Can Subcision Make Scars Worse? Rancho Palos Verdes

Can Subcision Make Scars Worse?

Subcision is a widely accepted dermatological technique for treating depressed scars, including those from acne or surgical procedures. It works by disrupting the fibrous tissue that causes the scar to appear indented. While many patients see notable improvements after the procedure, it is worth considering if subcision might sometimes worsen scars. This post will discuss the potential risks associated with subcision, the factors affecting these risks, and strategies to mitigate them for optimal outcomes.

 

Understanding the Subcision Procedure

Subcision is a minor surgical technique designed to address depressed scars, such as ice pick and rolling scars. However, it is less effective for papular or keloid scars. The process involves using a specialized needle to cut through the fibrotic strands that bind the scar to deeper skin layers. By releasing these strands, the scar is elevated, resulting in a smoother skin surface.

Typically conducted in a clinical setting with local anesthesia, subcision starts with preparing the treatment area. A small incision is made, and the needle is used to break up the fibrotic strands beneath the scar in the deep dermis. Afterward, the area is usually massaged to aid in collagen distribution and healing, which gradually improves the scar’s appearance.

 

Possible Risks & Concerns

Although subcision is generally effective and safe, it does involve some risks that could potentially worsen scarring. These risks are particularly important for those with post-acne scars, as improper treatment can exacerbate the issue.

1. Swelling and Bruising

Swelling and bruising are common after subcision. While these effects are usually temporary, severe swelling or bruising can temporarily worsen the appearance of the scar. These issues usually resolve as the skin heals, and proper aftercare can help mitigate their impact.

2. Infection Risk

Infection, though rare, is a risk with any skin-disrupting procedure. An infection could worsen the scar’s appearance if not treated promptly. Ensuring the procedure is done in a sterile environment and following aftercare instructions can help reduce this risk.

3. Over- or Under-Correction

Subcision may occasionally result in either over-correction or under-correction. Over-correction can lead to new skin irregularities or unevenness, while under-correction might not sufficiently address the scar’s depth. Choosing a highly skilled practitioner is essential for accurate assessment and treatment.

4. Formation of New Scarring

Occasionally, subcision might lead to new scarring if it causes additional trauma to the skin, especially if healing is impaired. Proper technique and diligent aftercare are crucial to minimizing this risk.

5. Scar Recurrence

Scars might sometimes reappear or worsen, particularly if underlying causes like ongoing acne are not managed. Combining subcision with other treatments can help address these issues and improve overall outcomes.

 

Factors Affecting Risk with Subcision

Several factors can impact whether subcision might worsen scars, especially for atrophic acne scars.

1. Skill and Experience of the Practitioner

The skill and experience of the practitioner are critical in minimizing risks. A well-trained professional is more likely to use techniques that reduce complications and achieve better results. It is important to choose a board-certified dermatologist or experienced cosmetic surgeon.

2. Characteristics of Atrophic Scars

The type and location of the scar can affect how well it responds to subcision. Very deep or longstanding scars may require multiple treatments or additional methods for optimal results.

3. Individual Skin Type and Healing Response

Your specific skin type and healing response can influence recovery from subcision. Those with certain skin types or a tendency toward keloid formation might experience varied results. Discussing your skin type and medical history with your practitioner can help customize the treatment plan.

 

Advantages of Subcision in Treating Acne Scars

Subcision is a highly effective treatment for depressed acne scars, such as rolling and boxcar scars. It can be applied to various body areas, including the face, chest, and back. One of its key benefits is its relatively quick and straightforward procedure with minimal downtime. Most patients can return to their normal routines immediately after treatment and see significant improvements in their scars within a few weeks.

Another benefit is subcision’s safety profile. Although there are some risks, such as infection and bleeding, these are generally minimal when performed by an experienced practitioner. Proper aftercare can further reduce these risks and enhance outcomes.

Additionally, subcision is often more cost-effective than 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 generally remains a more affordable option.

Overall, subcision offers a promising solution for those with depressed acne scars. It can be combined with other treatments, such as laser resurfacing, for improved results and 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 maximize the benefits and minimize risks associated with subcision, consider the following tips:

1. Choose a Qualified Practitioner: Choose a qualified professional with extensive experience in subcision and scar management.
2. Follow Aftercare Guidelines:Follow post-procedure care instructions, including avoiding sun exposure, keeping the area clean, and using prescribed treatments.
3. Explore Combinatorial Therapies: Combining subcision with other treatments, such as laser therapy or microneedling, can enhance results and reduce complications.
4. Manage Your Expectations: Understand that while subcision can significantly improve scar appearance, it may not entirely eliminate scars. Setting realistic expectations will help in achieving satisfaction with the results.

 

Conclusion

Subcision is a valuable treatment option for depressed scars, though it does come with potential risks. When performed correctly and with appropriate aftercare, these risks are generally manageable. Being aware of these risks and taking preventive measures can lead to successful outcomes. If you’re considering subcision or other treatments in Rancho Palos Verdes, schedule a consultation with the Scar Healing Institute to explore your options!