The hard fibrous bands that pull the skin down are cut and released beneath the skin with a fine, special needle. The scar rises towards the surface, the skin looks more even and new collagen formation is triggered over time. The greatest advantage of subcision is that it gives an immediate visible improvement and also supports the skin's own repair in the long term.
When Is Subcision Recommended?
Subcision is most often chosen for depressed acne scars. Deeply tethered scars that pull the skin and create a pitted look improve noticeably. Rolling and boxcar scars respond particularly well. It is also highly effective for pitted scars after injury and for band-like adhesions that distort the skin's natural structure. For all scars deeper than superficial ones, subcision provides a strong transformation, alone or combined with other treatments.
How Is the Treatment Performed?
The area is first numbed with local anaesthesia. A special needle is then inserted beneath the skin to cut the bands pulling the scars down. During this the skin rises slightly and the pitted look diminishes immediately. The whole procedure takes about 15 to 30 minutes, and you can return to daily life the same day. Combined with PRP, filler, Dermapen or laser, subcision gives stronger and longer-lasting results.
Advantages of the Treatment
Subcision is regarded as one of the most effective methods for pitted scars. As the bands holding the scars are released permanently, results are long-lasting. The skin surface becomes smoother and more even. Thanks to new collagen production, the skin keeps getting stronger in the months after treatment. Because it creates a natural healing mechanism, your expression does not change. The short recovery time is another reason it is so popular.
Recovery
Bruising and swelling may last a few days after treatment. This is completely normal and fades quickly as the skin recovers. The main improvement becomes clear within one to three months as the skin starts producing new collagen. Depending on scar depth, even a single session can give satisfying results; deeper scars may need a protocol of several sessions.
Enhancing Subcision With Combined Treatments
Although subcision is powerful on its own, combined treatments can be chosen for even clearer results in some skin types. When PRP, Dermapen, fractional laser or filler follow the release of the bands, healing is faster and the skin's capacity to rebuild increases. Such combinations are especially effective for deep scars that have persisted for years. The combined protocol is planned individually according to your scar type, skin thickness and needs, for a natural and lasting improvement.
Who Is It Suitable For?
Subcision is ideal for people whose skin texture has been affected by permanent acne scars. It is highly successful in people who have tried other treatments without sufficient results. It suits anyone in good general health without an active infection. During pregnancy or with serious skin disease, a doctor's assessment is required first.
Frequently asked questions
Is subcision painful?
It is performed under local anaesthesia, so pain is minimal. There may be mild tenderness afterwards, which eases quickly.
How many sessions are needed?
It depends on the depth of the scars, but one to three sessions are enough for most people.
When are the results visible?
The first effect is noticeable immediately after the procedure. Lasting results appear within one to three months.
Can it be combined with filler?
Yes. Filler in the same session in particular helps the scars heal more evenly.
Results vary from person to person. Whether this treatment is right for you is decided together with our specialist at your consultation.
