What topical therapies and procedures do you recommend for patients with atrophic acne scarring?

If the patient has hyperpigmentation, then some sort of topical lightening approach (i.e., tretinoin/kojic acid/niacinamide/Vit C/tranexamic acid, etc) or chemical peels.

For the actual scarring, assuming that the acne process has burned out, the most ideal procedure depends on the particular type o...

I really like microneedling with or without PRP. It’s a poor man’s resurfacing with 3-5 treatments, but little downtime and much more affordable for our younger patients.

Shallow atrophic scars can improve with dermal fillers.

Tao et al., PMID 41978687

I have achieved good results using Radiesse (calcium hydroxyapatite) diluted 1:1 or greater with saline, repeated in some 3 to 6 months. Diluted Radiesse stimulates neocollagenesis.

Goldie et al., PMID 30358631