Subcutaneous Incision

What Is Subcutaneous Incision?

There is no effective topical treatment for moderate to severe scarring and the aberrant skin surface formation are often better treated with surgical methods. One of them is called subcutaneous incision which is best done to treat a special kind of scarring called rolling scars characterized by wave-like undulations between the depressed scarred skin and normal skin.

Be aware though that any kind of scar treatment caused by acne requires that the skin area to be treated is first of all free of any active acne. Consulting with your doctor or dermatologist is sure to open up the options for treating the scars left by healed acne attacks. Mild to moderate scarring can often be cosmetically faded with OTC and prescriptive medication topically applied.

How It Works?

Subcutaneous Incision also known as Subcision is a surgical method of skin scar removal. As the name suggest, subdural surgical incisions are made on the scarred skin that effectively separates the outer skin from the deeper subcutaneous layer to break up the fibrous bands that cause rolling scars.

The process is painful so a local anesthesia is required. The subcision is done by inserting a beveled needle under and parallel to the skin between the dermis and the subcutaneous tissue. It is gently advanced and retracted in pistonic motion that gently cuts the tethering tissue bands. The objective is to bring the acne scar level with the rest of surrounding skin and is often followed by laser resurfacing to smoothen out the remaining scarred tissue.

Candidates For Treatment

Patients with rolling scars are best treated with this method. Rolling scars produce depressions with smooth edges shared with normal skin and are rarely caused by ruptured acne pimples on the face but on other parts of the body like necks and under arms.

Their underlying structure consisting of fibrous tissue bands lend themselves well to subcutaneous incision procedures that can correct the depression. The process can successfully treat rolling scars. But in some cases, it can also be used to treat pits and ice pick scars that are the more common acne scarring on the face.

Costs, Results And Side Effects

There are little or no medical risks when done by competent cosmetic surgeons or dermatologists. But just like any surgical method, there will always be post-operation risks likes infection, skin scarring and discoloration but they can be mitigated or managed with suitable topical medication prescribed by your surgeon or dermatologists.

There will be bruising which fades in a week. Bleeding is expected but can be controlled with the right use of anesthetics and bandaging. Subcutaneous nodules may also form but this can be treated with corticosteroid injections into the nodules.

Subcision is a medical procedure whose cost will vary between doctors who can perform the process and between states where it is done. It is always best to consult with your doctor for any kind of surgical procedure so you can have more reasoned understanding of the process to manage your expectations and obtain a cost quotation.

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