Subcision for Acne Scars

Subcision for Acne Scars

Subcision is a minimally invasive procedure used to treat depressed (sunken) acne scars, especially rolling and boxcar scars. These scars form when fibrous bands pull the skin downward during healing. Subcision works by releasing these tethered scars and stimulating new collagen formation, allowing the skin to rise and appear smoother over time.

It is often combined with other treatments such as microneedling, PRP, laser, or dermal fillers for enhanced results.

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Who Is a Good Candidate?

You may be a good candidate for subcision if you:

• Have depressed acne scars (rolling or boxcar scars)
• Are in good general health
• Do not have active acne infections in the treatment area
• Do not have bleeding disorders or poor wound healing
• Are not pregnant or breastfeeding
• Have realistic expectations about gradual improvement rather than instant perfection

Subcision is not suitable for:

• Raised (keloid or hypertrophic) scars
• Active cystic acne
• Skin infections at the treatment site

A consultation at Jalad Aesthetic Clinic is required to assess scar type, skin condition, and treatment suitability.

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What the Procedure Involves

1. Preparation
   The skin is cleansed and disinfected. Local anaesthetic is applied or injected to ensure comfort.

2. Subcision Technique
   A sterile needle or cannula is inserted under the scar.
   The practitioner carefully breaks the fibrous bands anchoring the scar to deeper tissue.

3. Collagen Stimulation
   The controlled trauma encourages the body to produce new collagen, helping the skin lift and smooth over time.

4. Optional Combination Treatments
   Subcision may be combined with:

• PRP (platelet-rich plasma)
• Dermal fillers
• Microneedling or laser treatments

Procedure time: approximately 30–60 minutes depending on the number of scars treated.

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Recovery and Aftercare

• Swelling and bruising are common and expected for 3–10 days
• Mild tenderness or firmness may occur under the skin
• Small puncture marks may be visible for 24–48 hours
• Most patients return to normal activities within 2–3 days

Aftercare instructions typically include:

• Avoid makeup for 24 hours
• Avoid strenuous exercise for 48 hours
• Apply cold compresses if advised
• Avoid sun exposure and use sunscreen
• Do not massage or press the treated area unless instructed

Full healing continues over several weeks as collagen forms.

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Results

• Initial improvement may be seen once swelling settles
• Final results develop gradually over 4–12 weeks
• Most patients require 1–3 sessions spaced several weeks apart
• Skin texture becomes smoother and scars appear shallower
• Results are long-lasting due to collagen remodeling

Subcision significantly improves scar depth but does not erase scars completely. Combination therapy often provides the best outcome.

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Possible Risks and Complications

Subcision is generally safe when performed by trained professionals. Possible side effects include:

• Bruising and swelling
• Temporary pain or tenderness
• Infection (rare)
• Hematoma (blood collection under skin)
• Temporary lumps or firmness
• Post-inflammatory hyperpigmentation, especially in darker skin types
• Very rarely, nerve or vessel injury

At Jalad Aesthetic Clinic, strict sterile techniques and proper assessment are used to minimize risk.

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