilliant or radiofrequency such as Venus Viva to improve the scars and give long term collagen production. There are many options but you want someone who can customize a regimen for your short and long term goals based on your individual situation. Best, Dr. Emer.
Currently our most popular treatment for acne scarring is microneedling using SkinPen. We recommend starting with a series of five sessions. There are also many lasers available which can be helpful but again, multiple treatment sessions are required for best results.
A combination of fillers or Sculptra to increase collagen production and lasers such as Fraxel and eMatrix are the best combination to help improve these scars. Please consult a board certified dermatologist with expertise with these lasers. Best, Dr. Green
Acne scars are very difficult to improve. Most treatment center around stimulating collagen remodeling. I believe finding a treatment that can be repeated periodically is important. I like microneedling treatment repeated every 6 to 8 weeks for a series of 5 or 10 treatments.