Pit scars on the face for more than ten years can be repaired by physical therapy and surgery. 1. Physical therapy: commonly used physical therapy modalities include laser therapy, ion beam therapy, radiation therapy, etc. However, there may be wounds after physical therapy, which should be kept dry and avoid sweating; if there are blisters on the wounds, don’t squeeze them by yourself; and when there is redness, swelling, and burning pain, you can apply cold compresses for 15 to 20 minutes. 2. Surgical treatment: If physical therapy is not satisfactory, surgical excision can be used. Surgical excision of keloid scars can be combined with direct suturing, skin grafting, localized flap repair, etc. However, surgical trauma is more risky than physical therapy, and there is a certain recurrence rate. After the surgery, you should pay attention to avoid direct sunlight and keep the dressing of the surgical site dry and clean. If you need to repair the pitted scars on your face for more than ten years, it is recommended to visit the hospital in time and under the operation of professional doctors.