Acne scars can have a lasting impact on your confidence, leaving behind deep indentations and uneven skin texture. If you've struggled with stubborn acne scars, subcision may be the effective treatment you need. At Qazi Cosmetic Center in Orange County, Dr. Qazi specializes in acne scars treatments like subcision to help patients achieve smoother, healthier-looking skin. Dr. Qazi, a renowned skin restoration specialist, offers personalized treatments to address even the most challenging scars.
Whether you're local or out of state, our clinic makes it easy for you to get the expert care you need. With virtual consultations available, scheduling a consultation is simple — just visit doctorqazi.com to get started. Many of our patients travel to Orange County for treatment and return home the same day. Conveniently located just five minutes from John Wayne Airport, our clinic provides a seamless experience for all patients.
What is Subcision?
Subcision is a minimally invasive procedure used to treat depressed acne scars. It works by breaking the fibrous scar tissue that tethers the skin down, causing indentations. A specialized needle or blunt cannula is used to carefully release these fibrous bands, allowing the skin to lift and smooth out. By stimulating collagen production, subcision helps to naturally restore the skin’s texture over time.
Unlike topical treatments and superficial procedures that may only provide temporary results, subcision targets the root cause of many depressed acne scars—deep, fibrous bands beneath the skin's surface. These bands prevent the skin from leveling out, making subcision a long-lasting solution.
A Brief History of Subcision
Subcision was first introduced in the mid-1990s by dermatologists looking to address stubborn, tethered acne scars. The technique has evolved significantly since its inception, thanks to advancements in medical instruments and a deeper understanding of facial anatomy. Initially developed to treat rolling scars, subcision is now utilized for various scar types, including post-traumatic scars and cellulite.
Types of Subcision Techniques
Subcision can be performed using various tools and techniques, depending on the severity and type of scars:
- Blunt Cannula: Often used for safer, less invasive subcision. Ideal for generalized areas and moderate scars. The blunt tip reduces the risk of unnecessary damage.
- Nokor Needle: A sharp, beveled needle ideal for deeply tethered, dense scars that do not respond to blunt cannula. Its sharpness allows precise targeting of tough, fibrotic tissue.
- Taylor Liberator: Specifically designed for aggressive and dense scar bands. Effective for large areas but requires precision to avoid complications. Often used for extensive scarring, especially in cases of severe tethering.
Which Technique is Right for You?
Dr. Qazi carefully selects the most appropriate subcision technique for each patient based on their skin type, scar severity, and overall skin health.
What Types of Scars Can Be Treated with Subcision?
Subcision is particularly effective for the following types of acne scars:
- Rolling scars: These scars have a wave-like appearance and are caused by fibrous bands pulling the skin down.
- Boxcar scars: Characterized by defined edges, boxcar scars can also benefit from subcision combined with other treatments.
- Mixed scars: Patients with a combination of scar types may see improvement through customized treatment plans.
- Post-traumatic scars: Scars caused by injuries or previous surgical procedures can also be improved with subcision.
- Cellulite dimples: While not acne scars, cellulite depressions can be effectively treated using subcision techniques.
How is the Procedure Performed?
Dr. Qazi uses a combination of techniques to ensure precise and effective results. The process typically begins with a detailed assessment to map out the affected areas and understand the patient's unique skin structure.
Step-by-Step Breakdown:
- Consultation: A thorough evaluation of the skin and discussion of goals.
- Anesthesia: Local anesthesia is administered to minimize discomfort.
- Scar Release: Using a blunt cannula, Nokor needle, or Taylor Liberator, fibrous bands are carefully broken up.
- Collagen Stimulation: Subcision not only releases tethered scars but also stimulates collagen production, enhancing long-term results.
- Aftercare: Proper post-procedure care is discussed to ensure optimal healing.
Advanced Subcision Techniques
In some cases, Dr. Qazi may combine subcision with:
- TCA Cross:Â Ideal for ice pick scars, this chemical peel targets the deepest parts of the scar, promoting collagen stimulation and resurfacing.
- Fat Transfer or Fillers: After subcision, adding volume through fat grafting or dermal fillers like Bellafill can help support the newly released skin. This is particularly useful for patients who have experienced significant fat loss due to aging, weight changes, or medications like Ozempic.
- Phenol Peels: For thicker scars or Fitzpatrick skin types 1–4, phenol peels provide excellent resurfacing and tightening effects. They also stimulate collagen production, enhancing the overall result.
- CO2 Laser:Â While I prefer using ablative CO2 lasers around the edges of scars rather than across the entire depression, this technology remains a powerful ally in refining texture and reducing discoloration.
How Many Treatments Are Needed?
The number of subcision sessions depends on scar severity. Some patients experience dramatic improvement with one session, while others may need 2–4 sessions. Dr. Qazi tailors each treatment plan to maximize results.
Is Subcision Painful?
While the idea of breaking up scar tissue may sound intimidating, subcision is generally well-tolerated due to the use of local anesthesia. Patients may experience mild pressure, but significant pain is rare. Many find the process emotionally rewarding, as years-old scar tissue is finally released.
What is the Recovery Time?
Recovery is usually brief. Most patients experience:
- Mild swelling for 3-7 days
- Tenderness that resolves within a week
- Mild bruising
- Minimal downtime, most patients resume daily activities the next day
Are There Any Side Effects or Risks?
Potential side effects include:
- Temporary swelling and bruising.
- Slight risk of hyperpigmentation for darker skin tones.
- Rare risks of nerve damage or fat atrophy if performed incorrectly.
Dr. Qazi's precise technique minimizes these risks, ensuring safe and effective outcomes.Â
Addressing Sagging After Subcision
Yes, improper technique can lead to sagging, which is why it’s critical to choose an experienced provider. Dr. Qazi takes great care to maintain the structural integrity of the skin while breaking up scar tissue. Over-aggressive treatment can shift fat or damage ligaments, resulting in unwanted laxity.
Improper subcision technique or overly aggressive treatment can lead to fat displacement or sagging. Dr. Qazi carefully considers each patient's facial anatomy to avoid these complications. When necessary, he incorporates volume restoration techniques like Sculptra or fillers to maintain natural contours.
Who is a Good Candidate for Subcision?
Ideal candidates include:
- Those with rolling, boxcar, or mixed scars.
- Individuals in overall good health with realistic expectations.
- Patients willing to follow aftercare instructions.
Virtual Consultations and Travel-Friendly Treatment
For out-of-state patients, Qazi Cosmetic Center offers virtual consultations. Schedule through doctorqazi.com. Our clinic is just five minutes from John Wayne Airport, and many patients return home the same day.
Payment Options:
We offer flexible payment and financing through Cherry, CareCredit, Alpheon, and Affirm. Learn more about our financing options here.
Contact Qazi Cosmetic Center Today:
Subcision is a transformative solution for reducing acne scars. Dr. Qazi’s expertise and comprehensive approach ensure safe, effective, and personalized results. Call (949) 336-7293 or visit doctorqazi.com to schedule your consultation.
