Subcision

Subcision is a treatment designed to improve depressed acne scars, especially the rolling-type scars that cause uneven skin texture. It works by inserting a fine needle under the skin to release fibrotic bands (scar tissue) that pull the skin downward. Once these bands are cut, the skin surface lifts naturally, and new collagen forms in the treated area, leading to smoother skin over time.

• Depressed acne scars are caused by fibrous adhesions under the skin that tether the surface downward.
• Subcision involves inserting a very fine needle beneath the scar and carefully cutting these fibrous bands.
• The released area stimulates new collagen regeneration, gradually improving the depth and appearance of the scar.

Marking – The treatment area is carefully outlined.
Local Anesthesia – Numbing is applied for comfort.
Subcision – A fine needle is inserted under the skin to separate the fibrous tissue little by little.
Optional Combination – Hyaluronic acid may be added to further lift the depression if necessary.

• Some patients notice improvement after just one session, but 1–3 sessions are generally recommended.
• Sessions are typically spaced 1–2 months apart.
• The required number of treatments varies depending on the type and depth of scars.

• Mild bruising, redness, or swelling may occur for a few days to a week.
• These symptoms can usually be covered with makeup; bruises fade naturally as they change from purple to yellow.
• To prevent infection, patients may be advised to avoid washing or applying makeup on the day of treatment.

• Rolling-type depressed acne scars.
• Deep scars that responded poorly to previous laser treatments.
• Those seeking a comprehensive skin improvement plan by combining multiple modalities.

• When combined with fractional laser, RF microneedling, or manual skin boosters (e.g., Juvelook), Subcision can enhance overall effectiveness.
• These combinations can improve results per session and potentially reduce the total number of required treatments.