有些疤痕不只是表面痕迹——它们被皮下的纤维粘连带向下拉扯。
皮下剥离术正是针对这一结构性问题而设。它并非表面治疗，而是释放皮下将滚轮型疤痕向内拉扯的纤维粘连带。所产生的提升，通常在随后数周配合胶原刺激治疗时最为明显。
— 适用情况
适应症
- 伴有粘连的滚轮型痘疤
- 由纤维粘连带造成的凹陷型疤痕
- 对单纯表面治疗反应不佳的疤痕
- 磨皮焕肤或RF微针前的准备
— 治疗原理
治疗流程
疤痕评估定位
医生识别粘连区域，并规划安全松解的进针点。
粘连带松解
使用细针或套管分离疤痕下方的纤维组织。
愈合与联合治疗
随着组织愈合，肌肤可能略微提升。可能会建议进一步疗程或辅助治疗。
可能适合人群
- ·经临床评估确认的滚轮型或粘连型疤痕
- ·已度过严重活跃性痘痘阶段的患者
- ·可接受数天瘀青或肿胀者
- ·单纯表面治疗已达瓶颈的情况
治疗体验
皮下剥离术在诊所内于局部麻醉下进行。医生会标定粘连区域，然后使用细针或套管释放每个疤痕下方的纤维粘连带。术后会出现暂时性肿胀与瘀青；许多患者形容为压力感而非疼痛。您将获得针对治疗区域的活动、护肤及随访指导。
— 恢复期
恢复期与护理
轻至中度——瘀青与肿胀可能持续数天。
- ·瘀青或肿胀持续3–10天
- ·治疗部位有触痛感
- ·遵医嘱避免剧烈运动
- ·防晒仍然重要
— Your treating doctor
A personalised plan starts with proper skin assessment
Dr Kenneth Lee
Aesthetic Physician
DrPlus Aesthetics Clinic
Dr Kenneth Lee completed his medical degree at Cardiff University, UK, under a Public Service Department scholarship, and trained across London hospitals in general medicine, surgery, paediatrics, and emergency medicine before returning to Asia to specialise in aesthetic and regenerative medicine.
He holds LCP certification for Aesthetic Practices in Malaysia and continues to train with the Aesthetic Dermatology Educational Group in Singapore and the American Academy of Aesthetic Medicine. His focused interest in collagen science and skin regeneration led Channel NewsAsia to feature him as “The Collagen Doc®”.
When you consult at DrPlus, that background is what guides your assessment — not a treatment menu.
Dr Kenneth Lee · Qualifications
- MBBCh· Cardiff University · UK
- GDipFP Dermatology· NUS · Singapore
- Aesthetic Medicine· AAAM · USA
- LCP Certified· Malaysia
12+
Years Experience
8k+
Treatments
Recognised across aesthetics and wellness care
DrPlus and Dr Kenneth Lee have received regional and international recognition across aesthetic medicine, collagen treatment, and clinic partnership categories.
Aesthetician of the Year
Health & Wellness Awards, 2025
Skinvive Early User Award
Juvéderm / Allergan Aesthetics
Collagen Treatment of the Year
Asia-Pacific
Restylane Bronze Award
Galderma, 2025
— FAQ
皮下剥离术常见问题
皮下剥离术处理皮下的粘连问题。激光与微针主要针对表面纹理和胶原。两者常联合使用，以应对不同的疤痕机制。
部分患者一次即可；另一些则受益于间隔数周的重复治疗。医生会根据疤痕深度与反应给予建议。
瘀青与肿胀较为常见，但通常在一至两周内消退。社交恢复期因人而异。
在斜射光下显得更深的滚轮型疤痕，以及看似被向内拉扯的疤痕，都是常见迹象。医生会在咨询时评估粘连情况，并建议皮下剥离术是否适合您的情况。
皮下剥离术主要用于由皮下纤维粘连带造成的滚轮型与粘连型疤痕。冰锥型疤痕结构不同，通常需要环钻切除或TCA点状疤痕重建等其他方式。医生会评估您的具体疤痕类型。
适合。皮下剥离术是机械性操作而非能量类治疗，因此色素沉淀风险通常低于激光。医生会评估适应症并就瘀青与愈合给予建议。
皮下剥离术能显著改善凹陷的滚轮型疤痕，但完全消除并非总能实现。深度、病程及肌肤愈合都会影响效果。医生会给予诚实的评估。
皮下剥离术最常作为结构松解步骤，在分阶段痘疤方案中于RF微针、CO₂激光或化学换肤之前或同时进行。
— Skin Education
Related Skin Education
Doctor-led guides written to help you understand your options before consultation. Each article links back to the relevant treatment pages.
Acne ScarsRolling Acne Scars: Why They Form Beneath the Skin
Rolling scars are pulled down from below by fibrous bands. Until that tethering is released, surface treatments often disappoint.
Acne ScarsSubcision for Rolling Acne Scars: What to Know
Rolling scars are tethered from below. Until that tethering is released, surface treatments often do less than expected.
Acne ScarsWhy Combination Treatment Is Often Needed for Acne Scars
Most people have more than one scar type, and each behaves differently. That is why a single treatment rarely does the whole job.
The quiet trust of those we care for.
The most considered medical experience I have had. Results that feel like myself, only quieter.
Dr Kenneth's restraint is rare. I trust him completely with the long-term care of my skin.
Everything about the clinic — the light, the silence, the precision — feels deliberate.
— 预约您的咨询
从医生主导的痘疤评估开始
发送照片或预约私人咨询。医生将评估您的疤痕是否存在粘连，并判断皮下剥离术是否适合您在新山的肌肤状况。