Subcision for Acne Scar Singapore: What It Is, How It Works, Cost & 3-Step Process
What is Subcision?
Acne scars can be challenging to address, but there are treatment options available. Subcision is a commonly used procedure in Singapore to treat acne scars. This blog post will explain the benefits of subcision treatment and what to expect from the procedure. If you seek treatment for acne scars, continue reading to learn more about how subcision may help.
What is Subcision Treatment
Subcision is a treatment specifically aimed at addressing depressed acne scars. The primary goal of subcision is to improve the volume and appearance of your skin. This procedure involves the use of a needle to break up the fibrotic tissues that pull the skin down and create indentations. These fibrotic strands are responsible for the depressed appearance of acne scars. By cutting these bands, subcision helps to lift the skin and encourage the formation of new, healthier tissue.
This treatment is distinct from other methods that work by targeting the skin’s surface. Instead, subcision focuses on the deeper layers of the skin to treat the underlying cause of deep acne scars, thereby minimising their appearance.
Unlike other treatment which reduces an acne scar’s appearance through treating the skin’s surface directly, subcision minimizes the appearance of acne scarring through treating the deeper layers of the skin.
This treatment is started by cleaning the patient’s skin surface, removing any traces of dirt and make-up. A topical numbing gel is applied on the area to be treated. When the area is numb, a local anaesthetic is injected.
Subcision works its magic by inserting a tiny, hypodermic needle into the skin. The needle will then be moved back and forth in a fanning pattern while the sharp edges of the needle cut the fibrotic scar tissues. This effectively releases the scar from the underlying tissue. At this point, a snapping sound may be heard as the fibrous bands are broken. This is the releasing action that elevates the previously depressed skin. The needle is removed circumferentially around the exit to evacuate any excess blood and to minimise haematoma formation in the area. The scar will continue to heal and stimulate more collagen production.
How Does Subcision Work?
Subcision is a specialised treatment aimed at improving the appearance of deep acne scars by targeting the fibrous tissues beneath the skin. This technique involves using a needle to release the fibrous bands that pull down the scarred skin, which helps to lift the depressed areas. This action encourages the body’s natural healing processes and can lead to improved skin texture over time.
What sets subcision apart from other treatments is its ability to address the underlying cause of deep scars rather than just the surface. By working at a deeper level, subcision helps to break up the scar tissue and stimulate the formation of new, healthier tissue. This deeper approach can lead to more effective and lasting improvements in the appearance of scars.
In some cases, subcision is complemented by additional treatments such as fillers and lasers. Fillers can help to add volume and further support collagen production in the treated areas. Lasers can be used to target scars from different angles, providing a more comprehensive treatment strategy.
Dr. Boey’s approach to subcision includes integrating these advanced techniques to maximise the benefits. This combined approach aims to enhance the overall effectiveness of the treatment. While subcision offers a unique method for improving deep acne scars, results can vary, and a series of treatments may be needed to achieve optimal outcomes.
What Types of Scar Are Suitable For Subcision?
Subcision is effective for various acne scar types:
Rolling Acne Scars
Rolling scars create a wave-like appearance on the skin’s surface, presenting as uneven depressions. These rolling scars are usually shallow but can cover a broad area. Subcision is often used to treat rolling scars. The procedure works by releasing the fibrous bands that form beneath the skin, allowing the rolling scars to lift and flatten. This may result in a smoother and more even skin texture.
Ice-Pick Acne Scars
Ice-pick scars are narrow, deep scars or depressions that resemble small puncture marks. They typically extend into the dermis and can be difficult to address with surface-level treatments. Subcision targets ice-pick scars in these deeper layers by breaking the fibrous bands that tether the scar tissue, potentially facilitating a more even healing process and improving the skin’s overall appearance.
Boxcar Scars
Broad, shallow depressions with well-defined edges characterise boxcar scars. These scars often result from severe breakouts that damage collagen in the scar tissue beneath the skin. Subcision may be effective in treating these scars by disrupting the fibrous connections under the skin. This releases scar tissue and promotes collagen growth and a more even skin surface.
Cost of Subcision at Sozo Clinic
The cost of acne scar subcision treatments at Sozo Clinic can vary based on several factors, including the number and severity of scars being treated and whether combination acne scar treatments are used. Typically, subcision acne scar treatment sessions start from $400. While the upfront cost may vary, some patients find it worthwhile considering the potential long-term benefits, including possibly fewer maintenance treatments compared to other methods.
3-Step Subcision Process at Sozo Clinic
Understanding what happens during a subcision treatment can help ease anxieties and set realistic expectations.
Pre-Treatment Consultation
During the pre-treatment consultation at Sozo Clinic, your aesthetic practitioner will conduct a thorough skin assessment to determine the suitable treatment plan for your acne scars. You’ll discuss your treatment goals, and the professional will explain the expected outcomes and any potential risks.
During the Subcision Treatment
The subcision procedure begins with thorough cleansing of the targeted area to remove any impurities and ensure a sterile environment. Pain management is a crucial aspect of the treatment, with local anaesthesia commonly applied to numb the area and minimise discomfort. If you have a lower pain tolerance, additional pain management options, such as topical anaesthetics or mild sedatives, can be provided to enhance your comfort.
Once the area is adequately numbed, the aesthetic practitioner will carefully insert a fine needle or cannula under the skin. The needle is maneuvered with controlled, precise movements to break the fibrous bands beneath the scar tissue that are responsible for pulling the skin down. This process, though meticulous, is designed to be as minimally invasive as possible, ensuring that the surrounding tissue remains unaffected.
