Scar Subcision Procedure in California

How is Scar Subcision Performed?

Scar subcision is a minor surgical procedure performed under local anesthesia, primarily used for treating rolling scars. During the procedure, a 20 gauge needle or a Nokor needle (18 gauge) is inserted adjacent to the scar. The needle is positioned with the bevel upwards, parallel to the skin surface, and moved back and forth in a fan-like motion under the scar. This technique helps release the fibrous bands at the dermal or deep dermal subcutaneous plane.

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Benefits of Scar Subcision

The primary aim of subcision, also known as subcutaneous incisionless surgery, is to break the fibrotic strands that tether the scar to the underlying subcutaneous tissue. By detaching the rolling scar from the deeper skin, the depression is lifted. This effect is supported by the formation of a small bruise, which aids in preventing fibrous strands from reforming. Additionally, the connective tissue that forms during normal wound healing further supports the lifted area, contributing to the long-term improvement of the scar’s appearance.

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Frequently Asked Questions about Scar Subcisions

What are the Side Effects of Scar Subcisions?

Side effects from scar subcisions are rare and generally temporary, as it is a very safe procedure. The specific risks and the suitability of extractions can be determined only at the time of the consultation.

How Long is the Recovery Time?

There will be some swelling for 2-3days and possible bruising for 7-10 days.

Does it Hurt?

Local injection of an anesthetic solution allows this to be a comfortable procedure.

What to do Before Treatment?

Avoidance of blood thinners for a couple of weeks prior to procedure is recommended

What to do After Treatment?

Ice should be applied the first day. The more bruising and swelling, the more beneficial results.

Who Performs the Treatments?

Physicians, Physician Assistants and Nurse Practitioners

Who is an Ideal Candidate for this Treatment?

Anyone with rolling, depressed scars