SUBCISION

Subcision is a minimally invasive surgical technique used to treat certain types of facial scarring, particularly atrophic scars such as those caused by severe acne. These scars are often characterized by depressions or indentations in the skin due to the loss of underlying tissue. Subcision is designed to release the fibrous bands that tether the scar tissue to deeper layers of the skin, allowing the depressed areas to rise and the skin to appear smoother and more even.

How Microneedling Works for Facial Scarring

Breaking Down Fibrous Bands Atrophic scars are typically anchored to the underlying tissue by fibrous bands. These bands pull the skin down, creating the characteristic depressions or indentations. Subcision involves inserting a fine, specially designed needle under the skin to cut through and release these fibrous bands. By severing these attachments, the skin is freed to lift up, which helps to level out the depression and improve the appearance of the scar.

Formation of New Collagen As the needle moves through the skin during subcision, it creates controlled trauma in the underlying tissue. This triggers the body’s natural wound-healing response, which involves the production of new collagen. Over time, this collagen helps to fill in the space left by the depressed scar, leading to a smoother and more even skin texture. The stimulation of collagen production is one of the key benefits of subcision, as it provides both immediate and long-term improvements in the appearance of scars.

Use of Fillers In some cases, subcision may be combined with the injection of dermal fillers to further enhance the results. After the fibrous bands have been severed, a filler can be injected into the area to provide additional volume and support. This combination approach can lead to more pronounced and longer-lasting improvements, especially for deeper scars.

Benefits of Subcision for Facial Scarring

Effective for Various Types of Scars Subcision is particularly effective for treating rolling scars, which are a type of atrophic scar characterized by broad, shallow depressions with gently sloping edges. It can also be effective for boxcar scars, which have sharper, more defined edges. By targeting the underlying fibrous bands, subcision can significantly reduce the depth and visibility of these scars, leading to a more even skin surface.

Minimally Invasive with Quick Recovery Subcision is a minimally invasive procedure, typically performed in an outpatient setting under local anesthesia. The procedure usually takes about 30 to 60 minutes, depending on the number and severity of scars being treated. Recovery time is relatively quick, with most patients experiencing only mild swelling, bruising, or redness that subsides within a few days to a week.

Long-Lasting Results The results of subcision can be long-lasting, particularly when combined with other treatments like fillers, microneedling, or laser therapy. The new collagen formed as a result of the procedure continues to improve the skin’s texture and appearance over time. While multiple sessions may be necessary to achieve the desired results, the improvements are typically significant and enduring.

Procedure and Expectations

Consultation and Preparation The subcision process begins with a thorough consultation with a dermatologist or qualified practitioner. During this consultation, the practitioner will assess the patient’s skin condition, type of scars, and overall health to determine if subcision is the appropriate treatment.

Treatment During the procedure, the targeted areas of the face are numbed with a local anesthetic to minimize discomfort. A fine needle or a specialized cannula is then inserted under the skin to break up the fibrous bands. The practitioner may move the needle back and forth to release the scar tissue, allowing the skin to lift.

Post-Treatment Care After subcision, patients are advised to avoid strenuous activities and excessive sun exposure for a short period. Bruising and swelling are common but typically resolve within a week. Applying ice packs and following the practitioner’s aftercare instructions can help speed up recovery.

Considerations and Risks

Suitability Subcision is suitable for most individuals with atrophic scars, but it is essential to have a thorough consultation with a practitioner to ensure it is the right option. The procedure may not be appropriate for those with active acne, certain skin conditions, or a history of keloid scarring.

Side Effects Common side effects of subcision include bruising, swelling, and temporary tenderness at the treatment site. In rare cases, patients may experience more severe reactions, such as infection or uneven skin texture. However, when performed by an experienced practitioner, the risks are minimal.

Multiple Sessions Depending on the severity of the scarring, multiple subcision sessions may be required to achieve optimal results. These sessions are typically spaced several weeks apart to allow the skin time to heal between treatments.

Conclusion

Subcision is a highly effective, minimally invasive treatment for improving facial scarring, particularly for atrophic scars like those caused by acne. By breaking the fibrous bands that tether scars to deeper layers of the skin and stimulating collagen production, subcision helps to smooth out depressions and enhance overall skin texture. With minimal downtime and long-lasting results, subcision is a valuable option for individuals seeking to reduce the appearance of facial scars and achieve a more even, rejuvenated complexion.