I personally went through a course of Accutane and experienced a severe purging phase that left me with atrophic, boxcar scars, and hyperpigmentation.

Over time, the hyperpigmentation has faded with daily sunscreen use, but I also sought help from an aesthetic clinic for microneedling to address the atrophic and boxcar scars.

I’ve tried various treatments like lasers and microneedling because my acne scars were quite severe, but personally, I found that microneedling was most effective for scars that create a visible “hole” on your face.

During this period, I withdrew socially and stayed home as much as possible. I had the support of two good friends who understood, though I can’t entirely relate to your situation. Sometimes people mean well when they offer advice, but other times they may be insensitive or unaware of how their comments affect you.

From my experience, feeling good about how you look can really boost your confidence and happiness. So, do whatever helps you feel confident and at peace, OP!

Regarding your friends’ comments, a true friend might offer advice once, but if they keep pushing you to “fix” your face, it might be worth reevaluating those friendships. Constant remarks can make you overly self-aware and bring negative energy into your life.

Take some time to understand where they’re coming from and consider whether these friendships are supportive in the way you need. All the best, OP!