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Subcision Subcision is a technique used to help minimize acne scars and improve the texture of the skin. It works by using a needle to separate scarring attachments (fibrous bands of tissue) that cause the surface of the skin to dimple or scar. The release of the fibrotic strands and new collagen deposition caused by wound healing leads to cosmetic improvement of the scar.

Subcision can be used to target three types of acne scars:
  • Rolling scars: broad depressions with sloping edges
  • Boxcar scars: broad depressions with defined edges
  • Ice-pick scars: deep narrow, pitted scars

If a scar needs additional assistance to fully elevate itself at a level that is even with the rest of the surrounding skin, a filler may be placed between the scarred and unscarred skin layers. More permanent elevation of scars can be obtained with laser treatments.

It is essential that acne scars be treated with subcision first in order to ensure that subsequent treatments are most effective.