Can Subcision Make Scars Worse? Redondo Beach

Can Subcision Make Scars Worse?

Subcision is a well-regarded dermatological technique used to treat depressed scars, such as those resulting from acne or surgical procedures, by breaking down the fibrous tissue that creates the indentations. While many patients see marked improvements after undergoing subcision, it’s important to consider whether the treatment could sometimes exacerbate scarring. This article delves into the possible risks of subcision, the factors that can influence these risks, and strategies to minimize them for the best possible outcomes.

Understanding the Subcision Process

Subcision is a minor surgical technique aimed at addressing depressed skin scars, such as ice pick and rolling scars, though it is less effective for papular and keloid scars. The procedure involves inserting a specialized needle to sever the fibrotic strands that anchor the scar to the deeper dermal layers. By breaking these strands, the scar is elevated, leading to a smoother skin surface.

The procedure is generally performed in a clinical setting with local anesthesia. It begins with the preparation of the treatment area, followed by making a small incision. The needle is then used to disrupt the fibrotic bands beneath the scar in the deep dermis. Post-treatment, the area is usually massaged to facilitate collagen distribution and promote healing, which enhances the scar’s appearance over time.

Potential Risks and Considerations

Although subcision is largely effective and safe, it carries certain risks that could potentially worsen scarring. These risks are particularly pertinent for individuals dealing with post-acne scars, as improper treatment can aggravate the condition.

1. Post-Procedural Swelling and Bruising

Swelling and bruising are common side effects of subcision. While these are usually temporary, excessive swelling or bruising can temporarily worsen the appearance of the scar. These effects typically subside as the skin heals, and following post-procedure care can help minimize their impact.

2. Infection Risk

Infection is a rare but possible complication of any procedure involving skin disruption. An infection could potentially worsen scar appearance if not treated promptly. Ensuring a sterile environment for the procedure and adhering to aftercare instructions can help reduce this risk.

3. Over- or Under-Correction

Subcision may sometimes result in over-correction or under-correction of scars. Over-correction could lead to new skin irregularities, while under-correction might not fully address the scar’s depth. Thus, it’s crucial to choose a skilled practitioner to ensure accurate treatment.

4. New Scarring

There is a risk that subcision could cause new scarring if it results in additional trauma to the skin, especially if healing is compromised. Proper technique and diligent aftercare are essential to minimizing this risk.

5. Scar Recurrence

Scars may occasionally reappear or worsen if underlying issues, such as persistent acne, are not addressed. Combining subcision with other treatments, like topical therapies or lifestyle adjustments, can help manage these issues and improve overall outcomes.

Factors Affecting the Risk of Worsening Scars

Several factors can influence whether subcision might worsen scars, particularly for atrophic acne scars.

1. Skill and Experience of the Practitioner

The expertise of the practitioner is critical in reducing risks. A well-trained professional is more likely to use techniques that minimize complications and achieve better results. Opt for a board-certified dermatologist or a skilled cosmetic surgeon with extensive experience in subcision.

2. Atrophic Scar Characteristics

The scar’s type and location can affect its response to subcision. Deep or long-standing scars may need multiple sessions or additional treatments for optimal results.

3. Patient’s Skin Type and Healing Response

Variations in skin type and healing response can influence recovery from subcision. Individuals with specific skin types or a tendency toward keloid formation may experience different results. Discussing your skin type and medical history with your practitioner can help tailor the treatment plan to your needs.

Benefits of Treating Acne Scars with Subcision

Subcision is an effective method for treating depressed acne scars, such as rolling and boxcar scars, and can be applied to areas like the face, chest, and back. One of its main advantages is its efficiency and minimal downtime. Most patients can resume normal activities shortly after the procedure and see noticeable improvements in their scars within a few weeks.

Another advantage of subcision is its safety profile. While there are some risks, including infection and bleeding, these are generally minimal when the procedure is performed by an experienced practitioner. Adhering to post-procedure care guidelines can further reduce these risks and enhance results.

Compared to other treatments like laser resurfacing or skin grafts, subcision is also a more cost-effective option. Costs vary based on factors such as scar size, location, and practitioner experience, but it is often more affordable.

Overall, subcision offers a promising solution for those with depressed acne scars. It can be combined with other treatments, such as laser resurfacing, to improve results and provide a more comprehensive approach to scar revision. With its efficiency, minimal downtime, and affordability, subcision is an excellent choice for achieving smoother, more even skin.

Tips for Minimizing Risks and Ensuring Success with Collagen Induction

To optimize the benefits of subcision and minimize risks, consider these recommendations:

1. Choose an Experienced Practitioner: Opt for a qualified professional with extensive experience in subcision and scar management.
2. Follow Aftercare Instructions: Adhere to post-procedure care recommendations, including avoiding sun exposure, keeping the area clean, and using prescribed treatments as directed.
3. Explore Combinatorial Treatments: Combining subcision with other treatments, such as laser therapy, chemical peels, or microneedling, can improve results and reduce complications.
4. Manage Expectations: While subcision can significantly improve scar appearance, it may not completely eliminate them. Managing expectations can help ensure satisfaction with the results.

Conclusion

Subcision is a promising treatment for depressed scars, though it comes with potential risks. With proper technique and careful aftercare, these risks are generally manageable. Being aware of these risks and taking preventive measures can lead to successful outcomes. If you are interested in subcision or other treatment options in Redondo Beach, contact the Scar Healing Institute to schedule a consultation and explore your options!