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Subscision

Subcision is performed using a special hypodermic needle inserted through a puncture in the skin surface, to break fibrotic strands that are tethering the scar to the underlying tissue. The release of the fibrotic strands and new collagen deposition caused by wound healing leads to cosmetic improvement of the scar.

It is indicated for depressed distensile scars (due to trauma, surgery), depressed bound down scars (due to acne, varicella [chickenpox]), depressed skin grafts, wrinkles or cellulite dimples. Usually subcision is done with sharp edge needle, so it is very painful, with lot of bleeding and almost confirmed post-procedure hematoma.

Treatment
At SPARSH subcision is done with CELLINA micro-needling RF machine, using special blunt cannulated RF needle delivering RF energy at the needle tip.

Fibrotic strands are broken by RF cauterization causing no bleeding or post- procedure hematoma. Also, there is activation of peripheral tissue by heat formation, leading to excellent new collagen formation. Thus, results achieved are far better than the conventional method.

Treatment
Frequently Asked Questions
If you have acne scars, especially rolling scars, Subcision is the treatment for you. In case of mixed type of scars, we recommend combination of Subcision, MNRF and matrix treatment for better results.
No, Subcision is not a painful procedure. It is done under local anaesthesia. Patient may feel slight discomfort during the procedure.
Subcision takes about 45 minutes to perform, depending on the area of scars to be treated.
Usually, 2-3 treatment sessions at the interval of 4-6 weeks are sufficient to have significant improvement in acne scars.
Post procedure there is swelling over the treatment site. It subsides in 3-4 hours. Post procedure strict sun protection is advised along with a skin barrier repair cream for fast recovery.
Subcision when performed alone can lead to 50-60 % improvement in acne scars. If combined with MNRF and Matrix improvement can be seen up to 80-90%. Scar improvement continues several months post procedure.
Yes, it can be combined with MNRF, Matrix and fillers for optimal treatment, depending on scar type, depth and skin type.
There is mild discomfort post procedure due to skin oedema. It will last for few hours.
Dr. Milap Jolapara
Dr. Milap Jolapara
founder of SPARSH MD Skin & VD
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