Scar revision is a meticulous process, requiring a combination of laser technology, expert technique, and an understanding of the underlying scar tissue. In Part 1, we introduced the journey of using CO2 laser resurfacing to smooth out thick scar edges. Today, in Part 2, we continue the procedure, emphasizing a critical challenge: tethered scars.

Understanding Tethered Scars
A common misconception is that lasers alone can eliminate all types of scar tissue. While CO2 laser and erbium laser treatments can significantly improve texture and pigmentation, they do not fully break down the fibrous bonds that tether scars to deeper layers of the skin. This is where additional intervention becomes necessary.
Subcision: Breaking the Fibrous Bonds
During the procedure, we encountered areas where the CO2 laser had improved the surface but had not fully released the scar from the underlying tissue. This is where subcision plays a vital role. Subcision is a technique that involves using a fine needle or cannula to manually break up the fibrous bands pulling the scar down.As we carefully worked on the scar, it was clear when a bond was still intact. The patient could feel a tugging sensation, but no pain. The moment the fibrous tissue was released, there was an immediate improvement in the skin’s smoothness.
Why Subcision and CO2 Laser Work Together
While the CO2 laser is excellent for resurfacing and triggering collagen production, it cannot fully detach these deep-seated bonds on its own. By incorporating subcision, we ensure that the scar lifts, allowing the treated skin to heal more evenly and smoothly. This combined approach significantly enhances the final outcome.
Patient Comfort During Treatment
Many patients worry about discomfort during the process. However, with proper numbing techniques, the procedure is virtually painless. Our patient in this case reported feeling only pressure rather than pain, which is a common experience with subcision. The goal is always to provide effective treatment while maintaining patient comfort.
The Importance of Post-Treatment Care
After the procedure, proper aftercare ensures optimal healing and results. Our team at Qazi Cosmetic Center provides detailed post-treatment instructions, including:
- Avoiding excessive sun exposure
- Using prescribed post-procedure skincare
- Following up to monitor progress
Why Choose Qazi Cosmetic Center?
- Expertise in Advanced Scar Revision: Dr. Qazi specializes in complex scar treatments, offering customized solutions for each patient.
- Comprehensive Treatment Plans: We combine multiple modalities—CO2 laser, subcision, and more—to achieve the best outcomes.
- Patient-Centered Approach: From virtual consultations to personalized aftercare, we prioritize patient satisfaction and long-term skin health.
- Convenient Location for Out-of-Town Patients: We’re just five minutes from John Wayne Airport, making travel easy for those seeking specialized care.
- Flexible Payment Plans: Our financing options ensure that everyone can access high-quality treatments without financial stress.

What’s Next?
In Part 3, we’ll explore the final healing process, expected results, and additional enhancements that can further refine the skin’s appearance. Stay tuned for the next phase of this transformative journey!
Book Your Consultation Today!
If you’re struggling with thick scars and want to explore your treatment options, schedule a consultation at click here to self-schedule a consultation with Dr. Qazi or you can also call us at 949-336-7293.Â