Exactly what combination treatments are needed for my acne scars? (Photos)

Hi,
I recommend an ablative resurfacing laser like C02, Pixel or erbium. Another option may include Morpheus 8 (RF needling) at least 3 treatments, 6 weeks in between.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

At least from the photos provided, the forehead appears to have several deeply Indented boxcar-like scars. If this is indeed so, then subcision would can be used to elevate and smooth the scars. Once, elevated, then professionally performed manual Dermastamp microneedling can be performed to help to better blend the surface of the scars, in both texture and color, with the surrounding normal skin.
Punch excision runs the risk for the subsequent development of stretch scars and even stitch tracks, especially when performed in areas subject to muscular tension, such as the forehead.
And finally, a heavy dose of "buyer beware" should be exercised if being offered fraxel laser and RF treatments, PRP, etc., as the hard science to back up the use of these often expensive gizmos and methods lags well behind the heavy marketing and social media buzz to promote them. Hope this helps and best of luck.