Subcision: Which Types of Acne Scars May Be Suitable?
Table of Contents
Depressed scars may be tethered beneath the skin
How does subcision work?
Which scars may be considered for subcision?
When other treatments may also be needed
Changes that may occur after the procedure
How is treatment performed at DATENA Clinic?
1. Depressed scars may be tethered beneath the skin
When looking at depressed acne scars, it is easy to assume that the damage is limited to the surface of the skin.
In some scars, however, firm fibrous tissue beneath the skin may pull the scar downward.
When this tethering is present, the skin may appear broadly depressed, and uneven contours can become more noticeable depending on the direction of the light.
In particular, with rolling scars that appear wide and gently depressed, it may be necessary to assess whether tethering is present beneath the skin.
2. How does subcision work?
Subcision is a procedure that releases the fibrous tissue beneath the skin that pulls a scar downward.
In DATENA Clinic’s Salgyeol Therapy, subcision may also be used to release fibrous bands beneath the scar and create space for the depressed area to lift.
Rather than deciding whether subcision is appropriate based only on the appearance of the skin surface, it is important to assess how strongly the scar is tethered to the underlying tissue.
3. Which scars may be considered for subcision?
Rolling scars are one of the main scar types evaluated for subcision.
Rolling scars can affect a relatively broad area and create gently depressed, wave-like unevenness in the skin.
DATENA Clinic’s treatment materials also describe subcision as a method that may be used for rolling-type scars spread over a broad area or scars around the temples.
However, even scars that appear to be rolling scars can differ in the degree of tethering, depth, and surrounding skin condition. Whether subcision is appropriate is therefore determined after evaluating the individual skin condition.
4. When other treatments may also be needed
It is uncommon for the entire face to have only one type of acne scar.
Wide rolling scars may appear together with narrow, deep ice pick scars or boxcar scars with more clearly defined edges.
Finding | Possible Treatment Direction |
|---|---|
Tethering beneath the skin | Subcision, etc. |
Narrow, deep depressions | Treatment selected according to scar depth |
Firm scars with clearly defined edges | Treatment targeting the scar edges |
Multiple scar types present | Combination treatment based on the individual condition |
At DATENA Clinic, depending on the scar condition, drug delivery using CureJet or UltraPulse Encore CO2 laser treatment may also be used in combination.
5. Changes that may occur after the procedure
After subcision, swelling, bruising, or tenderness may occur in the treated area.
The degree and duration of recovery can vary depending on the treatment area and individual skin condition. If you have an important event coming up, it is advisable to let your medical provider know in advance.
It is also difficult to say that all depressed acne scars will disappear after a single treatment.
The treatment plan may be adjusted over time by reviewing the current scar condition and how the skin responds after treatment.
6. How is treatment performed at DATENA Clinic?
In DATENA Clinic’s Salgyeol Therapy Premium program, subcision may be performed when needed, followed by the delivery of Cellrediem or Juvelook Volume into the dermal layer using CureJet.
Depending on the scar condition, MTS, long-pulsed 1064 nm Genesis laser treatment, or UltraPulse Encore CO2 laser treatment may also be used.
The treatment area is determined after checking whether the depressed areas are affected by tethering and whether other scar types are present at the same time.