Can Subcision Make Scars Worse? Calabasas

Can Subcision Make Scars Worse?

Subcision is a popular dermatological method used to address depressed scars, including those from acne or surgical procedures. It works by disrupting the fibrous tissue that causes the scar to be indented. While many patients see substantial improvements following subcision, it’s natural to question whether this procedure might sometimes worsen scarring. This article examines the potential risks associated with subcision, factors influencing these risks, and how to manage them to ensure the best results.

The Subcision Technique

Subcision is a minor surgical technique specifically designed to treat depressed skin scars, such as ice pick and rolling scars. However, it is not as effective for papular or keloid scars. The procedure involves using a specialized needle to cut through the fibrous bands anchoring the scar to deeper skin layers. By severing these bands, the scar is elevated, resulting in a smoother skin surface.

Typically performed in a medical office with local anesthesia, subcision begins with cleaning and preparing the treatment area. A small incision is made, through which the needle is inserted to disrupt the fibrotic bands beneath the scar. After the procedure, the area is often massaged to encourage collagen production and improve healing, which enhances the scar’s appearance over time.

Potential Risks and Concerns

Although subcision is largely effective and safe, it carries some risks that might potentially worsen scarring. These risks are especially relevant for those dealing with post-acne scars, as improper treatment can aggravate the condition.

1. Post-Procedural Swelling and Bruising

Swelling and bruising are common post-subcision effects. While these are typically temporary, excessive swelling or bruising can temporarily worsen the scar’s appearance. These effects usually subside as the skin heals, and adhering to aftercare instructions can help minimize their impact.

2. Risk of Infection

Infection is a rare but possible risk with any procedure involving skin disruption. An infection could potentially worsen the appearance of a scar if not treated promptly. Ensuring the procedure is done in a sterile environment and following aftercare instructions can help mitigate this risk.

3. Over- or Under-Correction

Subcision may occasionally lead to over-correction or under-correction. Over-correction could result in new skin irregularities, while under-correction might not adequately address the scar’s depth. Therefore, it’s crucial to select a highly skilled practitioner for precise treatment.

4. New Scar Appearance

Occasionally, subcision might lead to the development of new scars if it causes additional trauma to the skin, especially if healing is compromised. Proper technique and aftercare are essential to minimizing this risk.

5. Scar Recurrence

There is a possibility that scars might reappear or worsen over time, particularly if underlying issues like ongoing acne are not addressed. Combining subcision with other treatments can help manage these issues and improve overall outcomes.

Factors Influencing 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 skill and experience of the practitioner are critical in reducing risks. A highly skilled professional is more likely to use techniques that minimize complications and achieve better results. It is important to choose a board-certified dermatologist or experienced cosmetic surgeon.

2. Scar Type & Location

The type and location of the scar can influence its response to subcision. Deep or long-standing scars may require additional treatments or multiple sessions to achieve the desired results.

3. Patient’s Skin Type and Healing Response

Individual differences in skin type and healing response can affect recovery from subcision. Those with specific skin types or a tendency towards keloid formation might have varied experiences. 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 a highly effective option for treating depressed acne scars, including rolling and boxcar scars, and can be used on various body parts such as the face, chest, and back. One of its primary advantages is its efficiency and minimal downtime. Most patients can resume normal activities shortly after the procedure and observe significant scar improvement within a few weeks.

Additionally, subcision has a good safety profile. While there are risks like infection and bleeding, these are generally minimal when the procedure is performed by a skilled practitioner. Following aftercare instructions can further reduce these risks and enhance the results.

Subcision is also cost-effective compared to other treatments like laser resurfacing or skin grafts. Costs vary based on factors such as the size and location of the scars and practitioner experience, but subcision is generally a more affordable option.

Overall, subcision provides a promising solution for those struggling with depressed acne scars. It can be combined with other treatments for improved results and a more comprehensive approach to scar revision. With its quick procedure, minimal downtime, and affordability, subcision is an excellent option for achieving smoother, more even skin.

Tips for Reducing Risks & Ensuring Success with Subcision

To maximize the benefits and minimize the risks of subcision, consider the following tips:

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. Set Expectations: Understand that while subcision can greatly improve scar appearance, it may not completely eliminate them. Setting realistic expectations will help in achieving satisfaction with the results.

Conclusion

Subcision is an effective procedure for treating depressed scars, though it comes with potential risks. When performed correctly and with appropriate aftercare, these risks are generally manageable. Being aware of and addressing these risks can lead to successful outcomes. If you’re considering subcision or other treatments in Calabasas, schedule a consultation with the Scar Healing Institute to discuss your options!