Acne is a troubling skin condition which can affect both teenagers and adults alike and when the concern is no longer active, the reminder of acne can be forever present, in the form of acne scars. Acne scars are usually the result of the inflamed acne blemishes caused when the skin’s pores become engorged with excess oil, dead skin cells and bacteria. These pores swell, which causes a break in the follicle wall, causing shallow lesions and different types of scars (box scars, rolling scars for example).
At DrMedispa in London and Essex, we understand that acne scarring can be as embarrassing and debilitating for one’s confidence as the acne itself, and long after the skin condition has subsided, these scars won’t disappear by themselves.
We are the UK’s leading acne scar treatment clinics, and offer surgical subcision for patients with certain types of acne scarring. This pushes the ‘holes’ created by scarring back to the surface, giving skin a smoother appearance.
What is subcision?
Subcision is a procedure that releases scar tissue which has become stuck to the deeper layers of the dermis, binding it down. These look like punches in the skin; a change of light/shadow changes the appearance of these scars.
When a scar forms, new collagen is produced, which is not as supple or as neatly laid, as normal, healthy collagen. This new, uneven collagen can then stretch all the way from the scar, into the deeper tissues, creating a web-like structure, pulling the scar down and creating indents to the skin. Breaking the connections which are formed under the skin, helps to lift the acne scar back up, thus minimising its appearance.
Subcision will help to improve any skin condition where the skin is being pulled downwards by scar tissue. This includes acne scars such as rolling and tethered box scars.
Subcision: part of an acne scar treatment plan
At DrMedispa we can achieve incredible acne scar treatment results. We do this because we tailor acne scar treatments to the individual, and offer a wide range of treatments and at-home solutions to work towards your goals.
Subcision can be one part of your acne scar treatment journey. We also offer:
TCA Cross treatment
Fractional laser skin resurfacing for acne scars
Topical retinoids from leading medical skincare lines
What happens during a Subcision treatment for acne scars?
During the procedure your skin will be cleansed and sterilised. An anaesthetic will be used and this will be allowed to take effect local/twilight?. A cannula or Nokor needle will then be inserted underneath the scar ‘breaking’ the fibrous strands which tether the skin.
Once the treatment is complete, you will be given some aftercare advice and will be able to return to your daily activities.
Why cannula subscision?
Cannula subscision is best when the areas to be treated are small. A small hole is made with a needle and the cannula is passed through this hole, to just below the skin. This cannula is used to separate the bands of scar tissue, which pull the scar downwards. Your medical professional will select the most appropriate cannula for your particular acne scar treatment.
How do I know if I am suitable for Subcision for the treatment of acne scars?
If you are someone who has a lot of rolling box scars which do not disappear when you stretch the skin or smooth over when you smile, subcision may be a very effective solution for you. Even those patients who have very little tethering to the scars may benefit.
Before any treatment can take place at DrMedispa, we will ask that you attend a no- obligation consultation and skin analysis with one of our medical professionals. We will also check your medical history, to ensure subcision will be both suitable and safe for you.
Which scars do not benefit from subscision?
If you have ice-pick scars, red or pigmented scars, stretched or keloid scars, subscision will not be a suitable option. You can discuss alternative treatments at an acne scar consultation with one of the DrMedispa team.
Before and After Subcision for Acne Scarring
Frequently Asked Questions about Subcicion
Will I need more than one treatment?
You may need between 1 to 3 acne subscision treatments to see optimal results, however, all patients are unique and the estimated number of treatments you will need, will be discussed in your pre-treatment consultation.
Each appointment is usually spaced one month apart.
Where can I have acne scar subscision?
The face, cheeks, temples and forehead can all benefit from acne scar subscision.
What is the downtime?
Expect 1 to 2 days where your skin will be sore and perhaps swollen. Although there is no ‘clinical’ reason for you not to go to work after this treatment, you might prefer to take a couple of days to recover.
Are there any risks involved with acne scar subscision?
Like any surgical procedure, there are risks that you will need to be aware of.
Fortunately the risks are not very common and mostly involve some bruising, bleeding with a possible haematoma. However, here at DrMedispa we use tumescent anaesthesia, which helps to keep these risks at a minimum. A haematoma may require further treatment.
Temporary numbness in the treatment areas can be common and typically lasts between 2 to 4 months. Permanent numbness is extremely uncommon.
Risks such as nerve damage which can lead to muscle weakness is very rare. Sometimes a temporary nodule may form underneath the skin and are usually due to increased levels of collagen. These nodules usually settle on their own or with massage treatment.
All of this will be discussed you in detail at your DrMedispa acne scarring consultation.
When will I see results?
The optimum results from acne scar subscision should be seen within a few weeks. As your skin heals from underneath, care should be taken