The medication regulates fluctuating hormones. It only works for women. Vitamin D could also be helping being out in the sun.

Anti-androgens like Aldactone (AKA Spiro) block androgen receptors in the body, preventing cells from absorbing androgen hormones like Testosterone. Hence more estrogen and plumpness of skin (Even though the med can have a drying effect).

Androgen's create excess sebum / stimulating the oils gland... and acne for someone who does not have a balance.

When one does not produce excess oil or sebum you have smaller pores and smoother looking skin.

I frankly think your skin is very nice, ... maybe a bit dry. Most would hope to achieve this as a end point with their skin after multiple treatments from severe acne scars.

IF you wish you could do simply several tca peels for texture or do a erbium resurfacing.

You could do a little bit of filler with a cannula if you wish under the scars for some volume.

I would not do anything else.

Something I would start with and it's very cheap is a hydro peel or hydro facial you can get in most med spas. This would clean out the pores and infuse the skin with lots of good Cosmeceuticals. I think this would be a good place to start and reevaluate what you want to do next or if your happy..., then filler if you wish and texture is your main treatment(s) - goal.

BA

when I read your posts about your mental problems because of scars I imagine that you have really bad condition.
Girl, as a man, Im telling you, you are looking great. I am honest. A little bit of work and you are flawless

I agree with Candy Says.

Your scars are literally not severe. At least, those scars don't affect your beauty. You look very attractive although you have mild scars. I truly mean it.

Anyway, did you take these pictures with DSLR or mirrorless camera? If so, could you tell me the model and the lens attached to it? I am considering to buy one to take my scar pictures, and share them on this forum.

Seeing your past posts, I expected them to be on the severe end of the spectrum. But honestly, they are quite mild. You could get away with some minor procedures, but I wouldn't bother with anything invasive.

I think you've mentioned your mental health issues coping with them, and I really do think that it's more of a psychological issue than physical. Yes, there are some minor scars, but literally no on would ever notice.

You really have to manage ur dryness... From my experience it makes scares look A LOT worse.

29 minutes ago, Duperele said:

You really have to manage ur dryness... From my experience it makes scares look A LOT worse.

Disagree. When I was on accutane and had extreme dryness sometimes i couldnt see my scars. But dryness doesnt look good in general and it doesnt help with scar treatments. We all should keep our skin moist.

@beautifulambition Thank you for responding, i really appreciate you always taking the time, as you do for everyone. here. So, yeah, there was definitely some unexplained swelling in these photos that have since gone down ( so sad!), causing some scars to reappear, im still a bit mystified by it, seems like if it was the spiro it would stay plump? Im not sure...

I did a test spot of TCA on two tiny ice pic scars after this post, just to see how my skin would respond as they are already fairly deep.. They managed to get worse lol ( or their appearance currently seems that way)however, ive heard this is common when you do TCA. It also caused a tiny break out right on the pit. I dont think my skin is quite ready for chemical peels, yet.
I had two questions, i did micro needling a couple years back, it didnt have much affect on my acne, but at the time it was so disappointing when the initial swelling went down, i didnt use it for long. I saw very faint improvements 6 months later. Do you think it ( or the derminator) could help my type of scarring? Is a 2.0m dermastamp too much for my facial scarring? I know the internet says not to use 2.0 m on the face, but after researching personal reviews, its given the impression most people with acne scarring saw better results with the 2.0? My other questions is, you mentioned getting filler, i would like to do this as an end point. But i am wondering if my type of scarring is ideal for filler? I know it wont work on my ice pic scars..but can i expect a dr to try it on my boxcars?

@Candy SaysThank you lol i really appreciate that! I think I had some swelling/dryness here and it masked some of my scarring, as its quite visible in person. I know it could be worse, and with my acne/side effects from accutane, new scarring increases every year. I think that has more mental effects on me.. watching it gradually get worse every day/month/year that passes. Ive tried everything for my acne. I definitely agree about dry skin hiding acne scars, it creates an extra layer of skin over shallow pits!

@ScarsWillBeHistoryThank you lol. That is really nice of you to say! These were taken with a DSLR, nothing too fancy, Canon t6i, which is not a full frame camera. If you only want to purchase it to take high quality pictures of your skin, you will get the same results from a t2i or t3i and pay half the cost (200 ish USD) as they are an older model. The quality is great on all of them if you just need sharp images, they merely added a few MP with some bells and whistles ( e.g. touch screen) on the newer models. I just used the kit lens, 18-55mm it came with. I dont recommend that lens if you wish to use it for anything professional or as a hobby. But for this only, thats all youll ever need.

@dazzedThank you, you are right, i am aware part of my issue is psychological, im working on it, but the scarring is definitely worse in person sadly lol

I've Googled this stuff, but it says it is for high blood pressure ?

@noa27 its typically used for other conditions, but its also actsas a roadblock for androgen hormones in your body by preventing them from overstimulating the skin's oil glands =)