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MD-DERMATOLOGIST
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Dermatology
Dr. Annu Priya is a leading Dermatologist and Hair Transplant Specialist in Bhopal, with over 10 years of clinical experience in treating a wide range of ski…
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Subcision is a minor dermatological surgical procedure used to treat depressed scars, especially acne scars. It is also known as subcutaneous incisionless surgery. In this technique, a fine needle is inserted under the skin to break the fibrous bands that pull the scar downward.
These fibrous bands tether the skin to deeper tissues, creating a sunken or uneven appearance. By releasing these bands, the skin lifts upward, improving texture and appearance. Additionally, the procedure stimulates collagen production, which further helps in smoothing the skin over time.
Subcision is commonly used for rolling acne scars, but it may also help with scars caused by injuries, surgery, or infections. It is considered a minimally invasive and effective treatment option in cosmetic dermatology.
Subcision is performed to improve the appearance of scars and enhance skin texture.
• Reduces depressed scars: Lifts sunken scars by releasing fibrous bands.
• Stimulates collagen production: Improves skin elasticity and smoothness.
• Minimally invasive: No major surgery or large incisions required.
• Improves skin texture: Makes the skin appear more even and smoother.
• Can be combined with other treatments: Works well with laser therapy, microneedling, or fillers.
Overall, subcision is an effective solution for patients looking to reduce visible scars and improve cosmetic appearance.
Subcision is suitable for individuals with specific types of scars.
• Patients with depressed or rolling acne scars.
• Individuals with uneven skin texture due to scars.
• People who did not respond well to topical treatments or chemical peels.
• Patients seeking non-surgical cosmetic improvement.
• Individuals with scars caused by injuries or previous surgeries.
However, it may not be suitable for raised scars (keloids or hypertrophic scars) and requires proper medical evaluation before treatment.
1. Pre-Procedure Preparation
The doctor evaluates the skin condition and identifies suitable scars for treatment. The area is cleaned, and local anesthesia is applied to numb the skin.
2. Needle Insertion
A fine needle is inserted beneath the scar, parallel to the skin surface.
3. Breaking Fibrous Bands
The needle is moved in a controlled motion to break the fibrous strands holding the scar down. A slight snapping sensation may be felt.
4. Collagen Stimulation
The body’s natural healing process is triggered, leading to collagen formation and gradual improvement in skin texture.
5. Post-Procedure Care
Pressure or ice may be applied to reduce swelling and bleeding. Patients are given aftercare instructions.
The procedure is typically done in a clinic and does not require hospitalization.
Subcision is a quick outpatient procedure that usually takes 15 to 45 minutes, depending on the number and size of scars.
It is performed in dermatology clinics or cosmetic centers under local anesthesia. Patients can go home the same day and resume daily activities with minimal downtime.
Multiple sessions may be required, spaced a few weeks apart, to achieve optimal results.
Subcision is generally safe, but some side effects may occur.
Common Effects
• Swelling and bruising
• Mild pain or discomfort
Possible Risks
• Infection at the treatment site
• Skin discoloration
• Injury to nearby blood vessels or nerves
Precautions
• Avoid touching or pressing the treated area
• Follow post-procedure care instructions
• Inform the doctor about any medications or skin conditions
• Avoid treatment if there is active acne or infection
Proper care and professional expertise reduce the risk of complications.
Subcision can be used alone or combined with other cosmetic treatments.
• Traditional subcision: Uses a needle to release fibrous bands
• Cannula subcision: Uses a blunt cannula for wider treatment areas
• Combination therapy:
o Laser resurfacing
o Microneedling
o Dermal fillers
o Chemical peels
Combination approaches often provide better results for severe or multiple scars.
Recovery after subcision is usually quick, but mild side effects may persist for a short period.
Patients may experience swelling, bruising, or tenderness for 1–2 weeks, which gradually improves.
Doctors may recommend medications or topical treatments to aid healing. Visible improvement in scars may take several weeks to months as collagen production increases.
Multiple sessions are often required for best results, especially for deep scars.
Maintaining proper skincare and follow-up visits ensures better outcomes.
It is mainly used to treat depressed acne scars and improve skin texture.
It is performed under local anesthesia, so pain during the procedure is minimal.
Usually 3–6 sessions are needed depending on scar severity.
Yes, it is generally safe when performed by a qualified dermatologist.
Recovery takes about 1–2 weeks, with mild swelling or bruising.
It significantly improves scars but may not remove them completely.
People with active acne, infections, or certain medical conditions should avoid it.
Yes, it is often combined with lasers or microneedling for better results.
