Subcision

Subcision

Subcision, short for “subcutaneous incisionless surgery,” is a safe and simple surgical procedure for treating depressed acne scars. These depressed scars are created by fibrotic strands that pull the skin down, creating unsightly indentations. A hypodermic needle is inserted through the skin, which is then moved back and forth in a fan-like motion parallel to the skin. This breaks up the fibrotic strands which hold the scar to the underlying subcutaneous tissue. As new collagen forms, the depressions elevate and the overall smoothness of the skin improves.

Make an appointment

Frequently Asked Questions

Subcision, short for “subcutaneous incisionless surgery,” is a safe and simple surgical procedure for treating depressed acne scars. These depressed scars are created by fibrotic strands that pull the skin down, creating unsightly indentations. A hypodermic needle is inserted through the skin, which is then moved back and forth in a fan-like motion parallel to the skin. This breaks up the fibrotic strands which hold the scar to the underlying subcutaneous tissue. As new collagen forms, the depressions elevate and the overall smoothness of the skin improves.

Subcision is often the preferred treatment for deep acne scars. Microneedling, another common treatment for acne scarring, only penetrates a few millimeters below the surface of the skin. Subcision can be performed on all skin tones, unlike certain laser treatments for acne scarring.

Numbing cream is applied to the area to be treated for approximately 30-40  minutes. Lidocaine injections are then added to the site to ensure the procedure is relatively painless. The needle is inserted adjacent to the site, then a sweeping and fanning  motion is performed underneath the depressed scars. Lidocaine is simultaneously released to increase the space between the layers of skin while decreasing pain.

Patients are sent home with bandages covering the treatment areas. There will be minor bruising and swelling present which will resolve. The sites should be cleaned daily to minimize the risk of infection. Over-the-counter pain medications are recommended for any pain. It is critical that the treatment area does not receive sun exposure for the next several days following laser treatment; wearing SPF50 is recommended.

Most patients can achieve optimal results with 2-3 sessions spaced 3-4 weeks apart. Occasionally even additional sessions are required to achieve the best cosmetic outcome.  Patients may also combine subcision with other acne scarring treatments. If more than one area needs to be treated, patients may opt to treat one area at a time to minimize side effects.

There is a relatively small  risk of skin pigment changes and discoloration including hypopigmentation (lighter than skin tone) or hyperpigmentation (darker than skin tone). These changes are transient and resolve over time.

Our Providers

Dedicated Team

Skin & Laser Dermatology Center treats patients for all skin care concerns, including skin cancer surgery, cosmetic dermatology, sclerotherapy, laser peels, laser hair removal, hyperhidrosis, rosacea, and acne treatments.

Testimonials

Our Clients Say

My eyelid surgery results for the facial wrinkles look very natural. Very skilled dermatologic surgeon.

⭐⭐⭐⭐⭐ – Holly Facebook.com

Dr. Bajoghli always has time for his patients, you never feel that he is rushing you and after you leave if you have any concerns he is very responsive to the point of giving out his cell phone number. I can’t say enough about him and his staff.

⭐⭐⭐⭐⭐ – John Google.com

Nurse Rassmussen answers all of my questions, listens to my concerns, examines my skin, goes over my treatment protocol and gets me out the door quickly, but without feeling rushed, so that I can get on with the rest of my day. I have already recommended this practice to a couple of friends, and I will continue to do so with confidence.

⭐⭐⭐⭐⭐ – Riley Yelp.com

I really appreciate the polite and professional service that Dr. Bajoghli’s practice provides in my dermatologic health. All of his staff make you feel welcome and are concerned for your care. Speaking as someone who neglected his skin care when I was young, I appreciate having a physician who is personally concerned for his patients.

⭐⭐⭐⭐⭐ – Dennis Google.com

Call Now Button