Skin that look dirty and patchy - what treatment should I do? (photos)

Hi. From the photos, I would recommend a resurfacing procedure or series of procedures. My favorite resurfacing lasers for you are Halo and Fraxel. Both of these devices use a "rolling" technology, rather than a "stamp". The paintbrush style of these lasers won't leave small squares or dots on your skin like other resurfacing lasers. You may need a series of treatments.
There is a small risk of PIH (post inflammatory hyperpigmentation) in asian skin. Consider pre-treating with hydroquinone.
I also think you should be on tretinoin for maintenance for the pigment and texture!!

Good luck.

Acne scars need a combination approach for long-term improvement. Everyone has a unique pattern of acne scarring, and most people have various types of scars, so we create a tailored treatment plan for each patient. We often use:
- Injectable fillers like Bellafill and Sculptra (with or without subcision) for atrophic, indented scars.
- Subcision for depressed, tethered scars.
- Vascular lasers like Yellow laser, Aerolase, excel V, BBL, or IPL for redness or thick acne scars.
- Lasers such as Fraxel, Erbium, CO2, Halo or fractional radiofrequency (Venus Viva, Skinfinity, Morpheus, PiXel8, Fractora, Intensif microneedling RF) for textural issues and superficial scarring.
- TCA CROSS and punch excision for deep ice pick scars and narrow box car scars.

All lasers are combined with microneedling/PRP to improve the results and accelerate your healing time. Keep in mind that a personalized combination treatment by an expert physician will give you the improvement you're looking for. I recommend getting a formal evaluation with an experienced cosmetic dermatologist and acne scarring expert. Best, Dr. Emer. ​