Question: I have very bad facial acne scars. I hate looking like this and it seems to look even worse every year. I am Mexican and have darker skin. Is there a skin resurfacing procedure that I can have that won’t change my skin color but will get rid of some of the pitting on my face?
Answer: Darker skin types are very tough to deal with because for deep acne scars, aggressive skin resurfacing is often necessary and aggressive deep skin resurfacing using peels, CO2 laser or Dermabrasion can result in pigmentation changes in patients with darker skin. Needling is an option but Dr. Phillip Miller in NYC seems to favor that procedure. Lighter peels and at home skin care using OBAGI can give you some improvement.