Is it good to do a subcision to a person who did a liposuction 5 years ago?

Question

I did a liposuction 5 years ago and now I am taking treatments for my acne and scares. Doctor did 3 chemical peels already. Next time he is going to do a subcision but I am having doubt to do a subcision, b'cause I heard by doing a subcision there can be seen a fat transfer. So is it good to do a subcision? Please help me to clear my doubt. Thank you

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne scars require a combination approach using our HIDEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of acne scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic acne scars and indented acne scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be been improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional laser such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone.

Subcision works well alone and in combination with other laser and RF platforms, including fillers and air subcision. TCA Cross can be combined with subcision. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your acne scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian

Robert S. Bader, MD, FAAD · Answer

I am unclear of your concerns. Subcision is used to improve slightly depressed acne scars that are tethered down. By cutting the tethers, the slightly depressed scars can elevate, sometimes requiring a filler in addition.There are no contraindications regarding prior history of fat transfer.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Sorry, I do not understand the question. Subcsion can be used to treat atrophic and tethered- attached scars, not all scar types. This procedure can also be a combined with fat transfer, if there are atrophic areas. The procedure can also be stand alone using various instruments, and needles. All the best, Dr Davin Lim.

Is it good to do a subcision to a person who did a liposuction 5 years ago?

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Is it good to do a subcision to a person who did a liposuction 5 years ago?

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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.