Many procedures for combating acne scars have developed through the years. This article is about one of these: subcutaneous incision (or subcision as it’s commonly known).
As is always the situation, consultation with a trained and certified medical expert is a must. Not just the acne scars themselves decide what’s required. Type of skin, the sort of scarring, time and money costs – all of these things affect which treatment is the best for you. Since an experienced pro has…experience, they are able to help make suggestions.
Subcision is used to break up the fibrous bands that cause rolling scars. This is done with a special surgical needle (or even scissors in some cases). They are inserted just under the skin. Staying in the plane between the dermis and the subcutaneous tissue, the needle is gently moved back and forth, helping level a scar by detaching/untethering the actual scar from the tethering bands. The blood which forms below the scar will actually help level it as well.
Before the subcision procedure, the spots getting treatment are frozen by means of a local anaesthetic. Your dermatologist may only need to make a few entry points in order to access all the scars. After the fibrous bands are severed, pressure gets applied to cut down on swelling and bruising. Expect the whole process to take 40 to 50 minutes.
As a fair amount of anaesthetic is used, you may have a bit of “brain fog” for a while afterwards and your dermatologist should ask to you rest and wait a bit before you leave. If you have a particularly nice dermatologist you may even get a cup of tea.
You can expect swelling and bruising for about 2 weeks. It is important to realize that it’s likely that you will need more than one treatment. After treatment, you will see how the former depressions have lifted up closer/to the level of most of the skin. However, evenness of the skin surface is not an instantaneous result. It will need some time before the complete improvement is totally evident. Its healing would be much much like a normal wound healing.
So, now you know a bit more about subcision, and – “Knowing is half the battle!”
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