Very serious acne pits are mostly considered to be atrophic scarring, very serious atrophic scarring can be improved after standardized diagnosis and treatment with doctors, and its treatment methods include laser treatment, filling and injection, and so on. 1. Laser treatment: There are many types of laser treatment, including intense pulsed light, fractional laser, etc. Based on the photothermal effect, the laser is used to make the local scar tissues peeled off and stimulate the collagen newborn and rearrangement, so as to achieve the purpose of improving the appearance of scar, which can help to repair the very serious atrophic scars. 2. Fillers and injections: For patients with very severe atrophic scarring, it is recommended to take fillers and injections to the depressed areas of the scar, such as autologous fat fillers and hyaluronic acid fillers, which can fill the depressed areas and play a role in lightening the scar. For very serious atrophic scarring, it is recommended to go to a regular hospital to consult a specialist, choose the appropriate treatment under the guidance of the doctor, and cooperate with the doctor’s standardized diagnosis and treatment, which will help improve the scar.