See a board-certified dermatologist for an in-person evaluation
Identify the cause of the holes first: acne scars, enlarged pores, pitted scars, or skin texture changes
Use prescription retinoids if recommended by a dermatologist
Get microneedling treatments
Get fractional laser resurfacing
Get chemical peels performed by a professional
Get subcision for tethered acne scars
Get dermal fillers for certain depressed scars
Get TCA CROSS for ice-pick scars
Get punch excision or punch elevation for deep scars
Treat active acne immediately to prevent new scars
Use daily sunscreen to prevent scars from darkening and worsening
Avoid picking, squeezing, or scratching the skin
Use a gentle cleanser and non-comedogenic moisturizer
Use salicylic acid or benzoyl peroxide if acne is active and tolerated
Consider radiofrequency microneedling for textural scars
Consider skin resurfacing surgery for severe scarring
Follow the treatment plan consistently for several months
Ask your dermatologist which combination treatment is best for permanent improvement