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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June 8, 2010

Pros:

Works very well on some scars. I got over 50% improvement for some of the scars. Can be combined with laser or filler for additional improvement. Works best on rolling scars that do not flatten when stretched.

I highly recommend this treatment if you have rolling scars.

Cons:

Long downtime (7-10 days)
Possible lumpy area at treatment spot (though rare)
Does not work on ice picks
Doctors tend to miss some scars so make sure you point them all out or mark them with a pen before

Overall it is a great scar treatment for rolling scars. It is not perfect though but I think this is the best treatment for rolling scars at the moment. Make sure you do your homework on it and find an experienced doctor. The price I paid if for the entire face. If you have the downtime, money and rolling scars, I highly recommend it.
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September 16, 2009

Pros:

made one of my rolling scars better, and made general area smoother

Cons:

next to my larger rolling scar i have a line-like depression that was not there before

So subcision did help my skin but I have a line-like depression scar that was not there before...It has been 3 months since procedure and skin is maybe 30 % better...but the new line scar pretty much makes me think that cancels out the improvement. Doctor did say it would take a few times to get maximum results and mentioned lasering down the area afterwards but we didn't do it first time. So i have to go for another round of subcision or geta dermal graft to correct line. The doctor was skilled but I don't think itw as completely his fault that the line happened to I can't hate on the procedure. Just get your expectations down up front.
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June 13, 2009

Pros:

It definitely helped one scar a lot (so far--assuming it doesn't go down ;-). But the other scars have been more stubborn. But I am optimistic.

Cons:

Requires having it done more than once; Is expensive ($700 each time); So far (knock on wood), I don't think this has worsened any of my scars.

I just had my 3rd round of subcision performed today. I see more scars than my derms seem to (want to) see (or treat!), and I do wish they would treat all of my scars, not just the most glaringly obvious. But the derm said to me today, "I can't treat something I can't see." I understand that, but it does depend on the lighting, and the uniform florescent doctors' offices' lights don't hit the face at that awful angle that brings out all the scars on the sides of the face. So, if you can find a caring, experienced, patient dermatologist who is willing to spend time on and with you, who doesn't think you're being nit-picky when in fact you are the patient who is paying hundreds of dollars for the treatment, then I would recommend seeing that doctor. I have been to supposedly the "best", but since one gentleman pushed injections and the other treated all of my scars in less than 2 minutes flat, I think it's hard to know who to go to. I am making the rounds.
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April 13, 2009

Pros:

my scars are practically gone.

Cons:

I paid $850 for the treatment. I believe this can be done a lot cheaper. Doctor said it would be about 4 days downtime. I believe you need at least 6-7 days.

Thur I had first subcision followed by fraxel laser. After reading the internet for 3 weeks straight, I decided to do the procedure. I was a little nervous, because I have literally tried everything. When I say everything, I have really tried it all...microdermabrasion (about 12-25), pixel laser (about 7-8), Yag laser (had about 10-15 shots in my face), the palomar laser (about 5-6). I have tried it all and spent a lot of money doing it. I remember one dermatologist telling me as long as it took you to get these scars, it will probably take that long to remove them. Well, he was right and wrong. Everyone who is trying to get rid of acne scars, please believe me when I tell you that no laser will work unless you raise the scar. Unless you have very superficial scarring, laser will be a WASTE of money. Day 4, I have on makeup, because of the fraxel procedure. I can already see an improvement. I may opt for another round of both, but I am leaning towards palomar laser on
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mr.wantsgreatskin
November 3, 2016
you didn't mention anything about subcision
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April 7, 2009

Pros:

Works well with an experience physician and multiple treatments. Meant to be used on individual scars as first step before fillers or laser/dermabrasion.

Cons:

Bruising & swelling, but can mostly be covered with makeup.

It's worth trying to improve your larger/more noticable scars.
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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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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.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
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Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

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Red flags:

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