Subscision with PRP/Filler

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Subscision with PRP/Filler

Subcision is a procedure which releases scars that have become stuck to the deeper tissues and bound down. When a scar forms, new collagen is produced.

What kind of scars does subcision help with?

Subcision helps to improve any condition in which the skin is being pulled downwards by scar tissue. This includes:

Rolling acne scars
Tethered box-scar acne scars

How can I tell if I need subcision?

If you have a lot of rolling or box scars that don’t disappear when you stretch the skin or don’t smooth over when you smile. Subcision, especially full-field subcision, is also helpful when the changes are only very subtle. Even those with very little apparent tethering to their scars may improve with subcision. This is because there is likely to be some tethering contributing to the depressions, and also, the subcision itself may be stimulating new collagen formation.

What is cannula subcision?

Cannula subcision is best for small areas that need subcision. A small hole is made in the skin with a needle. A cannula is carried through the hole to just below the skin. The cannula is used to separate the bands of scar tissue that are pulling the scar down.

How does subcision work?

The most obvious way is by breaking down the fibres pulling the scar down. The physical action of scraping under the dermis is also thought to stimulate new collagen formation, which can help raise scars.

What are the benefits of subcision?

Subcision is the only procedure that can lift scars that have tethered down due to the acne scarring process. It, therefore, improves rolling and boxcars acne scars. The degree of improvement can be in the range of 10-50%.

What are the risks of subcision?

Like any surgical procedure, there are risks which you should be aware of. The risks are fortunately not very common. The main risk is a bruise forming. There can also be bleeding, and a haematoma may result if blood is trapped under the skin.

What is the downtime after subcision?

With cannula subcision, if a small bruise forms, it may take 2 to 7 days to settle. Most people will go back to work the next day following small areas of cannula subcision.

Is subcision ever the only treatment required for acne scars?

Sometimes, a course of subcision alone may be the only treatment needed.
However, subcision will often be part of a treatment plan that includes other treatments. This is because subcision deals with the scars which are bound down and tethered. Other treatments, such as TCA Cross, fractional laser resurfacing, and fully ablative laser resurfacing, can improve atrophic scars and make the skin smoother.

How long do the effects of subcision take to show?

While the results of subcision can be immediately visible sometimes, it usually takes 2 to 4 months for results to be apparent. As the scar tissue continues to remodel, further results can be seen for up to a year after treatment.