Targeting Deep Scars – A Precision Approach with Subcision
Deep, tethered scars—such as acne scars, surgical scars, or trauma-related scars—can be difficult to treat with surface-level treatments alone. Subcision treatment is a minimally invasive surgical technique that works by breaking down the fibrotic strands that anchor scars to deeper tissue. This stimulates collagen production and allows the skin to heal with a smoother, more even texture.
This technique is particularly beneficial for atrophic acne scars, as well as surgical or traumatic scars, helping to restore a more uniform skin surface. At Southern Dermatology, our expert dermatologists assess each patient’s scarring pattern to develop a tailored approach, ensuring precise and effective results.
Treatment at a glance
Best Outcomes
Visible improvement after 1–3 sessions, with ongoing collagen stimulation over several months.
Procedure Time
30–60 minutes per session.
Duration of Results
Long-lasting, with gradual improvement over time.
Back to Work
2–5 days, depending on individual healing.
TREATMENT BENEFITS
Releases tethered scars, allowing the skin to smooth naturally.
Stimulates collagen production for long-term skin improvement.
Improves acne scars, surgical scars, and trauma-related scars.
Can be combined with microneedling, laser, or biostimulatory treatments for enhanced results.
Minimally invasive with a short recovery period.
The Treatment Process
Start with our online consultation form, where you can describe your concerns and submit photos for assessment.
Our dermatologist will assess your skin, determine which scars are suitable for subcision, and create a customised treatment plan.
- The skin is cleansed, and local anaesthetic is applied to ensure comfort.
- A fine hypodermic needle is inserted beneath the skin to break fibrotic strands tethering the scar to deeper tissue.
- The process stimulates collagen production, gradually improving skin texture.
- The procedure typically takes 30–60 minutes, depending on the treatment area.
- Mild bruising, swelling, or tenderness may occur for several days.
- A follow-up session may be recommended for optimal results.
Frequently Asked Questions
- Avoid blood-thinning medications (aspirin, ibuprofen, fish oil, vitamin E) for at least one week before treatment (consult your doctor if required).
- Refrain from alcohol and caffeine 24 hours before your session to minimise bruising.
- Ensure your skin is free from active acne, infections, or irritation.
- Arrive with a clean face, free of makeup and skincare products.
- Subcision bruising – how long does it last?
- Bruising may last 5–10 days, depending on individual healing.
- Swelling and tenderness typically resolve within a few days.
- Avoid touching or massaging the treated area for at least 48 hours.
- Apply cold compresses as needed to reduce swelling.
- Refrain from intense exercise, saunas, or hot showers for 48 hours.
- Use gentle, soothing skincare to support healing.
- Follow up with your dermatologist to assess progress and discuss additional treatments if needed.
Subcision is a minor surgical procedure that releases tethered scars by breaking the fibrotic strands pulling them down, allowing the skin to rise and remodel naturally.
It is most effective for atrophic (depressed) acne scars, surgical scars, trauma scars, and deep wrinkles.
Most patients see results after 1–3 sessions, spaced 4–6 weeks apart, depending on the severity of scarring.
Patients typically see smoother, more even skin texture, with scars appearing less deep and more blended into surrounding skin.
Bruising can last 5–10 days, but most swelling and tenderness subside within a few days.
The procedure is well tolerated with local anaesthesia, but mild discomfort and tenderness may occur post-treatment.
Yes, it is often paired with microneedling, laser resurfacing, or skin boosters for enhanced results.
Some improvement is visible within a few weeks, with continued collagen production over 3–6 months.
Once fibrotic strands are released, scars typically do not re-tether, though maintenance treatments may be needed for optimal collagen production.
Yes, subcision is safe for all skin types, but consultation is required to determine individual suitability.
Most patients can resume normal activities within 2–5 days, depending on the treatment area and individual healing.
Avoid makeup for 48 hours post-treatment to prevent irritation and infection.
Mild bruising, swelling, and tenderness are common but resolve within 5–10 days.
Southern Dermatology offers expert-led subcision in Melbourne, providing precise, personalised treatment for acne and depressed scars.
Begin by filling out our online consultation form, where our specialists will assess your concerns and recommend a personalised plan.