Depending upon your skin colour there are a few options. Firstly the "tiny hole" acne scars are called "ice pick" scars. These are the most difficult type of scars to treat by ANY method - no guarantee should be given by anyone!
For white skin types you have the option of aggressive medical microdermabrasion, deep chemical peels, laser resurfacing such as Fraxel and Dermaroller skin needling.
If you have a dark skin colour the more aggressive options would not be suitable as they can make the pigmentation worse ( post inflammatory pigmentation).
Several treatments of either method will be needed as Ice Pick scars are deeply seated. There is the downtime / recovery time of each method to consider too.
For the pigmented / dark marks again there's a few options.
First comment is that hydroquinone skin lightening serums have now been withdrawn from sale / use in the UK as it kills the melanocytes that make the pigmentation. We need melanin to protect the skin and deeper organs from UV light damaging our cells and causing cancers.
To lighten the marks - you can use products such as Skinceuticals Pigment Regulator - safe on all skin colours with medical results.
There are skin peels to consider too such as Skinceuticals Pigment Regulator peel , Image's
Kojic and Lactic peel and Circadia's MandeliClear peels - again all these are safe for all skin colours when used appropriately by a skincare expert used to dealing with skin of colour (if you have skin of darker colour)
Most importantly you MUST use a clinical grade broad spectrum UVA / UVB sunscreen EVERY DAY to prevent the UV light activating and darkening the melanocyte pigment making cells.
Hope the info helps?
Skin Therapist & Facialist
Diane Nivern Clinic Ltd
Medical Aesthetics & Skin Rejuvenation
0161 796 1169
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