Acne Scar Subcision is a simple procedure to help with treating deep facial scars (especially rolling and boxcar scars) that resulted from severe acne. Its aim is to improve depressed scars resulting from acne scarring or any scar resulting from trauma or surgery that is depressed below the skin level. The creation of a new scar beneath the depressed scar combined with transection of the fibrous tissue to underlying tissue results in an elevation of the scar. This procedure can be performed on single depressed lesions or on a multiple acne scars of the face in one sitting.
During a subcision procedure, areas of acne scars are marked and then numbed with local anesthesia. A special needle/blade is used to create a pocket beneath each scar that releases any tethering and creates new scar tissue below the depressed scar. The resultant action during the healing process is to elevate the depressed scar. It is not uncommon to see a 20-30% or more improvement of each scar with a single subcision treatment.
Each treatment takes between 30-45minutes, depending on the extent and type of scars.
Bruising and mild swelling may be observed 4-7 days following the procedure. It is important to follow post-treatment care instructions and compliance to prescribed skin products to ensure optimum healing of the skin.
Typically, several sessions of subcision (alone) are required to achieve satisfactory results. The combination of subcision with Smartxide2 DOT/RF CO2 laser (HIGHLIGHT) has proved to be the most effective/gold-standard acne scar treatment to date. In some cases of severe scarring, dermal grafting/fillers can be combined with subcision to create a more satisfactory correction.