Subcision
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Subcision is a procedure in which a doctor uses a needle to probe under an acne scar, releasing the binding connections of the...

Subcision is a procedure in which a doctor uses a needle to probe under an acne scar, releasing the binding connections of the deeper tissues. This causes a controlled trauma underneath the scar that will lead to wound healing and the formation of new collagen, helping to even the sunken scar with the skin’s surface.

This procedure is normally repeated 1-3 times in 2-week intervals, and you should see gradual results with each session. And after your last session, your skin should continue to improve.

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23.1%
4
26.9%
3
25%
2
13.5%
1
11.5%

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March 21, 2008

Pros:

actually works

Cons:

bloody

I went ahead and purchased 100 nokor needles and have been doing my own subcision. This is serious stuff. Dificult positions and bloody etc. I can tell it works but I think best left to a surgeon.
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January 20, 2008

Pros:

Surgiwire and Wire Scalpel are two products used to perform subcision.

Cons:

from what I've read, complications can range from hypo/hyperpigmentation, scaring (reduced with new procedures) and bruising that can range from 1-4 weeks. Keep in mind everyone reacts differently.

I've had a hard time finding Doctors that perform said procedure. ASK QUESTIONS! Make sure your physician is qualified and experienced. Also...I would avoid fat transfers. There isn't any controlling how much fat takes..or where. I had fat transfer done years ago...and the dr. truely made things worse. Although, it's not noticeable to anyone but me...it's bothersome. Fat CANNOT be removed for fear of causing facial paralysis. Just factors to keep in mind. Subcision appears to work on rolling scars and deep wrinkles. Google the brands given above, and they'll show you how operation is performed. Possible to use fillers after tx. To avoid the flesh to reattach with depression. Fillers absorb over time. The Dr. I found, performs the procedure at $700 base, and $100 per extra area performed. I will have more information once I see the physician that performs the operation. That's in about 4 days. Good Luck
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January 11, 2008

Pros:

Effective for boxscar

Cons:

Open-wound for a few days but fade quickly

It doesn't hurt although it left some mark for a few days. Very effective and I would say my scar improved at least 60%. Highly recommneded.
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December 19, 2007

Pros:

Improves shallow, rolling scars a lot, esp paired with a laser treatment soon after.

Cons:

The marks left from it take a while to fade (at least on asian skin).
They look like acne in the beginning and then take as long as acne to fade. (hyperpigmentation)

Overall, a good treatment. Just expect to look like you have acne again for a while afterwards.
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November 4, 2007

Pros:

regain confidence

Cons:

none

I have been performing subcision myself to 2 depressed rolling scars on my forehead and nose. I have done the procedure about 4 times now, and each time there has been an improvement..to the extent that the one on my nose is not now noiticeable with makeup. It was a case of trial and error, I dont think I was doing it right the first couple of times, as I didnt hear the'clicking' sound that you are supposed to hear. I would recommend this procedure absolutely.
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September 14, 2007

Pros:

No downtime. Heals quickly

Cons:

I noticed a very slight improvement after 3 treatments

Everyones skin accepts treatments differently. What works well for some may not work for others. Hard to find a good Doc in CT willing to even attempt to help, especially scaring on the back!
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August 3, 2007

Pros:

actually work for some of my ice pick, but not really

Cons:

made most of the scars on my face a lot worst, i cant even stand to look at people in the face any more, cause my nose got soo mess up people start looking at me all weird, made my scars a lot worst.

bottom line is that it is too risky to take a chance to either make your scars a little better or a lot wrost
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June 27, 2007

Pros:

My indented scar is flat again

Cons:

Bruising

I had this performed three days ago, and although I've heard you often need multiple treatments I am THRILLED with what I see now! I had one indented scar on my chin, it looked like a dimple - fairly shallow and I could cover it with make-up, but enough to really bother me. The area is still bruised, but the scar is completely flat now, with no indenting at all. This might be the swelling that comes along with the treatment, but after all it's been 3 days! I am SO glad I did this - I went to another derm who tried to sign me up for VBeam and Restylane, which total would have been about $1000. This is much cheaper, and did EXACTLY what I wanted, which was to heal a scar that had healed improperly in the first place. So I say try subcision! If it doesn't work out for you, you can always go back for pricier treatments.
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December 26, 2006

Pros:

cheap and affective

Cons:

takes time and bruising

I have been doing subcision on myself for a few months. It actually doesnt really hurt as the scar tissue has no nerves. One neednt go so deep either. This and rose hip seed oil. DMSO for the bruising and weekly saline injections. There has been a 50% improvement and it seems to get better on its own. People have commented on the improvement. Rose hip seed oil gives a nice tan like cover which is more natural than the sunless tanning I have used. I grind down a X-acto blade to 1/8" and use a fresh one each time.
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October 30, 2006

Pros:

very cheap cheap

Cons:

painfull risk of infection so take keflex or other antibiotic for staf ect

start with piston motion n go to sweaping motion when resistens lessons. dont go to wide or donut/pin coushon could form. free neddles for junkies at chem/hospital in oz dont know about yours. clean area well first and wipe with swobs that come with needles. havent tried it myself but that is how it is done. im a seeing a derm/ps in 2 months keep u all posted.
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Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
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