Does subcision for facial acne scarring cause skin sagging 5+ years down the line?

Question

The fibrous tissue that attaches an acne scar to the skin is part of the body's natural healing process, I assume. I'm wondering if breaking this down could have an affect on how a person's skin ages or changes over time? Does the skin become thicker looking when new collagen is formed, but saggier over time? What is typically seen in these patients 5+ years down the line both good and bad?

Jeff Rapaport, MD · Answer

In my opinion, subcision May slightly increase the thickness of the dermis over time since it is performed with PRP or fillers. The most important long-term issue with acne scar patients is a loss of support from fat atrophy due to acne inflammation. This can lead to contour defects and the appearance of sagging.Jeff Rapaport MD FAADRealself Verified All-star

Steven F. Weiner, MD · Answer

I haven't seen sagging after subcision. I would actually expect that the skin thickens and becomes tighter after subcision. There is naturally some fat loss associated with acne scars as well as the aging process that leads to sagging and that might be what you are alluding to.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Very good question, like Dr Weiner has suggested, it is the natural ageing process of fat, dermal, and bone atrophy that may give this illusion. Subcision performed carefully and correctly will cause minimal collateral damage to retaining ligaments of the skin. Dr Davin Lim, Brisbane. AU

Does subcision for facial acne scarring cause skin sagging 5+ years down the line?

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