Long-term pitted scars are often a permanent complication of acne that is quite common, affecting aesthetics. Experience in treating long-term pitted scars depends on the perspective of each dermatologist as well as the type of acne scars and the limitations of each available method. Therefore, there are many options for treating pitted scars, including chemical peels, dermabrasion, laser treatment, fat grafting or combination therapy with their own advantages and limitations for patients to consider before deciding.