Scar subcision, a specialized dermatological procedure, is considered a gold standard for its effectiveness in treating certain types of acne scars, particularly rolling scars. These scars, characterized by their undulating appearance, create depressions in the skin’s surface, often resulting in significant cosmetic concern. Rolling scars usually happen after years of severe inflammatory acne which destroys the basement membrane proteins of the dermis causing severe depressions or indents in the skin of affected individuals.
Subcision, also known as subcutaneous incisionless surgery, involves the use of small specialized needles or cannulas to break up fibrous scar tissue which there the skin down causing the appearance of depressions. This tissue, which pulls down the skin and creates depressions, is targeted and disrupted during the procedure. By releasing these fibrotic strands, subcision allows the skin to lift and smooth out, significantly improving the appearance of the scars.
Ideal candidates for scar subcision are individuals with deep, rolling acne scars or chickenpox scars. It’s particularly effective in larger areas where scar tissue is causing noticeable depressions. Patients should be in good health and have realistic expectations about the outcomes of the procedure.
For enhanced results, Dr. Rokhsar often combines scar subcision with Fraxel laser resurfacing treatments. Fraxel laser, a form of fractional laser therapy, works by creating micro-injuries in the skin, which triggers the body’s natural healing process and promotes collagen production. This combination approach not only breaks up the scar tissue but also helps in skin rejuvenation, further smoothing the skin’s texture and appearance.
New York City, being a hub for advanced dermatological treatments, offers some of the best facilities and practitioners for scar subcision. Patients in NYC can benefit from the expertise of top dermatologists and dermatologic surgeons such as Dr Rokhsar who is considered a world authority in treatment of acne scars and laser resurfacing. The city’s diverse patient population and the high demand for cosmetic procedures have led to a concentration of many experienced doctors who are adept at treating a variety of skin types and scar severities. Dr. Rokhsar usually combines a combination technique for treatment of rolling and ice pick scars often combining subcision with punch excision followed by Fraxel or CO2 laser resurfacing.
After the procedure, patients experience minimal discomfort but often a fair amount swelling, which typically subsides within a few days to a few weeks. Bruising may also happen. The recovery period may vary, but most patients can resume their normal activities shortly after the procedure.
While results can be observed soon after the treatment, the full effect of scar subcision, especially when combined with Fraxel laser, becomes more apparent over time as the skin heals and collagen remodeling occurs This can take at least three months. Multiple sessions of subcision may be required for maximal improvement, with each session yielding progressive enhancement of the skin’s texture and appearance and filling in and smoothening of the rolling scars.
Scar subcision, particularly when combined with Fraxel laser resurfacing, offers a promising solution for individuals suffering from acne scars, especially rolling scars. In New York City, with its access to state-of-the-art dermatological services and world renowned scar experts such as Dr. Cameron Rokhsar, patients can achieve significant improvements in the appearance of their scars, leading to enhanced skin texture and boosted self-confidence. As with any cosmetic procedure, it is crucial to consult with an experienced and well educated dermatologist to determine the best treatment plan for individual scar needs. Dr. Rokhsar is double board certified in dermatology and surgery and teaches the cosmetic dermatology clinic to dermatology residents at Mount Sinai Hospital as a Professor.
Keywords: Scar Subcision, Acne Scar Treatment, Rolling Scars, Chickenpox Scars, Dermatological Procedures, New York City, NYC, Fraxel Laser Resurfacing, Skin Texture Improvement, Cosmetic Dermatology.
Rolling scars are a type of acne scar with an undulating appearance that create depressions in the skin. Subcision treats these by using specialized needles or cannulas to break up the fibrous tissue that causes these depressions, allowing the skin to lift and smooth out and redrape with a smoother appearance.
Ideal candidates are individuals with deep, rolling acne scars or chickenpox scars, particularly effective in larger areas with noticeable depressions. Patients should be in good health and have realistic expectations regarding the outcomes. More than one treatment session may be needed depending on the severity of the scars.
Yes, scar subcision is often combined with Fraxel laser resurfacing or CO2 laser treatments for enhanced results. This combination approach helps break up scar tissue and promotes skin rejuvenation and collagen production.
Post-procedure, patients may experience minimal discomfort and swelling, which typically subsides within a few days to a few weeks. Bruising is also possible. Most patients can resume normal activities shortly after the procedure.
Initial results can be observed soon after treatment, but the full effect, especially when combined with laser treatments, becomes more apparent over time as the skin heals and collagen remodeling occurs, which can take at least three months.
Multiple sessions may be required for maximal improvement, with each session progressively enhancing the skin’s texture and appearance, and filling in and smoothing the rolling scars.
NYC offers access to state-of-the-art dermatological services and is home to world-renowned experts like Dr. Cameron Rokhsar. The city’s diverse patient population and high demand for cosmetic procedures have led to many experienced doctors adept at treating various skin types and scar severities.
Dr. Rokhsar is double board certified in dermatology and surgery, a recognized authority in acne scar treatment and laser resurfacing. He also teaches cosmetic dermatology at Mount Sinai Hospital as a Professor. Dr. Rokhsar was involved in the development of the Fraxel laser and is considered a world expert in CO2 laser resurfacing.
Fraxel laser resurfacing works by creating micro-injuries in the skin, triggering natural healing and collagen production. It enhances subcision results by further smoothing the skin’s texture and aiding in skin rejuvenation from above while subcision does the same from below.
Scar subcision can provide significant and long-lasting improvements in the appearance of acne scars. However, the permanence of results can vary based on individual skin types, the severity of the scars, and adherence to post-procedure care. Regular follow-up with a dermatologist is recommended to maintain the results.
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121 East 60th Street, Suite 8AB New York, NY 10022
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Dr. Rokhsar was chosen by
magazine as a top dermatologist in its Best Doctors 2017, 2018, 2019, 2020, 2021, 2022 and 2023 issues.
