Subcision — Procedures

Category: Procedures

A procedure using a needle to sever fibrous tethers beneath depressed scars to lift them

What is Subcision?

A procedure using a needle to sever fibrous tethers beneath depressed scars to lift them

Effective for rolling and boxcar scars. Results are maximized when combined with fillers or fractional laser.

Main causes & characteristics of Subcision

Subcision is known as a procedure in which a specialized needle is used to release the fibrous bands beneath depressed scars that pull the skin downward, allowing the skin to rise. When acne or similar damage injures the dermis, fibrous tissue forms and tethers the skin downward, fixing the depression in place. Releasing these tethers is the proposed mechanism by which scars may become less pronounced. It is frequently considered in the management of rolling and boxcar-type atrophic scars.

Managing Subcision

Bruising and swelling are common after the procedure and typically subside over 1–2 weeks. Combining subcision in stages with fillers or fractional laser (e.g., Fraxel) may help improve management outcomes. Since suitability varies depending on the depth and type of scar, the number of sessions and any combination treatment plan should be decided in consultation with a dermatologist.

Related information

Subcision is frequently mentioned alongside fractional laser, CO2 laser, and fillers as part of a scar management combination. Unlike surface-targeting lasers, subcision approaches the underlying structure of the scar, and the two modalities are often described as complementary.

Everyday care tips

Because bruising is possible, it is advisable to avoid scheduling the procedure 1–2 weeks before any important events. Take care not to rub the treated area vigorously for a few days after the procedure. If scars are severe or recurring, consulting a dermatologist is recommended.

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Frequently Asked Questions (FAQ)

What is Subcision?
A procedure using a needle to sever fibrous tethers beneath depressed scars to lift them Subcision is known as a procedure in which a specialized needle is used to release the fibrous bands beneath depressed scars that pull the skin downward, allowing the skin to rise. When acne or similar damage injures the dermis, fibrous tissue forms and tethers the skin downward, fixing the depression in place. Releasing these tethers is the proposed mechanism by which scars may become less pronounced. It is frequently considered in the management of rolling and boxcar-type atrophic scars.
Managing Subcision
Bruising and swelling are common after the procedure and typically subside over 1–2 weeks. Combining subcision in stages with fillers or fractional laser (e.g., Fraxel) may help improve management outcomes. Since suitability varies depending on the depth and type of scar, the number of sessions and any combination treatment plan should be decided in consultation with a dermatologist.

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Medical Disclaimer

SKINROUTE is not a medical device. All content is provided for general skincare information purposes only and does not replace medical diagnosis or treatment. If you suspect a skin disease, please consult a board-certified dermatologist.