The latest studies have shown that laser treatment of acne scars can be performed safely whilst patients are undergoing treatment with Accutane. From your photos, there are 2 issues that can be addressed:
1. Keloid scars along the jawline can be treated with a combination of VBEAM laser and steroid injections. Usually, 3-5 monthly treatments are required and you will likely see excellent results.
2. The atrophic scars on your cheeks can be treated by fractional CO2 laser to resurface the skin and improve collagen remodelling. 4-5 monthly treatments are usually recommended and you can expect around 30-50% improvement.
Both of these lasers are usually suitable for use even when you are on Accutane treatment, although your doctor will need to assess your skin closely and ascertain if they are happy to proceed as such. Other treatments such as TCA Cross or punch excision for deeper scars can also be considered, although the appropriate timing to do so will need to be discussed with your doctor further. Hope this helps.
