Scars from subcision are very rare. Having said that I have CAUSED scarring from this procedure. Idiosyncratic scars are more common with large bore needles and large calibre NOKOR needles. Cannulas are infinitely safer in this regard, however the flip side is that if there is extensive fibrosis, a Nokor needle is more efficient. The good news is that the atrophic area can be treated with dermal fillers, dermal grafts, dermal smashing or fat grafts. Your specialist can guide you accordingly. Acne scar revision comprises of many specialised procedures that are dependent on the skill sets of your Plastic Surgeon or Surgical Dermatologist. For the best results, one should target the acne scar type with an appropriate treatments METHOD. Using one or two devices is not optimal. Everyone has a unique pattern of acne scars- hence the best solution is a tailored one. Remember, scar revision is a medical procedure- much like the revision of inflammatory, traumatic and burn scars. It is not dependent on the clinic, branch, machine, or laser but by the skill and reputation of the surgeon. The surgeon MUST be skilled to deliver all forms of dermal fillers, and or autologous collagen- tissue matrix. The use of fillers, both on label and off label via needle and cannula techniques will usually give better results, and less downtime compared to lasers and energy devices. Scientific papers have recently confirmed the change in paradigm for acne scar revision.
