Middle Eastern with Acne scars
In my opinion, you need to divide your acne scars based upon type. The boxcars would benefit from subcision and microneedle radio frequency (Infini). This technique does spare the epidermis. For the ice pick scars, TCA cross or microneedling with or without radio frequency can be effective. Any treatment that is aggressive enough to improve the superficial portions of your lesions, has the potential to cause hyper pigmentation. Therefore, I would recommend a bleaching cream with any procedure for pits if you have a history of hyperpigmentation. Hope this helps. Good luck.
EMatrix for Acne Scars
With your pigmentation and problem I would advise you not to have Total FX but consider eMatrix. You would also need at least three treatments but would not have any problems with pigmentation. I have found that the pigmentation issues with Total FX can be almost as problematic as the scars. Best, Dr. Green