Subcision

A subcutaneous incisionless surgery that treats scars. By breaking apart the fibrous bands or tethers that are the causes of depressed scar formation. Thereby releasing and lifting the depressed portion in order to improve the appearance of scars. At the same time, it can help create pockets of blood beneath the skin, improving blood flow and provides an environment for collagen production. While it can help most types of scar, it is effective and have successfully treated rolling, boxcar, icepick and chickenpox scars.

After a thorough cleansing, topical numbing cream will be applied to the treatment area. To begin, a small needle or tool will be inserted and will be moved in a fanning motion to release the tissues and tethers. This may result in a plucking or clicking sensation. Once completed, a topical antibiotic ointment will be applied.

Expect mild bruising and swelling that may last up to 8-10 days. Speak to your doctor for any cream or ointment that can help quicken the recovery and downtime. Redness is normal and should subside within the week.

Avoid the use of makeup but light makeup can be applied to cover the bruised area

Results are likely to show after the first session but depending on the severity of the scar, multiple sessions may be required. As a general rule of thumb, the majority see an improvement by 1-2 grades over a 6 months post-procedure. For multiple session, the recommended of 2-4 subcision session spaced out in 4 weeks

The risk may include:

Severe hematoma due to bleeding
Severe pain/tenderness of treated sites
Infection
Temporary post-inflammatory hyperpigmentation (advise sun protection/avoidance)
Sub-optimal response or lack of improvement in scarring
Injury to nerve or blood vessel, which is most likely in mandibular, temporal, and pre-auricular sites