Subcision

A specialized technique designed to improve depressed, pit-like scars such as acne or chickenpox marks. Using a fine needle, the fibrous bands that pull the skin downward are released to smooth and level the surface. It is often paired with fat grafting to reduce re-adhesion and support skin regener
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At a Glance

A quick overview of what your visit feels like — from time in clinic to recovery, comfort, and how long results last. Everything you need to plan your day with confidence.

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Procedure Time

30 - 60 Minutes

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Hospital Stay

Same Day Discharge (Outpatient)

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Anesthesia

Local Anesthesia (most common) or General (if combined)

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Recovery

Redness/Swelling: 2-3 days. Visual Recovery: 7-10 days

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Result Duration

Permanent (Released bands do not re-form, especially with fat graft)

Right for You?
  • You have depressed, pit-like acne scars from puberty.
  • You have chickenpox marks or deep traumatic scars.
  • You do not have a history of keloid (raised) scarring.
  • You do not have an active skin infection.
  • You are looking for a structural solution to smooth out deep skin depressions.
Common Myths
  • "Creams can fix deep pits." → False. Depressed scars are pulled down by fibrous bands; only mechanical release (subcision) can lift them.
  • "The scar will come back." → False. If combined with fat grafting (as mentioned in the text), the spacer effect prevents the scar from sticking back down.
  • "It is extremely painful." → False. It is performed under anesthesia, so the procedure itself is painless, with minimal discomfort afterwards.

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What is Subcision?

Subcision is a specialized surgical technique primarily used to treat depressed or pit-like scars, clinically referred to as epulosis. These skin irregularities frequently develop on the face following inflammatory acne during puberty, although they can also result from other forms of tissue trauma. The procedure involves the use of specially designed cutting needle tips to reach beneath the surface of the skin. By precisely targeting the base of the scar tissue, the surgeon releases the fibrous bands that tether the skin downward. This mechanical release allows the skin to lift, assuming a smoother and more even surface profile. Beyond acne-related marks, this method is highly effective for addressing chickenpox scars, injuries, surgical marks, and even deep-set wrinkles. It is often integrated into broader facial rejuvenation plans to improve overall skin texture and uniformity. Ultimately, the goal is to restore the structural integrity of the skin by breaking the internal structures causing it to appear sunken.

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What are the Procedures That Can Be Combined With Subcision Treatment?

Often, the Adipose Injection and Stem Cell treatment are performed in the same session to increase the effectiveness of subcision treatment and to achieve a more perfect result. Thinned adipose (micro-adipose graft or nano-adipose graft) is applied in order to prevent acne pits whose base has been liberated by subcision to return to their old appearance. The Stem Cell treatment is added to contribute to the regeneration of the skin in the treated areas.

For Which Scars Is Subcision Treatment Suitable?

The subcision treatment is often preferred in the face area for the treatment of acne scars. Besides;

  • It can also be used for acne scars
  • Chickenpox scars
  • Scars from injury or surgery
  • Deep wrinkles.

Who Is Not Eligible For Subcision?

The subcisions cannot be made in people who have active skin infection or are susceptible to abnormal skin scars such as hypertrophic and keloid scar scars.

Is Subcision A Painful Procedure?

The treatment is performed under the local or general anesthesia. After the procedure, it is expected that the redness and swelling will continue for 2-3 days. The pain is minimal after the procedure. Bruising can occur after the procedure, and recovery will occur within 7-10 days, depending on your skin type.

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Subcision is a specialised surgical technique that treats pit-like scars by using cutting needle tips to release the fibrous bands pulling the skin downward. This process effectively opens the bottom of the scar tissue, allowing the depressed surface to rise and align more naturally with the surrounding skin.
We frequently combine subcision with autologous fat injections and stem cell therapy in the same session to provide structural support beneath the skin. This prevents acne pits from returning to their previous state while the stem cells encourage regeneration and improve the overall texture of the treated area.
This treatment is not recommended for individuals currently experiencing an active skin infection or those with a known susceptibility to abnormal scarring. Specifically, patients with a history of hypertrophic or keloid scars are generally excluded from this procedure to ensure optimal skin health and safety.
Patients typically experience redness and swelling for two to three days, while any associated bruising generally subsides within seven to ten days. The procedure is performed under anaesthesia to ensure minimal discomfort, and the skin usually reaches a stable, improved state following the initial week of healing.
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