Can AquaGold microinfusion improve the looks of rolling and boxed acne scars on Asian skin?

Thanks for your question. The needle penetration of the Aquagold device is very superficial. It helps penetration of facial products (serums for example) but would not be expected to remodel acne scarring no matter how many you did.
Traditional microneedling devices, along with platelet rich plasma, would be a more effective choice with minimal downtime.
Best,
Lisa Vuich, MD

Acne scars need a combination approach for improvement. For the best results, one should target the acne scar type. As everyone has a unique pattern of acne scarring, the best solution is a tailored one. Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision. Subcision for depressed tethered scars. Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif microneedling RF for textural issues and superficial scarring. Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision. All lasers are combined with microneedling and PRP to get even better results and improve healing times. The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician. It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome. Scars cannot be cured and will need life-long treatments to maintain and build on the results. Best, Dr. Emer.

Instead of AquaGold, I would recommend treating with the Skinpen by Bellus Medical. This is a microneedling device that has been FDA cleared for treatment of acne scars. To my knowledge, the Skinpen is the only microneedling device cleared by the FDA.