Subcision Medical Technique for Acne Scar Management
Subcision is a medical procedure designed for acne scar management. It utilizes specialized needles inserted beneath the skin to cut and release fibrous bands tethering the skin downward. Once the fibrous bands are released, the skin lifts, allowing acne scars to appear shallower and the overall skin texture to look smoother. This method is particularly suitable for rolling scars anchored by underlying fibrous tissue. At Mediqueen Clinic, this procedure is performed by a licensed physician (Medical License No. 37670) who evaluates and formulates an appropriate treatment plan for each individual.
Key points
- Subcision uses specialized needles to release sub-dermal fibrous bands pulling down acne scars.
- Suitable for individuals with deep acne scars held down by fibrous tissue.
- Bruising or hematoma may occur after the procedure and will gradually fade on its own.
- Can be combined with other procedures, such as lasers, to enhance treatment outcomes.
- Should be performed under the supervision of an experienced physician for safety and proper results.
Working Principle of Subcision
Subcision is a long-established and medically accepted technique. The physician inserts a small, specialized needle with a sharp cutting edge—known as a 'Nokor Needle'—beneath the skin layer at the scar area to carefully sever the fibrous bands pulling the skin downward.
Once the fibrous bands are severed, the skin area is released from downward tension, allowing it to elevate closer to its normal surface level. Additionally, the needle insertion process stimulates the body's natural wound-healing response to produce collagen and new tissue beneath the skin, resulting in a gradual and natural shallowing of acne scars. Individual results may vary depending on skin condition and response.
Subcision Procedure Steps at Mediqueen Clinic
1. **Skin Assessment:** The physician evaluates the type and severity of acne scars to formulate a personalized treatment plan.
2. **Skin Preparation:** Staff cleanses the facial skin and applies topical anesthesia to the treatment area for approximately 30–40 minutes. Local anesthetic injections may also be administered in certain cases to minimize discomfort.
3. **Procedure Execution:** The medical specialist performs Subcision by carefully releasing the fibrous tissue beneath the scars using a needle. Cold compresses are applied during the procedure to help reduce swelling and bleeding.
4. **Post-Procedure Care:** Small needle marks and mild redness may appear following the procedure. Cold compresses can be continued to soothe swelling. The physician provides post-care instructions and schedules a follow-up appointment.
Self-Care Guidelines After Subcision
Proper self-care following Subcision is essential to support skin recovery and reduce the likelihood of undesirable side effects. Mild to moderate purple bruising typically persists for 3–7 days and gradually resolves on its own.
• **First 12 Hours:** Avoid washing the face, applying skincare creams, and wearing makeup.
• **First 2–3 Days:** Sunscreen application may resume on the following day, but refraining from makeup is still recommended.
• **First Week:** Avoid products that may cause skin irritation, such as acne treatments, exfoliating agents (AHA, BHA), or Retinoids.
• **Skin Nourishment:** Focus on applying moisturizing and soothing skincare products.
• **Precautions:** Abstain from alcoholic beverages for the first 2 days, avoid strenuous exercise, face scrubbing, facial massage, or laser treatments, and strictly avoid intense sun exposure for at least 1 week.
FAQ
Which type of acne scars is Subcision suitable for?
Subcision is particularly suitable for rolling scars, which appear as broad depressions with sloping edges tethered by underlying fibrous tissue, giving the skin an uneven or wavy appearance.
Will there be bruising after Subcision?
Bruising or hematoma is a common and expected response following Subcision, as a needle is used to cut sub-dermal fibrous bands. Bruising typically fades naturally within approximately 7–10 days, depending on individual skin response.
How many Subcision sessions are required to notice changes?
The number of required sessions depends on the depth and severity of the scars as well as individual skin response. Generally, a physician may recommend multiple consecutive sessions for noticeable improvement, often combined with complementary treatments to optimize overall results.
⚠️ Results vary by individual · general information, not personal medical advice · please consult a doctor before deciding.
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