Hi there,

There are mainly textural or surface scars. I don't see massive fat loss. You are right some rolling, box cars, and icepicks.

I would get filler with a cannula or cannula subcision throughout the cheeks. Several passes back and forth to break tethers (fanning).

RF microneedling while you wait for the filler to need top up again. You do these every 3 months (4are needed).

For the icepicks you can do tca cross (it takes a few sessions).

Finally and I see this helping you alot do fully ablative erbium resurfacing or a deep sedated peel. This step has down time. The process is to lift things as much as possible and then resurface for texture.

If you want to learn more about scarring checkout the Acne Scar FAQ.

[Link removed]