Hello. I have a question about acne scars, not the active pimples. I used to have bad cystic acne as a teenager. The pimples are gone now (thanks to medication), but my cheeks look like a moon crater. I have rolling scars and a few ice pick scars. Does topical cream fix this? Or do I need lasers? I'm scared of needles and downtime, but I hate my skin texture.

I had rolling scars on my cheeks. I was so self-conscious. I tried microneedling at home (bad idea – I got an infection). Then I went to a med spa. I did three sessions of RF microneedling (needles + heat). Yes, it hurts. They numb you for an hour. The downtime is 4 days of looking like a sunburn. After three sessions, my scars improved by about 70%. They are not gone, but they are shallow enough that makeup covers them. I also did one session of subcision. That was bruising for two weeks, but it really lifted the deep tethers. If you want to see what effective acne treatment for skin texture looks like, check this out: https://bellasanamedspa.com/treatment/acne-treatment. Don't waste money on creams. Save up for procedures. It's worth it for the confidence.