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Subcision for Acne Scars: A Comprehensive Guide

Subcision for Acne Scars: A Comprehensive Guide

Acne scars can be a frustrating and persistent problem for many individuals. While various treatments exist, subcision has emerged as a promising option for addressing depressed acne scars, particularly those on the cheeks. This article delves into the intricacies of subcision, its effectiveness, and considerations for potential patients.

What is Subcision?

Subcision is a minimally invasive procedure designed to improve the appearance of depressed acne scars. It involves using a small, sharp needle to release the fibrous bands that tether the skin to the underlying tissue, causing the scars to appear sunken. By breaking these bands, the skin can lift and become more level with the surrounding area.

How Does Subcision Work?

During subcision, a thin needle is inserted beneath the skin near the scar. The needle is then moved back and forth to sever the fibrous bands. This process creates space for the skin to rise and become more flush with the surrounding tissue. Subcision can be performed on various areas of the body, including the face, chest, and back.

Types of Acne Scars Subcision Can Treat

Subcision is most effective for treating depressed acne scars, including:

  • Ice Pick Scars: These are deep, narrow scars that resemble ice picks.
  • Boxcar Scars: These are wide, shallow scars with sharp edges.
  • Rolling Scars: These are broad, rounded scars that cause the skin to appear uneven.

It is less effective for treating raised acne scars, such as keloid scars.

Effectiveness of Subcision

Studies have shown that subcision can significantly improve the appearance of depressed acne scars. However, the results vary depending on factors like the severity and type of scars, skin type, and individual healing response. Multiple subcision sessions may be required for optimal results.

Benefits of Subcision

  • Improved Skin Texture: Subcision can smooth out uneven skin and make it feel softer.
  • Reduced Scar Visibility: The procedure can significantly reduce the depth and appearance of acne scars.
  • Long-lasting Results: The effects of subcision can last for several years, although some touch-up treatments may be necessary.

Risks and Side Effects of Subcision

Like any medical procedure, subcision carries some risks and potential side effects, including:

  • Bruising: Bruising is common after subcision and typically resolves within a few days.
  • Swelling: Swelling is another common side effect, which usually subsides within a week or two.
  • Infection: Infection is a rare but possible complication. Your doctor will take steps to minimize this risk.
  • Pigmentation Changes: Some people may experience temporary or permanent changes in skin pigmentation.

Subcision Procedure

The subcision procedure is typically performed in a doctor’s office or clinic. It involves the following steps:

  1. Numbing: The treatment area will be numbed with a topical anesthetic or injected with a local anesthetic.
  2. Subcision: The doctor will use a small, sharp needle to release the fibrous bands beneath the skin.
  3. Aftercare: You will be given instructions on how to care for the treated area, including keeping it clean and avoiding sun exposure.

Recovery After Subcision

Recovery time after subcision varies depending on the extent of the treatment. Most people experience mild swelling and bruising that resolves within a few days or weeks. You may need to avoid strenuous activities for a few days.

Cost of Subcision

The cost of subcision varies depending on the size of the treatment area, the number of sessions required, and the location of the clinic. It is important to consult with a qualified dermatologist or plastic surgeon to get an accurate cost estimate.

Conclusion

Subcision is a proven and effective treatment for depressed acne scars. It can significantly improve the appearance of scars, leading to greater confidence and self-esteem. If you are considering subcision, it is essential to consult with a qualified healthcare professional to discuss your individual needs and expectations.