Will I get same benefit for acne scars if I wait between subcisions?

Question

I had a subcision for acne scares. If I wait a long time, say 6 months between subcisions will I get the same benefits to acne scar correction than if I got them closer together?

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF 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 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 scars and indented  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 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 lasers 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. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your 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
Realself100 Surgeon

Jeff Rapaport, MD · Answer

In my opinion, there is a minimum time period to wait between subcisions of 6 to 8 weeks. It takes a minimum time to heal and plan the next treatment . There is no maximum time between sessions. I also recommend taking aspirin with the subcision or an injection of ketorolac to decrease pain sensation as well as increase bleeding into the subsized area.This gives a longer lasting result.

Payman Kosari, MD, FAAD · Answer

I would probably space them a little closer together and you will get added benefit by complementing your subcision with a filler, laser, or radiofrequency treatment.  These are very easy to perform.  Just make sure to talk to your dermatologist about what else can be done for added benefit.  Best, Payman Kosari, MD, FAAD

Keith Denkler, MD · Answer

Subcsion does not need a six month waiting period.  The underneath tissues heal fairly fast.Two or three months would be fine.

Muhammad Saleem, MD · Answer

HiFor acne scars , subcisions with fillers or fat graft can give optimum results.There is no need to wait for so long.

Will I get same benefit for acne scars if I wait between subcisions?

Answers (6)

Answer: Subcsion can be two or three months apart

Answer: Subcsion can be two or three months apart

Answer: Acne scar treatments

Answer: Acne scar treatments

Recommended reading

Everything you need to know about Subcision

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

Will I get same benefit for acne scars if I wait between subcisions?

Answers (6)

Answer: Subcsion can be two or three months apart

Answer: Subcsion can be two or three months apart

Answer: Acne scar treatments

Answer: Acne scar treatments

Browse related questions

Recommended reading

Everything you need to know about Subcision

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