Should I continue doing subcision with Fraxel Restore along with Cyspera for pigmentation issues? (Photo)

As to whether any individual needs additional treatment, that really depends upon the particular individual and how satisfied he/she is with the improvements achieved with any treatment modality that has been used. In other words, the person (not the doctor) is in the driver's seat when it comes to deciding whether he/she wishes to continue treatments or not. It is the doctor's responsibility, however, to ensure that the person has realistic expectations as to what can be achieved, to avoid needless frustration and disappointment and wasted time and money. What I can say is that manually performed subcision, which I have been performing since 1995, for elevating and smoothing acne scars has a sereral decades' long track record for offering chances for "mature' acne scars (those present for more than three months) to improve in appearance between 60-80% (rarely 90%). The addition of expensive "bells and whistles" fraxel lasers, RF or other gizmos (whose hard science to support their use lags woefully behind the marketing and social media hype) typically does not add to the benefits and actually poses the additional risk of post-treatment pigmentary problems, especially in skin of color. So, exercise a healthy dose of "buyer beware" when considering going forward with these devices. Hope this helps and best of luck.