Athena Skin Hair & Dental Clinic

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Subcision

Subcision

What is Subcision

Subcision is a minimally invasive surgical procedure used to treat depressed scars, such as acne scars, surgical scars, and wrinkles. It is particularly effective for atrophic scars, which are caused by a loss of collagen beneath the skin. The procedure involves using a small needle or cannula to break fibrotic strands that pull the skin down, allowing natural healing and collagen production to smooth out the skin’s surface.
Subcision is a safe and effective treatment for depressed scars, offering long-term improvements in skin texture and appearance.

Symptoms Indicating the Need for Subcision

Subcision is recommended for individuals experiencing:

  • Acne scars: Rolling, boxcar, and tethered scars.

  • Wrinkles and fine lines: Caused by loss of collagen.

  • Traumatic or surgical scars: Depressed and fibrotic scars.

  • Cellulite dimples: Skin indentations due to fibrous bands.

  • Skin depressions: Resulting from injury or previous skin conditions.

Causes of Depressed Scars

Depressed scars and wrinkles develop due to various reasons, including:

  • Severe acne: Chronic inflammation damages skin tissue.

  • Surgical wounds: Poor healing can cause tethered scars.

  • Trauma or injury: Leading to fibrotic tissue formation.

  • Aging: Loss of collagen and elastin contributes to skin laxity.

  • Cellulite: Fibrous septae pulling down the skin.

Subcision Procedure: Step-by-Step

1. Consultation and Assessment

A dermatologist or cosmetic surgeon assesses the scar type, depth, and suitability for subcision. Other treatments may be combined for optimal results.

2. Preparation

  • The treatment area is cleansed and marked.
  • Local anesthesia is applied to ensure comfort.

3. Subcision Process

  • A specialized needle or blunt cannula is inserted beneath the scar.
  • The fibrous bands tethering the skin are broken.
  • Small blood vessels rupture, triggering collagen production and healing.
  • The process is repeated across affected areas.

4. Post-Procedure Care
Antibiotic ointments and mild pain relievers may be prescribed.
Ice packs help reduce swelling and bruising.
Avoid excessive sun exposure and strenuous activities for a few days.

Treatment Options and Complementary Therapies

To enhance subcision results, the following treatments may be combined:

  • Microneedling: Stimulates collagen for better texture.

  • Laser therapy: Smooths out surface irregularities.

  • Dermal fillers: Adds volume to deeper scars.

  • Platelet-Rich Plasma (PRP) Therapy: Accelerates healing and collagen production.

Prevention of Depressed Scars

While some scars are unavoidable, certain measures can reduce the risk:

  • Early acne treatment: Prevents deep scarring.

  • Proper wound care: Keeps injuries from healing improperly.

  • Use sunscreen: UV exposure worsens scars.

  • Healthy lifestyle: A balanced diet, hydration, and skincare maintain skin elasticity.

Recovery and Healing Time

  • Initial Healing: Swelling and bruising subside in 5-7 days.

  • Collagen Remodeling: Takes 4-8 weeks to show visible improvement.

  • Multiple Sessions: Severe scars may need 2-4 treatments, spaced 4-6 weeks apart.

  • Final Results: Can take up to 6 months as collagen rebuilds.

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