Our Hidef Acne scar protocol includes a combination of sublative RF, fractional laser, Yag laser, subcision, fillers, and skin tightening. Best, Dr. KaramanoukianLos Angeles
Hi. Based on your photos, I would recommend a TCA CROSS peel to alleviate the ice pick scars as well as subsequent treatments with dermal filler and microneedling to raise the scars and blend into surrounding tissues. This combination of treatments can work very well and will give long lasting results. A careful examination by a trained individual is always required.
Based on your photographs, it appears you have a significant amount of boxcar scarring. Acne scarring requires a combination approach. Surgery, subcision, or TCA cross for deep or pitted "ice pick" scars. Fillers like Bellafill or Sculptra or Radiesse for broad "boxcar" or "rolling" scars. Eclipse Micropen for all types of scars and improvement in texture and tone. Lasers such as co2 laser resurfacing or Fraxel/Clear+Brilliant or radiofrequency such as Sublative or Viva to improve the scars and give long term collagen production. I suggest consulting with a board certified dermatologist for further assessment. Best, Dr. Emer
Only a careful physical exam will be able to differentiate the types of scars that have resulted from acne, though at first appearance it looks as if you have a number of boxcar and some icepick scars. Consider discussing treatment options with a Board Certified plastic surgeon or dermatologist experienced with the management of facial acne scars. It is likely that you will benefit from a combination of treatments that may include resurfacing with lasers, needling, and possibly fillers like Belafill. While treatment for acne scars can be difficult, it is very likely that the condition can be improved. Best of luck!