What kind of acne scars are these? And how would you treat these things? My once high confidence is slowing dying by these suckers.

You have lots of acne scar. You should get acne treatment now.

These are not acne scars, they are PIE or post acne wounding. See the FAQ at the top of the hyperpigmentation sub. We go through the several solutions. Many get vascular laser.

Is it possible to treat these with OTCs? Or is surgery needed?

Read the FAQ - top post of the hyperpigmentation sub, everything is in there ;-), you try OTC first, then you goto the doctor if they are not effective. PIE can take a year or more to heal naturally, but most people do not want to wait.

Thanks!

I too have PIH on my right cheek and 2 cysts on left and currently m on accutane (2nd month) so what should I do any advice would be helpful

@Addy s

Onaccutane, you cannot do acid peels, use retin a (topical form of accutane) so your limited to trying hydroquinone (if it truly is PIH - did you do the test of pressing on it/ does it go away temporarily,... mentioned in the FAQ - top of this sub), ... if hydroquinone or something like a lightening / whitening cream does not work with Konjic Albutin etc... then you have 2 choices wait till done with accutane 6 months after and you can do the other treatments listed in the FAQ for PIH or do vascular laser now (even on accutane) v-beam, excel v, ipl, 1064nm all are types for your pigmentation issues.

PIE takes a long time to heal up to a year, and is wounding from acne while on tane or after.

Interesting, I have tonnes of acne on my face however I don't get any scarring...