
What is Subcision?
Subcision is a dermatological procedure designed to improve depressed scars by addressing the underlying cause of skin tethering. Using a fine needle, the treatment severs fibrotic bands that pull the skin downward, allowing the scar to lift and smooth out naturally. This technique is particularly effective for acne scars, surgical scars, and other forms of tethered skin depressions. It is frequently combined with complementary treatments such as microneedling, laser therapy, or dermal fillers to maximize results.
How Does Subcision Work?
- Numbing & Preparation: A local anesthetic is applied to the treatment area for comfort.
- Precise Needle Insertion: A specially designed needle is inserted beneath the skin to target fibrous scar tissue.
- Breaking Fibrotic Bands: Gentle movements of the needle release the scar’s tether, allowing the skin to elevate.
- Collagen Stimulation: The controlled trauma from subcision triggers collagen production, helping the skin rebuild over time.
The procedure typically takes 30 to 60 minutes, depending on the number of scars being treated. Mild redness or bruising may occur but generally subsides within a few days.
Importance of Subcision
- Ideal for Depressed Scars: Specifically targets indented scars that do not respond to surface treatments.
- Boosts Natural Collagen: Encourages skin regeneration, improving long-term skin health.
- Minimally Invasive: No surgery or extensive downtime required.
- Pairs Well with Other Treatments: Works synergistically with fillers, lasers, or microneedling for optimal results.
- Increases Confidence: Smoother skin enhances self-esteem and overall appearance.

FAQs
How many sessions are needed?
Most patients require multiple sessions, spaced a few weeks apart, depending on scar depth and severity.
What is the downtime?
Minimal! Mild redness or bruising may occur but resolves within a few days.
Will subcision create additional scars?
No! The treatment is designed to improve scarring, and the tiny punctures heal quickly without leaving new marks.
Can subcision be combined with other treatments?
Yes! Many patients combine subcision with dermal fillers for enhanced volume restoration or with laser therapy for additional skin smoothing.
When will I see results?
Initial improvements can be seen within a few weeks, with fuller results developing over time as collagen continues to rebuild the skin’s structure.
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Schedule Your Consultation Today!
If you are ready to minimize the appearance of acne scars or other depressed marks, subcision may be the solution you’ve been searching for. At Metropolis Dermatology in Costa Mesa, CA, our expert team offers personalized scar revision treatments to help you achieve smoother, more even skin. Schedule your consultation today and take the next step toward renewed confidence!