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Subcision: 7 Powerful Facts About Scar Reduction You Need to Know

Published at 8 September 2025
Views 61
Author Zahra Haji
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Last Update September 13, 2025

Subcision is a proven treatment for scar reduction, especially acne scars. Learn how it works, its benefits, risks, and what results you can expect.

1. What is Subcision?

Subcision is a minimally invasive dermatological procedure designed to treat depressed scars, particularly acne scars. A fine needle is inserted under the skin to break the fibrotic strands tethering the scar tissue, allowing the skin to rise and appear smoother.

           Subcision Study on PubMed

American Academy of Dermatology – Subcision

 


2. How Subcision Works for Scar Reduction

During subcision, the doctor uses a special needle (like a Nokor needle) to release the tension beneath the scar, stimulating natural collagen production. This not only lifts the scar but also helps the skin heal more evenly over time.

this treatment is often combined with other treatments like:

  • Microneedling

  • PRP (Platelet-Rich Plasma)

  • Dermal fillers

  • subcision


3. Types of Scars Treated

Subcision is most effective for:

  • Rolling scars (caused by acne)

  • Atrophic scars

  • Boxcar scars (in some cases)

  • Some surgical or injury-related scars

⚠️ Not suitable for raised (hypertrophic or keloid) scars.

subcision


4. What to Expect During the Procedure

  • Anesthesia: Local anesthetic is used to numb the area.

  • Procedure: A needle is inserted to break the scar’s fibrous bands.

  • Sensation: You may hear a “popping” sound—this is normal.

  • Time: Sessions usually take 30–60 minutes.

Recovery time: Mild swelling or bruising for 3–7 days.


6. Risks and Side Effects

Like any cosmetic procedure, it has some risks:

  • Temporary bruising

  • Swelling or tenderness

  • Hyperpigmentation (especially in darker skin tones)

  • Infection (rare if done professionally)


7. Subcision vs. Other Scar Treatments

Treatment Invasiveness Downtime Suitable For
Subcision     Low     3–7 days     Rolling/atrophic scars
Microneedling     Very low     1–2 days     Superficial texture
Laser Resurfacing     Medium–high     7–14 days     Deep or pigmented scars


8. Frequently Asked Questions

Q: How long does it take to see results?
A: Improvements are often noticeable within 2–4 weeks, with full results in 2–3 months.

Q: Is it permanent?
A: Yes, the scar release is permanent, though maintenance may be needed.

Q: Can it be combined with other treatments?
A: Absolutely. It’s often paired with PRP, lasers, or fillers.


9. Final Thoughts 

it is a trusted, science-backed treatment for reducing scars that otherwise resist topical or superficial treatments. While not suitable for every scar type, it offers real, lasting results for the right candidates.

If you’re tired of living with scars, talk to a certified dermatologist today. The sooner you start, the better your results.

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