What is Subcision? How It Helps Treat Acne Scars

Subcision is a minimally invasive dermatological procedure designed to treat certain types of atrophic acne scars, particularly rolling scars and some boxcar scars. These scars are caused by fibrous bands of tissue (tethers) that pull the skin downward, creating a depressed and uneven appearance. Subcision works by mechanically releasing these tethers, allowing the skin to lift and smooth out naturally.

Besides acne scars, subcision may also help reduce scars caused by chickenpox, wounds, or surgery.

How Does Subcision Work?

Mechanical Release of Fibrous Bands

• A specialised needle or cannula is inserted into the skin, parallel to the surface.
• The tool is carefully moved back and forth beneath the scar to break up the fibrous bands (collagen tethers) that are pulling the skin downward.
• Once released, the depressed area can lift, resulting in a smoother, more even skin surface.

Stimulation of Collagen Production

• The controlled trauma from the procedure triggers the body’s natural healing response.
• New collagen and elastin are produced, gradually filling in and improving the appearance of the scar over time.

Improvement of Blood Flow

• Subcision increases blood flow to the treated area, promoting faster healing and better overall skin quality.

Risks and Side Effects

• Bruising and Swelling: Common but temporary side effects.
• Pain or Discomfort: Typically mild and manageable with local anaesthesia.
• Infection: Rare if proper aftercare is followed.
• Scarring: Uncommon when performed by a trained professional.
• Uneven Results: Some cases may require multiple sessions for best outcomes.

Combination Treatments for Enhanced Results

Subcision is often paired with other aesthetic treatments to maximise improvements, such as:

• Dermal Fillers: Instantly lift the scar after tether release.
• Laser Resurfacing: Improve skin texture and tone.
• Microneedling: Further stimulate collagen production.
• Chemical Peels: Exfoliate and refine the skin’s surface.
• Skin Boosters (e.g., Polynucleotides): Promote deeper collagen regeneration and tissue repair.

Combining treatments offers a comprehensive approach to addressing both the depth and texture of acne scars for smoother, more radiant skin.

Ready to take the first step toward smoother, scar-free skin? Book your personalised consultation at Luna Clinic today and let our expert doctors craft the perfect treatment plan for you.