Treats depressed acne scars through small needle cuts hat cut fibrotic strands allowing for the skin to rise.

Acne Scars

Erin Storm, PA-C

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Acne Scar Treatment: Subcision

Subcision addresses depressed acne scarring. Unlike dermabrasion which treats scars by abrading them away, subcision reduces the appearance of scarring from the underneath the skin's surface. Other methods for treating skin indentations caused by previous acne include dermal fillers however the effects are only temporary. 

During the procedure, individual scars will be treated using a tiny, hypodermic needle that will be inserted into the skin. The needle will be moved back and forth in a fanning pattern as the sharp edges of the needle will be used to cut away at the fibrotic scar tissue. These cuts effectively release the tethers of the scar from the underlying tissue. This release elevates the previously depressed skin and will continue to improve as the wound healing cascade will stimulate further collagen production. Providers will be cautious around sensitive areas such as the eyes and mouth to avoid injury of facial nerves and vessels. If many scars need to be treated, treatment will be divided into multiple session.

Acne Scar Treatment

Skin

subcision 1

- Stop using Retin-A or other exfoliating creams 1 to 3 days prior
- No tanning and waxing for at least 1 week
- Postpone treatment if you have recently had a laser resurfacing treatment, chemical peel, dermal filler injection, or used Accutane

Before Treatment

subcision 2

- Treatment area will be swollen
- Bruises may appear

Immediately After Treatment

subcision 3

- Swelling will subside after 2-3
- Bruising is common for 7-10 days however can be covered with makeup
- Most patients are able to return to work immediately after treatment

1-10 Days After Treatment

subcision 4

Results from subcision may be apparent immediately after treatment but will continue to improve. Most patients will only treat one area of scarring at a time to reduce side effects. Treatments are spaced out 1 month apart over the course of 3 months to 2 years depending on the needs of the patient. 

Continued Treatment

Subcision improves the appearance of depressed acne scars by releasing the fibrotic tissue that pulls down the skin and creates the indentation. Here is a quick guide for what to expect before, during, and after treatment with subcision. 

Subcision for Acne Scars

Subcision for acne scars is a minor surgical procedure to smooth out depressed acne scars.

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Acne Scar Treatment: Subcision

Concerns Treated

Acne Scars

Concerns Treated

Acne Scars

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Acne Scar Treatment: Subcision

Concerns Treated

Acne Scars

Concerns Treated

Acne Scars

Discover science-backed solutions from AEDIT Medshop

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Acne Scar Treatment: Subcision in The AEDITION