All topical treatments including Hiruscar only give a minimal improvement of any acne scars.
The main effective treatments still depend on energy-based devices such as :
- Laser treatment
Good for acne scars and acne marks. - Radiofrequency (RF) microneedling
Ideal for rolling, atrophic, mixed, and tethered scars. - Chemical peels
Works well to treat ice pick scars. - Subcision
It works best for shallow scars with a broad base. - Punch excision/grafting
It's best suited for icepick scars that have a narrow opening but are deep. - Dermal fillers
Best to elevate shallow, broad-based acne scars.
Do read more about effective acne scar treatment options in the relevant sections of the forum.