How will I know whether subcision will be effective for my deep acne scars?

Doctor's Answers 1

Hi,

The key principle of acne scar treatment is “controlled injury” to the dermis where the acne scar tissue are located. This controlled injury to the dermis allows for subsequent healing to occur, laying down new and more organized collagen tissue, and resulting in improvement in the appearance of acne scars.

The various techniques for inducing controlled injury to the skin include:

  1. Energy-based e.g. Fractional lasering, fractional RF
  2. Mechanical e.g. scar revision surgery, subcision, microneedling
  3. Chemical e.g. TCA cross.

In general, subcision works for rolling and box-car type acne scars although such scars will also improve with other techniques especially the energy-based procedures.

Only via a proper assessment by an experienced doctor may the type and severity of your acne scars be determined and expected treatment outcomes counseled.

Hope this helps!

Similar Questions

Is the fractional radiofrequency, CO2 laser or erbium laser more effective for deep acne scars?

With regards to your question: Fractional CO2 lasers generally penetrates deeper than Erbium lasers Fractional CO2 lasers also generally penetrates deeper than Fractional RF devices EXCEPT Microneedle RF machines that can reach a depth of 3. 5mm (only in some machines) which in this case will have a greater penetration depth as compared to Fractional CO2 machines.

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What kinds of acne scars are better suited for punch excision?

Hi, Generally, very deep acne scars that are less than the diameter of the punch (usually 3mm in diameter) are candidates for punch excision as these scars respond very poorly to other modalities of acne scar treatment such as subcision and fractional lasers. Such very deep acne scars with a small surface diameter are also known as “ice-pick” scars. The punch excision converts the deep ice-pick scars to a superficial line scar which subsequent resurfacing procedures will help improve further. Hope this helps!

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