Subcision

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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Eligible Candidates for Scar Correction

‍Ideal candidates for subcision are individuals seeking to improve the appearance of indented skin irregularities, such as those caused by acne or childhood chickenpox. This also includes patients with scars resulting from previous surgeries or those with deep-set facial wrinkles. However, the procedure is not suitable for individuals currently experiencing active skin infections in the target area. Furthermore, those with a known susceptibility to abnormal scarring, such as hypertrophic or keloid scars, are generally ineligible for this technique. A thorough medical evaluation is necessary to confirm that the patient's skin type and condition are suitable for the intervention.

Combined Treatments and Regenerative Outcomes

‍To achieve a more perfect result, subcision is frequently combined with adipose injections and stem cell therapy in the same session. Once the base of the scar is released, thinned adipose tissue—specifically micro-adipose or nano-adipose grafts—is applied to fill the void. This application is essential to prevent the newly liberated scar from re-tethering and returning to its original appearance during the healing phase. Additionally, stem cell treatments are incorporated to promote skin regeneration and improve the quality and moisture of the treated area.

Procedural Experience and Recovery Milestones

‍The treatment can be performed under either local or general anesthesia, ensuring maximum patient comfort throughout the procedure. Post-operative pain is typically minimal, though patients should expect localized redness and swelling for approximately two to three days. Bruising is a common side effect of the release process, with resolution typically occurring within seven to ten days. The specific duration of recovery often depends on the individual’s skin type and the complexity of the scars being treated.