Subcision scar looks like a needle under skin?

Question

Subcision done a week ago on temples, cheeks, chin. Swelling is down, and I notice on top of the biggest scar there's a new linear scar going through it - 1 cm long and very thin... Picture attached resembles what I see, but mine is more faint. Will this go away or is it a new permanent scar? Area still has a bit of swelling so I expect it to look worse. Will have more subcisions (including this area again) so would be good to know if there's anything I can/should do about this side effect.

Jason Emer, MD · Answer

Keep in mind, a combination approach is needed for scarring. This scar can be improved with laser spot treatment, fillers, microneedling/prp and subcision to help texture and blending. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer

Davin Lim, MBBS, FACD - Account Suspended · Answer

A before photo side by side will allow us to make a better call. Subcision will take 2-4 sessions, and like Dr Emer suggests, it is only ONE method for scar revision. You will require other methods depending on your scar type.

Subcsion was first reported in 1995. Since then this technique has taken many pathways. Most dermatologist and plastics still perform the old method- using sideways motion to break scars down. In the original papers this took 6-10 sessions using a needle. This still can be effective, but its OUTDATED. Since then other methods have evolved including-

The use of other size needles
The use of NOKOR or cutting needles
The use of cannula techniques

Of all these techniques, cannula stands out. The most recent paper this year shows that it has the best rate of scar breakdown with much less side effects than with NOKOR. Namely less bruising and ‘lumps’ from bleeding.

The results of subcision is extremely variable and will depend on the technique and experience of your Plastics or Dermatologist. Ensure they can perform all techniques competently. This is especially important with dermal fillers (or fat transfer). If one subcises a depressed scar and find it has NOT got significant tethering, a filler is needed. In this situation filler or fat is needed to elevate the scar. Subcision is my preferred method for scar revision, as I can feel how many scars I am breaking with my 3 level cannula technique. This is now considered the Gold Standard in subcsion as reviewed by peer papers. All other modalities including lasers, energy devices and peels are considered ‘instruments’ in the way I practice acne scar revision. Remember treat the scar type with a method, and you will achieve the desired outcomes. Subcsion releases and remodels acne scarring from underneath. Needless to say this just a method, the results you will achieve is 90% dependent on the skill sets of your Plastic surgeon or Dermatologist.

All the best, Dr Davin Lim

Acne Scar Specialist. Brisbane. Australia.

Subcision scar looks like a needle under skin?

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Subcision scar looks like a needle under skin?

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Everything you need to know about Subcision

Our mission is to create a world where every investment in modern beauty is Worth It.