Subcision is a minor surgical procedure used for treating deep scars that leave depressions in the skin. This treatment is performed using a special hypodermic needle inserted through a puncture in the skin surface. The sharp edge of the needle is used to break fibrotic strands that are pulling the scar to the underlying tissue. The separation of the fibrotic strands from the scar tissue allow the skin to grow more leveled leading to cosmetic improvement of the scar.
subcision can be combined with other treatments, such as ,Radio Frequency, Dermapen micro-needling, chemical peels and fillers to help smooth out the scar tissue itself and improve skin tone.
What does the treatment involve?
CONSULTATION: At the start of any Subcision treatment a thorough consultation will take place, where our specialized dermatologist will examine your face and discuss with you your specific skin needs and concerns.
PROCESS:The area to be treated is cleansed to remove dirt and make-up.
A topical anesthetic is applied to the skin before the procedure to help minimize any discomfort or pain. Once the numbing has taken effect the doctor will defined with a surgical marker the scar margins.
A Local anesthetic is then injected into the skin.
A sharp edged needle is inserted at an acute angle adjacent to the scar .
The needle is advanced through the dermis and moved back and forth in a fan-like motion.
A snapping sound is heard as fibrous bands are transected in the deep dermis and deep dermal subcutaneous plane.
The needle is rotated 90 degrees and moved again in a fan-like motion through the dermal scar.
The needle is removed and a manual pressure is applied to the wound for several minutes.
TIME: The procedure takes about 30 minutes to a hour.
FINISHING: After the procedure you might notice redness, swelling and bruising for the first few hours after the treatment, this is normal.
NUMBER OF TREATMENTS NEEDED: The number of subcisions required to correct a depression will depend on the type, location, severity of depression, and intensity of treatment. Three to six visits is usually recommended for the majority of cases of moderate scarring. Intervals of at least one month in-between treatments are generally recommended.
Frequently Asked Questions:
DOES IT HURT?
While everyone experiences different levels of pain, Subcision can be safely performed and is usually well tolerated. Anesthetic cream and injections are applied to minimize any discomfort.
WHEN WILL I SEE RESULTS?
Most patients begin to notice an effect immediately after the treatment.
WHO IS NOT A GOOD CANDIDATE FOR SUBCISION?
Subcision may not be suitable for patients
1. With a history of hypertrophic or keloid scars.
2. Bleeding or blood clotting disorders.
3. Active bacterial or viral infections.
ARE THERE ANY SIDE EFFECTS?
Minor swelling, redness and bruising may occur, which will subside after a few hours to a couple of days.
AFTERCARE OF SUBCISION ?
1. Pressure and ice are applied to the operated site to maintain haemostasis and reduce the risk of bleeding.
2. Avoid significant movement or massage of the treated area.
3. Avoid strenuous exercise for 24 hours.
4. Avoid extensive sun or heat for 72 hours.
5.Make-up may be applied to camouflage bruised areas.
6.antibiotics and anti-inflammatory medication may be used while recovering.