Subcision for Acne Scarring

Many individuals who have suffered from acne, also end up with some residual scarring in the places where the acne occurred. This can cause people to be self-consciousness about their appearance, especially when the scarring is on the face. Overall, the treatment that is suitable for each individual is ultimately related to the type of scarring that has occurred.

Read more about the various types of Acne Scars

What is Subcision?

Subcision (also known as: Subcutaneous Incisional Surgery) is a treatment that can be used to treated depressed scarring and rolling scars. Subcision is a minor surgical procedure where an 18 gauge needle is injected into the skin, at the point of where the scar is. The needle is moved about via a horizontal fanning motion when it is in the skin to help to displace the scar tissue, and in turn promote collagen regrowth which will aid the healing of the skin tissue. This regrowth is what reduces the appearance of depressions in the skin and help “lift” the skin back into the correct place. The main goal of subcision is to break the fibrotic strands, which fix the scar material of the subcutaneous tissue.

A local anesthetic or topical cream is used to reduce the pain when the procedure takes place as there can be some discomfort with this technique. Patients can expect some post treatment bruising or swelling, which will take around a week to heal.

Subcision as a single treatment can be effective, but does need multiple treatments in order to achieve full results. Most patients will need between three and six sessions of subcision and we generally recommend spacing these out between four and six weeks apart. With this in mind, the treatment plan can take up to a year to complete. The good news is, that that any results that occur are permanent once the collagen within the skin has regrown.

Bellafill is often used as a filler with the subcision procedures, raising and filling out the scar area, and thus this is useful for indented scars. In most cases, results naturally occur shortly after, since Bellafill helps increase the body’s natural collagen production.

Other Acne Treatment Options

Subcision can be done on its own, but can also be combined with a dermal filler such as Restylane and Juvederm or in some cases with chemical peels. When a dermal filler is added, this can help enhance the overall effects of the subcision procedure, so we do recommend this for most patients. However, in all cases, we recommend setting up a consultation with Dr. Green so we can find the right solution for you. For instance, you should not undergo subcision if you have any skin infections or cold sores, or are prone to keloid scars.

In addition to that, some individuals do not like needles and may wish to avoid them altogether. The good news is that there are other treatment options available, but this is based on the type of scar that needs to be treated. Laser treatment can be an option for some patients too. Lasers such as eMatrix, Pico and Fraxel can maximize collagen production while keeping the top layer of the skin intact. It is also an option that works on all skin types, including Asian, Latino, and African American skin. The Fraxel laser can also be used for improving skin pigmentation, removing brown spots, sun damage, wrinkles and fine lines too.

Find out about the various techniques used to treat acne

If you are concerned about acne scars then there are treatments that can help. Contact us online today or call 212-535-3088 to learn more about subcision and other acne scar treatments that may be right for you.