Glabella scar causing crease and skin to protrude - would subcision be an adequate treatment option? (Photo)

Question

Wondering if subcision would be an adequate treatment option for this type of scarring. I have received one round of rf microneedling and am hesitant to go back if other options could give better results. Any feedback would be appreciated, thanks.

Nelson Lee Novick, MD · Answer

Subcision, which I have been performing since 1995, is a simple and relatively inexpensive technique for elevating and smoothing all kinds of indented scars in all skin types. It has earned a several decades' long track record for both safety and efficacy. In the glabellar region, which is subject to a great deal of underlying muscular movement, it would be judicious to additionally use Botox to quiet the underlying very dynamic frown muscles, in order to allow for maximizing the effects of subcision. RF microneedling is unlikely to result in the improvement you desire. You would be wise to consult with a board certified cosmetic dermatologist with extensive experience in performing submissions.. Best of luck.

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

Glabella scar causing crease and skin to protrude - would subcision be an adequate treatment option? (Photo)

Answers (2)

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Everything you need to know about Subcision

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Glabella scar causing crease and skin to protrude - would subcision be an adequate treatment option? (Photo)

Answers (2)

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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.