Subcision

Scar subcision is a minor surgical procedure primarily used to treat depressed scars, such as those caused by acne or trauma, and certain types of wrinkles. The goal of subcision is to release the fibrotic strands that pull the skin down, causing the depression, and to stimulate collagen production to fill in the area. in other words, Subcision is an effective treatment for improving the appearance of depressed scars and certain wrinkles. It is a minimally invasive procedure with a relatively short recovery time. By breaking up the fibrous bands beneath the skin and promoting collagen production, subcision can significantly enhance the texture and appearance of the skin.

What is Subcision?

Subcision, or subcutaneous incisionless surgery, involves inserting a needle or a special blade under the skin to break up the fibrous bands of tissue that are tethering the scar or wrinkle down. This allows the skin to lift and smooth out over time as the area heals and new collagen forms.

Benefits

1. Scar Improvement: Particularly effective for treating rolling acne scars and other types of depressed scars.
2. Wrinkle Reduction: Can help reduce certain types of wrinkles and folds by releasing the underlying tethered tissue.
3. Minimally Invasive: Compared to other surgical scar treatments, subcision is relatively simple and involves minimal downtime.

Procedure

1. Preparation:
   • The area to be treated is cleaned and disinfected.
   • A local anesthetic is injected to numb the area and minimize discomfort during the procedure.
2. Subcision Technique:
   • A fine needle or a special subcision needle is inserted through the skin into the subcutaneous tissue beneath the scar or wrinkle.
   • The practitioner moves the needle in a fanning or sweeping motion to cut the fibrous bands tethering the skin down.
   • This action creates a controlled trauma that triggers the body’s natural healing response, promoting collagen production.
3. Post-Treatment Care:
   • Pressure is applied to the treated area to minimize bleeding and bruising.
   • Ice packs may be used to reduce swelling.
   • Patients are usually advised to avoid strenuous activities and direct sun exposure for a few days.

Side Effects and Precautions

• Bruising and Swelling: Common but temporary side effects that typically resolve within a few days to a week.
• Pain and Discomfort: Mild discomfort during and after the procedure, which can be managed with over-the-counter pain relievers.
• Infection: As with any procedure that breaks the skin, there is a risk of infection, although it is rare.
• Hyperpigmentation: In some cases, temporary darkening of the treated area may occur.

Suitability

Subcision is suitable for individuals with depressed acne scars, certain types of traumatic scars, and some wrinkles. It may not be effective for raised or hypertrophic scars. A consultation with a dermatologist or cosmetic surgeon is necessary to determine if subcision is appropriate for your specific skin concerns.