How soon can I do a picosure after subcision?

Question

I just had two small areas or subcision done on my face. I am considering doing picosure to improve my other acne scars. Since I got a week off from work , I'll like to do it asap.How soon can I do it ? Thank you

Jeff Rapaport, MD · Answer

If  you are treating acne scars in a different area, there should be no conflict with previous subcision therapy. Find a scar expert. Good luck.

Michele S. Green, MD · Answer

As long as your skin is healed from the subcision there should be no problem in having the Fraxel laser or any other laser.  It is best to consult an expert in acne treatment for the best results.  Best, Dr. Green

Davin Lim, MBBS, FACD - Account Suspended · Answer

The answer is it is fine. The problem is that Picosure will NOT improve old acne scars. If you consider this treatment, make sure you have a written guarantee to improve scars, as the marketing behind it is strong- not the science. I do use Picosure only in mild, early acne scars in ethnic skin types only. Subcsion was first reported in 1995. Since then this technique has taken many pathways. Most dermatologist and plastics still perform the old method- using sideways motion to break scars down. In the original papers this took 6-10 sessions using a needle. This still can be effective, but its OUTDATED. Since then other methods have evolved including-

The use of other size needles
The use of NOKOR or cutting needles
The use of cannula techniques

Of all these techniques, cannula stands out. The most recent paper this year shows that it has the best rate of scar breakdown with much less side effects than with NOKOR. Namely less bruising and ‘lumps’ from bleeding.

The results of subcision is extremely variable and will depend on the technique and experience of your Plastics or Dermatologist. Ensure they can perform all techniques competently. This is especially important with dermal fillers (or fat transfer). If one subcises a depressed scar and find it has NOT got significant tethering, a filler is needed. In this situation filler or fat is needed to elevate the scar. Subcision is my preferred method for scar revision, as I can feel how many scars I am breaking with my 3 level cannula technique. This is now considered the Gold Standard in subcsion as reviewed by peer papers. All other modalities including lasers, energy devices and peels are considered ‘instruments’ in the way I practice acne scar revision. Remember treat the scar type with a method, and you will achieve the desired outcomes. Subcsion releases and remodels acne scarring from underneath. Needless to say this just a method, the results you will achieve is 90% dependent on the skill sets of your Plastic surgeon or Dermatologist.

All the best, Dr Davin Lim

Acne Scar Specialist. Brisbane. Australia.

How soon can I do a picosure after subcision?

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How soon can I do a picosure after subcision?

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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.