You still have active break outs, and I would not encourage treatment until your acne is under control and in remission. Scar revision with active acne is like 'chasing your tail', namely if you still have acne, it may scar...consult a expert dermatologist for effective acne treatments.
Good to know that you are happy with V Beam- this laser can help with red acne scars, but collagen remodelling is minimal with V Beam (in comparison to fractionally ablative lasers).
90% is a high mark for scar improvement, I would say given your scar types (Box, ice-pick-shallow, mixed and atrophic) you will require multiple treatment methods over months.
I would perform TCA CROSS first to raise deep scars, followed by subscision and fractional CO2 (same session), followed by eMatrix RF. Having good baseline photos and realistic expectations are essential if you plan to undertake acne scar revision.
Dr Davin Lim
Laser and aesthetic dermatologist
For treatment, you really need an acne scar expert. To start, subcision with laser resurfacing (any co2 laser if performed by someone experienced!) can give a significant improvement. But to a few of the deeper scars, TCA cross and/or a few punch excisions would do a huge improvement. I suggest going to someone who does these types of "bad" scarring cases for an evaluation. There will be a few treatments required but you can get 75%+ improvement if you see someone with experience. Fillers are sometimes required after everything is said and done to balance out the results. But again, that will be individualized based on the approach taken. I wish you the best, Dr. Emer.
You are doomed to be dissatisfied if you expect that success rate. I would consider 40 to 50 percent more realistic. To me, the Infini is the best for acne scars. Vbeam is good for the redness associated with the scars as well as acne. Multiple treatments is considered norm, and I wouldn't consider any follow up treatments as touch ups because the results of scar treatments are permanent and each treatment is just additive.
It appears that you still have active acne from your photos. I would strongly encourage you to get your acne under best control, before investing on any cosmetic interventions to address your acne scaring.