Subcision for Acne Scars: How It Releases Tethered Skin for Smoother Texture

Acne scars don’t just affect your skin—they can impact your self-confidence and how you feel in your own skin. When breakouts heal, they can leave behind tethered, indented scars, especially from moderate to severe acne. These depressed scars often resist topical treatments, but there’s hope with a targeted in-office procedure known as subcision.

What Is Subcision?

Subcision is a minimally invasive technique that addresses the root cause of certain acne scars—fibrous bands of scar tissue that pull the skin downward. These bands act like anchors, tethering the skin to deeper layers and creating visible indentations.

During the procedure, a small, beveled needle is gently inserted beneath the scar. This needle is then maneuvered to break up the fibrous tissue, releasing the tension and allowing the skin to lift naturally. Over time, this release not only improves the appearance of the scar but also triggers collagen production, which further helps smooth and refine the area.

Who Is a Good Candidate?

Subcision is best suited for:

• Rolling scars (broad depressions with sloped edges)
  

• Tethered or bound-down scars that feel tight or fixed to the underlying tissue
  

• Patients seeking non-laser, surgical alternatives to scar treatment
  

• Those looking to combine therapies for maximum improvement
  

Subcision is often part of a comprehensive acne scar treatment plan and can be enhanced when paired with:

• Microneedling to stimulate collagen and resurface texture
  

• Fractional laser therapy to refine pigment and tone
  

• Dermal fillers to provide volume and lift in more severe cases
  

At your consultation, your dermatologist will determine the most effective approach based on your skin type, scar type, and treatment goals.

What to Expect During and After Subcision

Subcision is performed in-office under local anesthesia, making it a convenient and relatively quick option for many patients. Here's what you can generally expect:

• Procedure time: 30 to 60 minutes
  

• Comfort: Minimal discomfort due to numbing
  

• Recovery: Bruising, swelling, and tenderness are common for a few days
  

• Downtime: Most patients return to normal activities within a few days
  

• Results: Initial improvements may be visible within weeks, with continued collagen remodeling for several months
  

Depending on scar severity, multiple sessions may be recommended to achieve optimal results.

Expert Care with Snehal Amin, MD, FACMS, FAAD

Dr. Snehal Amin is a board-certified dermatologist and fellowship-trained dermatologic surgeon with deep expertise in acne scar treatment. His approach combines medical precision with aesthetic artistry to ensure your results look natural and balanced. Patients trust Dr. Amin for his skill in tailoring treatments that align with each individual’s skin tone, texture, and goals.

Whether you’re dealing with scars from years past or recent acne flare-ups, Dr. Amin offers compassionate, expert care to help you regain smoother, clearer skin.

Schedule Your Appointment

If acne scars are affecting your confidence, you're not alone—and you don't have to live with them. At MDCS Dermatology, we offer advanced, effective treatments like subcision to help restore a smoother, more even complexion.