Subcision for Acne Scars: How It Works, Recovery Tips, and Before & After Results | Kosmoderma

Acne scars can be frustrating, especially the deep, dented kind that never seem to go away. If you’ve tried creams, peels, or microneedling with limited success, subcision might be the game-changer you’re looking for. In this blog, we’ll explain how subcision works, what recovery looks like, who it’s best suited for, and what kind of results you can realistically expect. Let’s help you decide if it’s the right treatment for your acne scars.

What Is Subcision for Acne Scars?

Subcision is a minor surgical procedure used to treat atrophic acne scars, especially rolling or tethered scars that are anchored deep under the skin. These scars are caused by fibrous bands pulling the surface of the skin down, creating visible depressions.

During subcision, a dermatologist inserts a small, specialized needle (usually a Nokor needle or blunt cannula) under the scar and moves it side to side. This action breaks the fibrous bands beneath the skin, allowing the skin to lift and smooth out over time.

It’s a non-laser, non-ablative technique that directly targets the structural cause of certain types of acne scars.

How Does the Subcision Procedure Work?

The procedure is done under local anaesthesia, making it comfortable for most patients. Here’s what typically happens:

• Cleansing & Numbing: The treatment area is cleaned, and a numbing agent is applied.
• Needle Insertion: A fine needle is carefully inserted under the skin.
• Release of Fibrous Bands: The needle is moved in a fanning motion to sever the collagen strands tethering the skin down.
• Immediate Improvement: A mild lift of the scar may be seen right away due to the release of tension and minor swelling.

A single session can take 30 to 45 minutes, depending on the number of scars treated

What to Expect During Recovery?

While subcision is minimally invasive, mild side effects are expected during the healing period:

• Swelling and Bruising: Common and usually resolve in 3–7 days.
• Tenderness: Mild soreness for a few days.

Post-Treatment Care:

• Avoid makeup for 48 hours
• Use gentle cleansers and prescribed antibiotic ointments
• Avoid intense workouts for a few days
• Sunscreen is a must

Most people return to work within 24–48 hours, but you may need to avoid social events for a couple of days if bruising is significant.

Who Is the Ideal Candidate for Subcision?

Subcision is most effective for:

• Rolling or tethered scars that are soft and depress into the skin
• Patients with medium to darker skin types, since there’s no heat or laser involved
• Individuals who want to avoid aggressive laser resurfacing or deep peels

It is not suitable for:

• Raised scars (keloids or hypertrophic scars)
• Active acne or skin infections
• A dermatologist will examine your skin and scar type to determine if you’re a good fit.

Subcision Before & After Results

Subcision can deliver dramatic improvements over time. Here’s what to expect:

• Visible lifting of the skin surface
• Improved texture and reduced scar depth
• Best results seen after multiple sessions (usually 2–4)

Real Case Example

A 28-year-old woman with rolling acne scars on both cheeks underwent three subcision sessions at Kosmoderma, spaced one month apart. After 3 months, her skin showed a 70% improvement in smoothness and scar depth.

Visual Tip: Ask for before-and-after images during your consultation to understand realistic expectations.

Can Subcision Be Combined with Other Treatments?

Yes — and that’s when the magic really happens.

Combination treatments help enhance collagen production and long-term results. Subcision is commonly paired with:

• PRP (Platelet-Rich Plasma): Speeds up healing and boosts collagen
• Microneedling RF: Stimulates deeper skin repair
• TCA Cross or Scar Fillers: Complements by refining shallow scars or boosting volume

Your dermatologist will design a combination plan suited to your scar type and downtime preferences.

Why Choose Kosmoderma for Subcision?

At Kosmoderma Skin, Hair & Body Clinics, we go beyond basic treatments:

• Our dermatologists are trained in advanced scar mapping techniques
• We use USFDA-approved needles and equipment for safe, sterile procedures
• Each patient receives a customised post-care plan to prevent pigmentation or scarring
• We combine subcision with PRP or fillers for optimal results
• With clinics across Bangalore, Chennai, Mumbai and Delhi, we make professional acne scar care accessible and effective.

FAQs 

1) Is subcision painful?

Not really. Local anesthesia numbs the area, and discomfort is minimal.

2) How many sessions are needed?

On average, 2–4 sessions spaced 4–6 weeks apart.

3) Are the results permanent?

Yes, especially when combined with proper skincare and scar maintenance.

4) Can it worsen my scars?

Not when done by experienced dermatologists. Temporary swelling or bruising is normal.

5) Is it suitable for all skin tones?

Yes — it’s a preferred method for darker skin tones because it doesn’t use heat or cause pigmentation changes.

Final Thoughts

If acne scars are affecting your confidence, it’s time to consider subcision — a proven, in-clinic procedure that targets the root cause of rolling scars. With minimal downtime, custom care, and visible results, it’s one of the most effective solutions we offer at Kosmoderma.

Book your FREE consultation today and take the first step toward smoother, clearer skin.