Acne scars can often linger long after active breakouts have cleared, leaving behind textural irregularities that can impact one’s confidence. Among the many treatment options available today, subcision (also spelled subscission) has gained recognition as an effective method for treating certain types of depressed scars. If you’ve been searching online for a “skin specialist near me” or considering consulting a dermatologist in Dadar, this blog will walk you through everything you need to know about subcision from a dermatologist’s point of view.
What Is Subcision?
Subcision is a minor surgical procedure used to treat atrophic or depressed scars, particularly rolling acne scars. These types of scars are caused by fibrous bands of tissue that pull the skin downward, creating a wave-like appearance. The goal of subcision is to release these fibrous bands, allowing the skin to lift and smoothen over time.
This technique is minimally invasive and usually performed in an outpatient clinic by a trained dermatologist.
How Subcision Works
The process involves the insertion of a special needle (usually a Nokor needle) into the skin below the scar. Once inserted, the needle is moved in a fanning motion to break the fibrous bands tethering the scar to deeper tissues. This mechanical release helps:
- Elevate the depressed scar
- Stimulate natural collagen production
- Promote skin remodeling
After the procedure, the treated area may form a small bruise or swelling, which is a normal part of the healing and collagen stimulation process.
Who is a Suitable Candidate for Subcision?
From a dermatologist’s perspective, not all acne scars are treated equally. Subcision is most effective for:
- Rolling scars: Soft, shallow, and wave-like
- Patients with moderate to severe scarring
- Individuals who are not prone to keloid formation
However, it is not recommended for:
- Raised scars (hypertrophic or keloid)
- Individuals on blood thinners unless medically supervised
- People with unrealistic expectations
If you’re unsure whether you’re a candidate, searching for a skin specialist near me or consulting a dermatologist in Dadar can help determine the best treatment based on your skin type and scar condition.
What to Expect During the Procedure
Pre-Treatment
Before starting, your dermatologist will evaluate your skin and may take photographs for comparison. A topical anesthetic or local injection is applied to numb the treatment area.
During Treatment
- A fine needle is inserted below the scar
- The dermatologist moves it back and forth to sever the fibrous bands
- The session lasts around 15–45 minutes, depending on the number of scars
Post-Treatment
- Bruising, swelling, and mild pain are common and may last a few days
- You might be advised to avoid strenuous activities for 48 hours
- Ice packs and prescribed ointments can help with healing
How Many Sessions Will You Need?
Subcision is not a one-time fix. Depending on the severity and number of scars, multiple sessions spaced 4–6 weeks apart may be required. Dermatologists often combine subcision with other treatments such as:
- Microneedling
- PRP (Platelet-Rich Plasma)
- Laser resurfacing
- Dermal fillers
This multi-modal approach enhances results and offers more comprehensive skin rejuvenation.
Advantages of Subcision
- Minimally invasive
- No general anesthesia required
- Quick recovery time
- Improves collagen production
- Suitable for combination therapy
Risks and Side Effects
Like any medical procedure, subcision comes with some risks, although they are minimal when performed by a skilled professional. Potential side effects include:
- Temporary swelling and bruising
- Mild pain or tenderness
- Infection (rare with proper care)
- Hyperpigmentation, especially in darker skin tones
Your dermatologist will give you pre- and post-procedure care instructions to minimize risks and ensure optimal healing.
Recovery and Aftercare
Post-subcision care is crucial for preventing complications and maximizing results:
- Avoid makeup for at least 24 hours
- Keep the treated area clean and dry
- Use gentle skincare products
- Avoid sun exposure and use SPF 50+ sunscreen
- Follow your dermatologist’s instructions on topical medications or antibiotics
What Can You Expect?
Visible improvement often begins within a few weeks, but full results can take several months. Subcision doesn’t provide instant transformation, but it sets the foundation for long-term scar improvement, especially when combined with other procedures.
From a dermatologist’s perspective, setting realistic expectations is key. While complete scar removal is rarely possible, subcision can lead to significant improvement in skin texture and appearance.
When to Consult a Dermatologist
If you’ve been dealing with acne scars and want to explore treatment options like subcision, it’s best to consult a qualified dermatologist. Personalized treatment plans can offer better and safer results than over-the-counter solutions or unverified treatments.
If you’re located in Mumbai and looking for expert care for acne scars, consider visiting a dermatologist in Dadar at Skin Town Clinic. The clinic is known for its experienced dermatologists who specialize in scar treatments, including advanced procedures like subcision.
Conclusion
Subcision is a safe and effective treatment for rolling acne scars, offering promising results with minimal downtime. It works best under the hands of a trained skin specialist who can tailor the procedure to your unique skin condition. Whether used alone or as part of a combination therapy, subcision can help you achieve smoother, healthier-looking skin.
If you’re ready to start your journey towards clearer skin, don’t hesitate to consult a dermatologist in Dadar or book an appointment with a skin specialist near you.