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!
Is Subcision the Best Treatment for my Scars? They Seem to Be Rolling Acne Scars.
Doctor Answers 3
Subcision best for bound-down scars
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.
For Big Holes I prefer silicone injections.
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.
Options for acne scars
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.