Is Subcision the Best Treatment for my Scars? They Seem to Be Rolling Acne Scars.

Hi, I'm wondering if subcision is the best treatment for my acne scars. I have a lot of pitting but what bothers me the most is the uneven texture of my skin especially under harsh lighting. I think this is mostly due to rolling acne scars but that's just a self-diagnosis. I've had two CO2 laser treatments and one laser genesis treatment and I haven't noticed much improvement. Thanks!

Doctor Answers 3

Subcision best for bound-down scars

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Deeply pitted scars are the most difficult to improve. Bound-down, rolling scars are easier to improve and seem to do best with subcision combined with Fraxel Restore or dermabrasion. These procedures are also effective and safe on Asian skin. Good luck.

New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

For Big Holes I prefer silicone injections.

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I do not believe subcision works in most cases and will probably not in your specific case.  I prefer micro droplets of a permanent filler, silicone, to correct what i see.

Sam Lam, MD, FACS
Dallas Facial Plastic Surgeon

Options for acne scars

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There is no single one best treatment for acne scars. Technically speaking subcision is absolutely wrong for ice pick or pitted scars but can work for soft depressed scars in conjunction with fillers. Pits may best be treated with excision and punch grafting. Laser resurfacing, dermabrasion, skin needling, fat grafting, etc are all options that may provide some relief.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.