In the world of acne scar treatments, no two cases are the same. Some scars are soft and shallow, while others—like the ones we tackled today—are thick, deeply tethered, and decades old. These are the scars that hold people back the most, and they’re exactly the type I focus on day in and day out at Qazi Cosmetic Center in Orange County.
This is Part 2 of our "Day in the Life of a Skin Restoration Specialist" series, and today we're tackling the hard part: the deep tissue release. Click here for Part 1.
Let’s walk through what happened in the treatment room.
Step 1: Untethering the Scars with Subcision
After prepping the skin, I began the subcision process. This is where I break apart the fibrotic bands that are pulling down on the skin from below the surface. These bands are what cause that “dimpled” or “tethered” appearance that never quite goes away on its own.
As I worked through the tissue, we immediately saw and felt and heard the release.
Step 2: The Nokor Needle – For When It’s Really Stuck
Standard subcision needles are great for many cases, but for old, stubborn scars with really dense scar tissue, I bring out the Nokor needle.
This tool allows me to carefully and effectively release scar bands that are too thick for traditional subcision. It’s not about being aggressive—it’s about being precise and thoughtful. I move slowly, methodically, and with intention.
That instant improvement is what patients often describe as a huge emotional release, not just a physical one.
Step 3: Erbium Laser for Skin Resurfacing
After subcision, we want to refine the skin’s texture. The best way to do that—especially right after untethering—is with the Erbium laser.
This gentle resurfacing laser works on the upper layers of the skin to soften harsh edges, smooth out uneven tone, and improve overall radiance. It pairs beautifully with subcision because once we release the scar bands, we can actually resurface from the outside-in.
This dual approach sets the stage for the next phase: volume replacement.
What’s Next for the Patient?
Now that the tethered scars are released and the skin is resurfaced, we can begin restoring lost volume with collagen-stimulating fillers like Bellafill or Sculptra. This part of the journey takes time, but the foundation we laid today makes it all possible.
Why Subcision Is One of My Favorite Tools
Subcision is hands-down one of the most powerful techniques we use to treat acne scars—especially rolling and tethered ones. It gives patients instant physical improvement, and it sets up the canvas for everything else we want to do, from lasers to fillers.
Here’s What Makes Our Approach Different
- We never take a one-size-fits-all approach.
- We use tools like TCA Cross, CO2, Erbium, and subcision based on your unique scars.
- We build custom treatment plans—sometimes over months—to get natural-looking results without overdoing it.
- We make it safe for all skin tones, Fitzpatrick I–VI.
Traveling to Orange County? We Make It Easy
A lot of our patients come from out of town for acne scar treatment. We make the process simple:
- Book a virtual consultation here (no phone call needed)
- Clinic is just 5 minutes from John Wayne Airport
- Many patients fly in and return home the same day
- Airport staff know our clinic and can assist with logistics
Financing Options Available
We believe your skin transformation should be within reach. That’s why we offer flexible payment plans through:
- Cherry
- CareCredit
- Alpheon
- Affirm
Learn more here: https://doctorqazi.com/pages/financing
Conclusion: What You’re Seeing Is Real
When you see results from our patients, you’re not looking at a filter. You’re looking at years of refined technique, layered treatments, and the kind of care that only comes from doing this every single day.
If you’ve been living with scars that you think are "too deep" or "too stubborn," I want you to know—there are options. The transformation isn’t instant, but it is possible.
Let’s build a plan that works for your skin.
- Book now: https://doctorqazi.com/products/consultation-with-drqazi
- Qazi Cosmetic Center – Newport Beach, CA
- Call or text us: (949)-336-7293
