Subcision is a simple and safe office surgery procedure for the treatment of depressed acne scars. Scar tissue pulls down the skin’s surface, creating rolling scars and depressions on the surface. Subcision works by using a small needle to stimulate the growth of collagen within the scar tissue, which helps reinvigorate cellular turnover. The needle is also used to break up the scar tissue that tethers the skin, thus relieving depression and allowing the scar to fade away.
Do I Need Subcision Treatments?
A subcision treatment is a great option for a patient who has depressed, or deep, facial acne scars. While other acne scars may appear red and disappear over time, depressed acne scars can be permanent, as the scar tissue is interwoven with subcutaneous fat layers.
If you have deep or pockmarked rolling acne scars, you may be an ideal candidate for subcision treatments. “Ice-pick” scars are more suitable for a procedure called punch elevation, which can also be performed at the same time.
What Should I Expect From My Treatment?
Subcision treatments are performed right in the office. The face is cleansed, and each individual acne scar will be identified with a marking pen. A local anesthetic will be used to help minimize any discomfort during the procedure. The needle is inserted into the depressed acne scar and moved back and forth to break up the scar tissue.
What Are The Side Effects?
Patients can expect some swelling and bruising at the treatment site. These side effects tend to disappear within the first week after treatment. Bruising can be prevented by avoiding blood-thinning medications (aspirin, Vitamin E, fish oil, ibuprofen) starting 2 weeks prior to the procedure. Arnica pellets taken 1 week prior can also minimize bruising and swelling. These can be purchased in our dermatology office, or at a local store.
How Soon Will I See Results?
Most patients see some results after their first treatment; however, the number of sessions needed will vary depending on the depth, severity, and age of the acne scar. The typical patient usually requires three to six subcision treatments to see ideal results. Subcision can be combined with microneedling or Fraxel resurfacing laser for even better results.
If you’d like to learn more about our subcision treatments, please fill out the form on this page or call (562) 997-1144.