Subcision

What is Subcision?

Subcision is a specialized technique used to correct indented scars by mechanically releasing the tension caused by underlying fibrous strands. During the procedure, a fine needle or small blade is inserted beneath the skin’s surface to cut through the scar tissue, allowing the skin to rise and appear more level. At Metropolis, we take this treatment a step further by incorporating PRP—your body’s own growth-factor-rich plasma—to promote cellular repair and enhance collagen regeneration.

This combination allows us to not only mechanically release the scar but also biologically stimulate healing, making subcision with PRP especially effective for acne scars, rolling scars, and other tethered scar types. For comprehensive results, subcision is often paired with other modalities like dermal fillers, laser resurfacing, or RF microneedling, depending on your skin’s needs.

How the Treatment Works

Step-by-Step Process

1. Numbing the Area: The skin is first cleaned and numbed with local anesthetic to ensure your comfort throughout the procedure.
2. Precision Needle Insertion: Using a specially designed needle, our provider enters the skin at a specific angle to break up the fibrous bands beneath the scar tissue.
3. Release of Scar Tissue: As the needle moves back and forth under the skin, the tension holding the scar down is released, allowing the skin to lift.
4. PRP Injection: Immediately following the subcision process, PRP—prepared from a small sample of your own blood—is injected into the treated area. This infusion of growth factors enhances healing, reduces inflammation, and encourages collagen remodeling.
5. Natural Regeneration Begins: Over the following weeks, your body produces fresh collagen in the treated areas, resulting in smoother skin and a reduction in scar visibility.

Most treatments take 30–60 minutes, depending on the number and severity of scars. Recovery is typically mild, with some temporary bruising or tenderness.

Why Subcision with PRP Is Worth Considering

Subcision is a game-changer for patients who struggle with scars that creams and peels can’t touch. Here’s why our Pasadena patients choose this approach:

• Addresses the Root Cause of Indented Scars
  By targeting the internal tethering beneath the skin, subcision delivers visible smoothing where topical treatments can’t reach.
  
• Boosts Collagen and Natural Skin Repair
  The combination of subcision and PRP encourages your body to naturally repair the skin from the inside out.
  
• Minimally Invasive, No Surgery Required
  Achieve meaningful results with only a needle—no need for incisions or downtime-intensive procedures.
  
• Enhances Results When Combined with Other Treatments
  Subcision can be strategically paired with fillers, lasers, or microneedling for even more dramatic skin improvements.
  
• Restores Confidence
  Patients often feel more comfortable and confident once scars are softened and their skin tone is more even.
  

FAQs

How many subcision treatments will I need?

Most patients see significant improvement after 2–3 sessions, spaced about 4–6 weeks apart. Your treatment plan will be customized based on scar severity and response.

Is there any downtime after subcision treatment?

Downtime is minimal. You may experience some swelling, bruising, or soreness for a few days, but most patients resume regular activities shortly after treatment.

Can subcision cause new scarring?

No. When performed correctly by trained professionals, subcision is safe and designed to minimize trauma while improving scar appearance.

Why add PRP to subcision?

PRP contains concentrated growth factors that promote faster healing, reduce inflammation, and stimulate collagen synthesis—amplifying the effects of traditional subcision.

When will I see results after subcision scar treatment?

Some improvement may be visible within the first few weeks, with continued collagen production and scar improvement over 2–3 months.