Subcision® is a minor surgical procedure for improving the appearance of acne scars. It is also called "subcutaneous incisionless surgery.”Certain acne scars, such as “rolling” or “boxcar” types, have tethering bands below the skin that pull the scar down making it look depressed. Subcision® is a technique that breaks these tethering bands, thereby releasing the scar with new healthy collagen formation. The result is elevation of the scar and improved cosmetic appearance.Subcision® is traditionally performed using a special sharp hypodermic needle (AKA Nokor Needle) inserted underneath the skin surface. In our clinic, however, we use a modified version of Subcision® in which a blunt-tipped cannula (18 or 22 Gauge) is used instead. Studies have shown effectiveness of this modified technique with reduction in risk of hematoma formation and less downtime. Subcision® can be safely performed in the outpatient setting with local anesthesia and it is well tolerated.
The decision to perform Subcision will depend on the type, location, and severity of scarring along with patient preference.
Subcision® is best used for the treatment of rolling and boxcar acne scars and may be used for other types of scars such as from chicken pox.
Subcision® is safe and effective in skin of color.
Two to four visits suffice for most cases of moderate scarring.
The number of sessions required to correct a depression will depend on the type, location, severity of depression, and intensity of treatment.
Intervals of at least one to two months in-between treatments are generally recommended. Subcision is often combined with microneedling during the same session.
There are about 1-3 days of downtime after the procedure. Swelling and numbness from tumescent anesthesia typically resolves in 72 hours.
Bruising and tenderness will resolve in one week. Temporary discoloration (rare) may persist for a couple months. We ask that you apply pressure and ice afterwards. Tylenol is fine for pain relief.
The Acne Center of Michigan was founded to provide acne education and treatment services for the people of Michigan. Combining expertise in dermatology and compassion, we provide a new level of care for our patients.
Monday: 7:30 AM – 4:40 PMTuesday: 7:30 AM – 4:40 PMWednesday: 7:30 AM – 4:50 PMThursday: 7:30 AM – 4:40 PMFriday: 7:30 AM – 1:00 PM