Well technically they can use laser to do steroid drip but I don't think it's necessary and could be treated individually. CO2 did not work for you before after all. You will have to call around and see who does kenalog injections into hypertophic scarring, ... your up North, hard to find good Derms there, might have to consult a few or try a plastic.  When they originally did the CO2 did they treat the spots individually and did they fully ablate them or do fractional laser (grids).

@Obi wan Thoughts on this poster?, here are here pics below of raised hypertophic scarring.
 

These are easy to treat BUT persistence is needed. The diagnosis is one of 'hypertrophic pebble scarring' If you touch them, they are firm. I know Lim et al. currently doing a paper on these at the moment on treatment options. These frequently seen but poorly diagnosed scars often occur around the chin area, and nose. More frequently seen in Asian and ethnic skin types. I do agree with BA, you have 2 choices- steroid directed injections ( but one has to be v careful NOT to give atrophy). The other technique BA mentioned is practiced by many prominent experts, including Dr Julieus Few, a prominent plastic surgeon in the US. CO2 laser is used in fractional mode. The key is wipe of the char BEFORE steroid is dripped on the area. Why? Because CO2 causes a coagulation plug, - trick for young players is that if this is not wiped off, less steroid goes into the dermis and scar. Secondly the laser has to be powerful - real continuous peak power of at least 80 watts. None of this Edge Fractional 30 Watt laser crap,- something like the old fashioned Lumenis Ultrpulse, or similar laser. Old fashioned erbium laser in drill mode 1.5 mm can be used (but control bleeding). Micro needling usually does not have the power to channel though the bundles of collagen, in this case fractional lasers are superior. Drip with A40, occlude with Opsite for 3 hours, remove, moisturise. Skin heals vvv quickly over 3-6 days (only focal fractional laser). repeat every 6 weeks. Very predictable response providing the above is followed. In this situation the power of the laser is paramount in order to get through these scars. Only a handful of lasers can do this, your specialist should know the exact power of every device he or she is using, in order to know what depth they are working at.
See someone who works with scars for a living and these are easy to treat - if you see a specialist who does occasional scar revision, then they maybe a challenge for them. At the end of the day they are hypertrophic scars, with many treatment methods being described. Each specialist has their own method, I am just sharing what I haver read in the literature on 'how to treat hypertrophic acne scars'. I hope this helps- in this situation there are many X factors, your specialists knowledge, and the power of the device, or the accuracy of the injection. May the force be with you.

It was a plastic surgeon I saw who said co2 laser would work well for these. He did each spot individually. I'm not sure but I think fully ablate. That's the thing with living in Manitoba, Canada I'm nervous to go to a derm who doesn't know what they're doing. The one I am seeing in April does do injections but I don't know how often or if for this particular kind of scar.

Thanks for taking the time to respond to my post. This is honestly bothering me every day and I'm just worried someone else will act like they know what they're doing and mess up my skin even more.

I've learned to read between the lines when doctors say certain things. When they say things like "this doesn't work for x...." What they really mean is I have no expertise here but I don't want to admit that my patient knows more than me.

Kenalog will flatten these. If you use a low dose and do a series, you can fine tune and avoid an indentation.

Yeah you're absolutely right. Totally agree with that ^^^

I emailed a derm about my issues and they replied with This, does it make sense?:

The term hypertrophic scar has specific meaning for me. I would need to see what you are referring to. Acne scars are usually pigmented and scar depression is a feature. Prevention is the best form of treatment. However, once mature the best treatment may be anything from surgical excision, subcision with fat grafts and ErYAG laser resurfacing. Only in very cystic type raised scars would steroid injection be recommended as the
result is is usually further depression

@Mountainsbaby13No find another Derm or Plastic. He is clueless or does not have experience with scars.

Your Derm maybe good in other disorders of the skin, like hair and nails but acne scar revision is very niche and specific, with respects to the profession, find yourself a dermatologist that does scars day in day out as their professional niche. Do not see a plastics or dermatologist who occasionally does 'a bit of scar revision'. This forum is helpful to guide patients to the CORRECT Specialist - this can prevent the frustrations of acne scar management. I wish you well.

Did you show him pictures? It sounds like he's going all over the place for a simple question.

Run away.. That email response was worded in a kind of funny way, it didn't really read as a clear and consise response.

Do a lot of research on your scar revision specialist. Don't just go to the one closest to you. You might have to travel, but remember, its your face and money we are talking about here, you want someone proficient at scar revision.

Many dermatologist just treat acne and general skin conditions, many are not proficient at scar treatments. The skill of the doctor is highly important when doing any scar revision treatment. Best of luck.

We really deserve better than this... Clueless responses like this is why it's so hard to find a good doctor.

14 hours ago, dazzed said:

We really deserve better than this... Clueless responses like this is why it's so hard to find a good doctor.

I agree... I already talked to 2 that don't seem to know much. I have an appt with one in April so I'll see what she says but I have a hard time trusting anyone when a lot are in it for the money...