During the procedure, you may hear a faint snapping sound as the fibrous bands are released. This is a normal part of the process and indicates that the scar tissue is being successfully freed, allowing the skin to lift and heal more evenly. The procedure typically lasts between 30 to 60 minutes, depending on the number and severity of the scars being treated.
After the treatment, the practitioner may gently compress the area to evacuate any excess blood and reduce the likelihood of haematoma formation. Multiple sessions may be necessary to achieve the desired results, with treatments spaced several weeks apart to allow for adequate healing between sessions.
Expected Recovery Timeline
After the subcision procedure, it is normal to experience mild swelling, bruising, and redness at the treatment site. These effects typically subside within a few days. Most patients find that they can resume normal activities within a day or two, though the visible signs of treatment may linger for a short period. Bruising, if present, usually fades within 5 to 7 days, while any residual redness should diminish over the same timeframe. The full results of the treatment will gradually develop over several months as the skin heals and new collagen forms. Individual recovery times can vary based on the severity of the scars treated and the body’s natural healing process.
Post-Treatment Care
Following post-treatment care instructions is crucial for optimal healing and the best possible results from your subcision treatment.
- Clean the Area: Use a mild, non-irritating cleanser to gently clean the treated area. Avoid harsh products and pat the skin dry with a soft towel to prevent irritation.
- Avoid Sun Exposure: Protect your skin from direct sunlight by using a broad-spectrum sunscreen with at least SPF 30. Consider wearing a hat or staying in the shade during peak sun hours to further shield the treated area.
- Follow-Up Appointments: Attend all scheduled follow-up appointments to monitor your recovery. Your aesthetic practitioner will assess healing, address concerns, and recommend any additional treatments needed to enhance results.
- Avoid Strenuous Activities: Refrain from heavy lifting, intense exercise, or other strenuous activities for at least 24 hours post-treatment. This helps reduce the risk of swelling, bruising, and delayed healing.
By adhering to these guidelines, you support a smooth recovery and help maintain the improvements achieved through your subcision treatment.
Before and After Subcision
While we understand that before-and-after photos can be incredibly helpful in visualising the potential results of treatments, we cannot include them due to Ministry of Health (MOH) guidelines. These regulations are in place to ensure ethical advertising and to prevent potential misinformation. The MOH guidelines aim to maintain high patient care standards and ensure that all medical claims are substantiated, not based on subjective or potentially misleading imagery.
We appreciate your understanding and encourage you to speak with our doctor for a customised consultation to see how these treatments can benefit you.
Why Choose Dr. Justin Boey for Subcision?
Choosing the right professional for your subcision acne scar treatment is crucial for achieving optimal results.
Official Trainer for Specialised Needles and Cannulas
Dr. Justin Boey serves as the official trainer for the DermaSculpt blunt cannula in Singapore. Our clinic uses a range of specialised needles and cannulas, including the DermaSculpt blunt cannula and Nokor needle, tailored to suit various subcision treatments for acne scars.
Fillers Enhance Results
Following subcision, fillers are used to provide immediate effects and stimulate long-term collagen production. Unlike subcision, which targets the scar tissue itself, fillers act as a buffer or spacer to prevent the reformation of fibrous bands.
Subcision aims for long-lasting results by addressing the underlying scar tissue, while fillers offer temporary benefits, with effects typically lasting up to one to two years. A small amount of filler (0.05 mL per scar) is used to maintain separation of the scar tissue.
Commonly used fillers include:
- PDRN – Rejuran
- Hyaluronic acid fillers – Juvederm, Restylane
Bio-stimulatory fillers – Ellanse, Radiesse
Acne Scar Specialist
Our clinic provides additional acne scar treatments, including INFINI RF, Fractional CO2, and Fractional Pico laser, designed to work alongside subcision and fillers for a more comprehensive approach.
Innovative Subcision Techniques
Multiple subcision techniques are employed, with “Subcision under Angled Lighting” being one of the methods used for improved control during the procedure.
For more details, please refer to our Comprehensive Approach to Acne Scars.
FAQs about Subcision
Who is not suitable for Subcision?
Subcisions cannot be performed on individuals with active skin infections or those prone to abnormal scarring, such as hypertrophic scars and keloid scars.
Additionally, if you are taking blood thinners or have a bleeding disorder, the risk of bleeding during and after the subcision procedure is increased, making it less suitable for you.
Is Subcision treatment painful?
Subcision for acne scars is generally performed under local anaesthesia, which aims to reduce discomfort during the procedure. A topical numbing gel is usually applied to the area before administering the local anaesthetic. While the procedure is designed to be as comfortable as possible, some mild discomfort and swelling may occur afterward. These effects can often be managed with over-the-counter pain relievers and ice packs.
How long does it take to recover from subcision?
Recovery times can vary depending on the individual. After the procedure, you may experience redness and swelling for 2-3 days. Most individuals can return to normal activities within a few days, though bruising, if it occurs, may last up to 5-7 days. Full results develop over several months as collagen rebuilds, but individual recovery experiences can differ.
How many sessions of Subcision do I need?
The number of sessions required depends on factors such as the severity and location of the scars and your skin type. Typically, 2 to 4 sessions spaced about a month apart are recommended to achieve noticeable results. The use of additional treatments like fillers (e.g., Rejuran or HA fillers) alongside subcision may also influence the total number of sessions needed.
Can I combine this with other treatments?
Yes. Subcision can be combined with other acne scar treatments to potentially improve overall results. It is sometimes used alongside treatments like microneedling, TCA Cross, topical retinoids, and fractional laser therapy. Your aesthetic practitioner will discuss whether a combination of treatments might be appropriate for your specific needs during your consultation.
