Subcision — Clinic Care

Category: Clinic Care

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An in-clinic method using a needle to sever fibrous tethers beneath depressed scars to lift them

What is Subcision?

An in-clinic method 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.

Overview & characteristics

Subcision is known as an in-clinic method 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.

How to manage

Bruising and swelling are common after the session 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 combined care plan should be decided in consultation with a dermatologist.

Good to know alongside

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 session 1–2 weeks before any important events. Take care not to rub the care area vigorously for a few days after the session. If scars are severe or recurring, consulting a dermatologist is recommended.

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Frequently Asked Questions (FAQ)

What is Subcision?
An in-clinic method 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.

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Medical Disclaimer

SKINROUTE is not a medical device or healthcare provider. All content is general skincare information for reference only. If you have concerns about your skin, please consult a board-certified dermatologist.