Is Subsicion ever used for surgical scars? (Photo)

Question

I have a scar under my chin from a platysma plication. It seems to have formed some fibrosis and adherence which creates banding on one side where presumably the scar was closed. Could subsicion release it?

Nelson Lee Novick, MD · Answer

The short answer to your question is that subcision is certainly used to elevate all kinds of indented, tethered scars and skin indentations from all causes, including prior infection (like chickenpox), inflammation (like acne), surgery or trauma. It has about a thirty year track record for safety and efficacy in all skin types. I have personally been performing it since 1994. Just make sure that you consult an experienced, board certified cosmetic dermatolgost and 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

Is Subsicion ever used for surgical scars? (Photo)

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Is Subsicion ever used for surgical scars? (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.