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Acne scars are the result of damage and inflammation to the skin caused by acne. There are several types of acne scars, including rolling scars, boxcar scars, and ice pick scars.
Rolling scars are characterized by broad depressions in the skin that have a rounded, rolling appearance. They occur when fibrous bands of tissue develop between the skin and the underlying subcutaneous tissue, tethering the skin and causing it to appear uneven.
The pathophysiology of acne scars is complex and involves multiple factors, including inflammation, collagen degradation, and abnormal wound healing. Acne inflammation can lead to the breakdown of collagen and elastin fibers in the skin, impairing the skin’s ability to heal properly. This can result in the formation of scar tissue.
Subcision is a treatment for rolling scars that involves using a needle to break up the fibrous bands of tissue that are tethering the skin. The needle is inserted under the skin and moved back and forth to release the bands of tissue. This allows the skin to lift and fill in the depression caused by the scar.
Indications for subcision include rolling scars that are tethered to the underlying tissue, and that have not responded to other types of scar treatments.
Benefits of subcision include a reduction in the appearance of rolling scars, improved skin texture, and increased collagen production.
Subcision is typically performed by a qualified healthcare provider and may be combined with other scar treatments, such as dermal fillers or laser resurfacing. The treatment is minimally invasive and involves little downtime. However, like any medical procedure, there are some risks and potential side effects, such as bruising, swelling, and infection.
Overall, the role of subcision in treating rolling scars is to release the fibrous bands of tissue that are tethering the skin, allowing it to lift and fill in the depression caused by the scar. The treatment can be effective for reducing the appearance of rolling scars and improving skin texture. However, the best treatment option for an individual will depend on their specific needs and circumstances, and should be discussed with a qualified healthcare provider.
Individuals with atrophic or depressed acne scars who have tried other treatments without success may be good candidates for subcision. However, it is best to consult with a dermatologist to determine if subcision is the right treatment option for you.
The subcision procedure is performed using a local anesthetic to numb the area being treated. A small needle is then inserted under the skin, and the fibrous bands that cause the depression or atrophy in the skin are broken up using a back-and-forth motion.
The procedure is generally not painful due to the local anesthesia used to numb the area being treated. However, some discomfort may be experienced during and after the procedure, which can be managed with over-the-counter pain relievers.
The subcision procedure typically takes around 30 minutes to an hour, depending on the number and size of scars being treated.
Recovery time after subcision is usually minimal, with most individuals able to return to their normal activities within a day or two. However, some bruising and swelling may be present for a few days after the procedure.
The number of subcision treatments needed to see results will vary depending on the severity of the acne scars being treated. Generally, multiple treatments spaced several weeks apart are needed to achieve the desired results.
The most common side effects of subcision include bruising, swelling, and redness at the injection site. However, these side effects are typically mild and resolve on their own within a few days.
The results of subcision can be long-lasting, with many individuals seeing an improvement in the appearance of their acne scars for several years after treatment. However, maintenance treatments may be necessary to maintain the results.
While subcision is generally considered a safe procedure, there is a small risk of infection or scarring. It is important to follow all post-procedure care instructions provided by your dermatologist to minimize these risks.
ARSHI group of skin and hair clinics are state-of-the-art Skin and Hair Clinics, where we offer top-notch services that are designed to meet your unique needs. Our team of highly qualified professionals is dedicated to providing you with the best possible care and ensuring that you leave our clinic feeling confident and satisfied with the results.
At our clinic, we understand the importance of healthy skin and hair and the impact they can have on your overall well-being. That’s why we use the latest technology and techniques to deliver a wide range of services, including, acne scar treatments which combine subcision with lasers and much more.