SUBCISION FOR ACNE SCARRING
Subcision is a simple and safe procedure for treatment of depressed acne scars. It can easily be combined with other treatments such as laser, dermaroller and scar revisions for maximum efficacy. Subcision is a procedure where a needle with a sharp blade is inserted into the skin to cut the scarring attachments that cause the surface of the skin to dimple
The procedure is done using an 18 gauge needle. This needle is a modified needle that has an arrow tip and sharp blade that can be used to cut through the second layer of the skin (the dermis). After identifying the acne scars to be treated, the area is mapped and anesthetized with topical numbing cream and local lidocaine injections. The needle is inserted into the skin at a 80 degree angle and a back and forth “jabbing” motion and side to side “windshield wiping” motion is used to cut the scars in the dermis that pull down the surface of the skin.
Subcision may hurt a little, but every effort is made to make sure the area is numb prior to the insertion of the needle. Most patients don’t feel anything except the numbing procedure.
Subcision has very minimal side effects. After the procedure, you may experience bruising and soreness.The risk of infection or prolonged pain is minimal, but should be noted as well.
Subcision is best used for rolling acne scars rather than ice pick or sharp angle / pitted acne scars. For ice pick or sharp angle / pitted scars, punch excision and laser resurfacing are the best options.
Most patients require anywhere from 3-6 subcision treatments. After the third treatment, you can see evident difference as the collagen in that area starts building up.