These seem to be textural box cars on the same plane, also known as the depth. If so you are a canidate for a single erbium resurfacing (laser) as seen by Dr. Lim, checkout his video on Youtube.

This also can be accomplished with a sedated deep TCA peel to get under the scars, Dr Rullan does this in SD... Orany DR doing several medium strength TCA peels. This tends to have less side effects but depends on your doctors skill with peels for acne scars. I would not do fractional laser like CO2 for this aka Fraxel.

If you feel any of the pits are the size of a pencil eraser or pencil rubber you can start with subcision and this takes a few treatments before resurfacing.

Smaller icepicks are treated with TCA Cross to raise them, but the bigger ones this does not work on which is the majority of your scars.

Everything looks superficial and mainly textural.

If you want to do the peels at home before going the laser route. Checkout the scar solutions, goto the first post, faq, and the tca section, click the link and read the first page.

RF microneedling can be done with the peels as a alternative as well, but I don't think you need this because of the shallow depth peels should work.

Recap: start with peels or the erbium, add the rest in as needed.

Thanks. I'm very afraid of doing something scary like laser So you think RF microneedling with peels could give me the same results as well?  
One more question: At first you said my scars are boxscars on the same plane and after that you said the majority are ice pics. What are they now?

@TimGoodYou mainly have box cars... The icepicks thing was only a add on for smaller scars (thats not the majority).

Yes That could work well for you. Subcision as I said above is first *Only if the pits are a pencil eraser / pencil rubber depth or more. I do not see this in the pics so you can just do the RF Micro & Peel(s). Remember it will take many peels unless the peel is sedated and deep enough to go under the scars, ... tell the doctor you want a deep peel (it will have down time). Otherwise many medium strength peels are done.

Smaller icepicks are treated with TCA Cross to raise them, but the bigger ones this does not work on which is the majority of your scars.

So what did you mean with this sentence? I thought you mean that I have bigger ice Pic scars

* The bigger box cars, this does not work on. Please look at the FAQ, top of the scar solutions sub for a description / picturesof scars.

You think I could get the same improvment with RF Microneedling and TCA peels over years like with Erbium Resurfacing? Because I am really afraid to do lasers

You have a bunch of boxcars, rf microneedling can work with that well. TCA peels and erbium resurfacing (if deep enough) are more equivilent. TCA peels being able to be done at home, med spas, etc ... They also have lower side effects. I suggest someone starts with peels and then worst case do the erbium if that works better with your time and budget. Treatment is done over time. I would never do a megasession, ... the body heals in 3 months after the procedure.

Subcision first (optional - your scars may be on the same plane and thus laser or peels would work)
RF Microneedling aka Infini, etc...
TCA Cross would be done for the small icepicks to raise them (several sessions).
TCA peels would even out the skin and it will take many to get down under the scars or you can do a sedated "deep" peel from a DR a alternative is Erbium laser.

@beautifulambition Honest question for you. Have you seen real life people get rid of textural (surface) boxcars with just TCA peels? Not really asking for myself but just genuinely curious. I might do some when I finish up my subcision/fillers but that won't be for a while.

@thepwhispOF course they work, do some research on pubmed 😉 Peels were used since cleopatra, ... what did you think they did before everything became Laser.

Let's reframe this. Why do people give up peels. Why do people use overly low percentages of peels ""once"" and expect that to fix scars when it's only a superficial peel. Why do people want non down time procedures. Why do people use overly strong acid % and burn their skin because they think more % equals more improvement (it doesn't). Go look at Quad's post, they obviously work (that is one example with pics). They do not work alone obviously and one must cross the icepicks or small boxcars or get filler and sub before partaking textural work. Dr's do deep sedated peels as you know but they also have down time. So if one DIY it will take more medium strength peels.

@beautifulambition
Can I also have filler for some deeper spots or are they all too superficial?

Filler can be used. To spot treat with TCA it has to be a pencil eraser in depth also called a pencil rubber on the back side of a pencil. Otherwise they inject throughout the cheek and not into the scar for overall volume, ... sculptra can also be used for this as well.

I think you should do more work to lift your scars before you consider filler. This includes sucision with cupping and possibly if the doctor will do it saline injections (a few) and RF microneedling.

Worry about filler once you see how you do with these procedures.

TCA Cross for icepicks, several treatments.

Once you raise things up do resurfacing with tca peels, or a deep sedated peel with a doctor like Phenol. Erbium is another option if done deep enough but has more side effects.

Tca needs to get to the dermis for improvement and its harder with rolling scars,you need to get the scars lifted.

some of my scars were rolling and they have not changed much after 8 medium-strongpeels.some of the rollers were sort of boxcarish as they had an area on the edge of the scar that was more solid and slightly raised.over the period i was doing peels this broke down and became more normal skin,so what used to be prominent and hard to the touch was more softer but the rolling area was not budging much.

i wouldnt recommend to anyone to do your own subcision but i went ahead and did my own subcision and when this heals i will evaluate but at the moment things are healing and theres many weeks ahead before i can go back to tca peel.

because,my scarred pores the crossed picks were clearing up great but the bigger,rolly boxy stuff changed but after nearly a year i know the strategy is very slow.

why i went subcision,raise that stuff and loosen the tethers so tca peel can actualy be put to greater effect.

you will do your skin great with peels but it takes ages but them rolly tethered stuff wont budge.the tethets must be cut,the scar loosened and healed to a level plain as possible with the rest of skin.then tca peel at medium strength,in the 25%-35% range if your skin can take it needs to be used to promote collagen and skin peeling/growth.

if you did 6 peels now,you get nicer looking skin but your rollers will still exist.have subcision done,get them
healed and raised and the same 6 peels with 6-8 week healing will nigh on have your skin looking slick!

@beautifulambition
Thanks for your advice. One more question: Sometimes people speak about atropic acne scars. I'm a little bit confused because I thought that most of the acne scars are atropic? (icepicks, boxscars and rolling scars)? So what's the difference for example between atropic scars and rolling scars?

Same thing. Atrophy simply means ... fat or tissues are gone, (pitting). One is a general term, the other the type of scar.

From what I've seen when the term is used (mostly by Davin Lim), they generally refer to scars that are not superficial, that is, aren't just textural problems, but have fat loss or are quite deep.

I just asked because I posted my pictures on realself and Davin Lim had told me they are atropic. So I was surprised because most of the people here said my scars were superficial.