Subscision for Treatment of Acne Scarring

What is Subcision?
  Subcision is the use of a fine needle to break up scar tissue under certain types of acne scars. The scar tissue underneath the surface of the skin pulls the top layers of skin down, creating a depression.  Most commonly these types of scars occur with severe cystic acne.  They are usually found on the cheeks, temples and chin but can occur anywhere.  Usually 1-2 subcisions are needed.

How Subcision is done:  Injectable Lidocaine is used to numb the affected area.  Once the area has become anesthetized, the physician uses a small needle all around and under the scar to break up the scar tissue and bruise the area.  This bruising helps the body to stimulate collagen production thus helping to “fill” the scar, naturally.

When will I notice a difference in my scars?  After subcision, your scars will look better after the bruising resolves, but, the process of re-collagenation takes 2 – 6 months.  Your skin texture will slowly improve over 2-6 months.

How many treatments will I need?  Usually, most patients need 1 or 2 subcisions followed by laser treatments for optimal results.  However, individual results may vary and we cannot guarantee that your results will be the same as another individual undergoing the same series of treatments.  There is a very small chance you might not perceive any difference.

What is the cost of these procedures?  Cost varies from individual to individual depending on the number, location, and depth of the scars. An estimate will be given at your consultation. The range is $500-$4000, depending on the number and the severity of the scars. The amount is due at the time of each procedure.

Want more in-depth information on Subcision and Laser Treatment?

Click here to see Dr. Irwin’s In Depth article on Treatment of Acne Scars and Other Scars on her website,

Click here to see Dr. Irwin’s Guide to Fractional Lasers on