Subcision is an invasive procedure that targets depressed, indented scars caused by acne. By releasing the fibrous bands of the skin, subcision allows the skin to lift the scar and loosen dense fibrous bands. It promotes collagen production, resulting in a smoother, more even texture.
2–6 sessions.
50 minutes.
Moderate, 4-6.
1-7 days.
Every 4–6 weeks.
Usually not required. Some clients may benefit from occasional follow-up sessions.
After cleansing, a needle or cannula is inserted under the scar to release fibrous bands. SPF is applied post-procedure.
Can be applied 24 hours post-treatment.
Safe for all skin tones.
Autoimmune conditions (MS, lupus, RA, vasculitis).
History of severe allergies or anaphylaxis.
History of keloid or hypertrophic scarring.
Pregnancy.
Breastfeeding.
Active skin infections or lesions in the treatment area.
Avoid blood-thinning medications and supplements for one week, stop prescribed retinol products 12-48 hours before, and avoid alcohol, caffeine, high-sodium and high-sugar foods 48 hours prior. Reschedule if you develop any cold sores or skin irritation.
Avoid touching or pressing the treated area for several hours, and refrain from alcohol, caffeine, high-sodium or high-sugar foods for 48 hours. Limit heat exposure and vigorous exercise for 2–3 days, avoid makeup and pause retinol and active products for 24 hours after treatment.
At Acne Clinic NYC, we know that tethered acne scars need special care. These scars are pulled down by fibrous bands beneath the skin, making lasers and microneedling less effective. Subcision releases these bands, lifting the scar and creating a smoother surface. By starting with subcision, we set the stage for advanced treatments like CO2 lasers and RF microneedling to work better, giving you smoother, more even, and long-lasting results. It’s a simple first step that makes a big difference in achieving the clear skin you deserve.
Subcision works by gently releasing the fibrous bands that tether indented acne scars, allowing the skin to lift and smooth out. The procedure stimulates natural collagen production, improving skin texture and reducing scar depth over time. Depending on your needs and the area being treated, our specialists may use either a needle or a cannula to achieve the best results.
Subcision releases the fibrous bands pulling the skin down. It loosens the tissues and results in smoother, more even skin.
Some improvement can be seen after the first session, but optimal results typically appear after a series of treatments, including lasers and RF microneedling.
Most of our clients experience some discomfort, which is bearable for most even without a numbing cream. tenderness and bruising may occur afterward.
Yes! It is often combined with laser treatments for enhanced results. We see very good results with combining subcision with PRP microneedling in the same session.
All the results you achieve stay with you forever. Results are long-lasting, especially when combined with proper skincare and further treatments that are personalized for your type of scarring.
If you have tethered scars, subcision is highly recommended before doing things like microneedling.
You may return to the gym after 48 hours.
Yes. Subcision can improve the appearance of tethered acne scars on its own by releasing the fibrous bands that pull the scar down. This allows the skin to lift naturally and creates a smoother texture. However, at AcneClinicNYC, we often use subcision as a preparatory step before advanced treatments like CO2 lasers or RF microneedling. By releasing the tethered scars first, subsequent treatments become more effective and deliver longer-lasting, even results.
Yes. We often combine subcision with autologous regenerative options like platelet concentrates (PRF – platelet-rich fibrin or PRP – platelet-rich plasma), which support healing and collagen stimulation. In some cases, we also use biostimulatory fillers such as Bellafill or Sculptra. Subcision can also be performed without any additional materials, depending on the patient’s needs and scar type.
Founder & Clinical Director, AcneClinicNYC
Licensed Master Esthetician, Certified Acne Specialist, International Educator in Acne Treatment
Lead LE, Certified Acne Expert, International Educator
Lead LE, Certified Acne Expert and Laser Specialist
LE, Certified Acne Expert, Laser Specialist and Electrologist
LE, Certified Acne Expert and Laser Specialist
LE, Certified Acne Expert and Laser Specialist
LE, Certified Acne Expert and Laser Specialist
LE, Certified Acne Expert and Laser Specialist
Certified Acne Expert and Nutritionist
Nurse Practitioner
Nurse Practitioner
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