Subcision Treatment for Acne Scars in Johor Bahru

Subcision is typically performed using a fine hypodermic needle (such as an 18-gauge Nokor needle) or a blunt-tipped cannula. The needle is inserted beneath the scar to cut the fibrous bands that tether the skin surface downward. Your doctor selects the instrument based on scar depth, location, and density. The procedure is performed under local anaesthetic so discomfort is manageable.

Subcision addresses tethering beneath the skin — it physically releases the fibrous bands pulling scars downward. Laser and microneedling primarily target surface texture and collagen. They are often combined for different scar mechanisms in a staged treatment plan.

Some patients need one session; others benefit from repeat treatments spaced weeks apart. Your doctor will advise based on scar depth and response.

Bruising and swelling are common but usually resolve within one to two weeks. Social downtime varies by individual.

Rolling scars that appear deeper under angled or raking light, and scars that seem to be pulled inward, are common indicators. Your doctor will assess tethering at consultation and advise whether subcision is appropriate for your case.

Subcision is primarily for rolling and tethered scars caused by fibrous bands beneath the skin. Ice pick scars have a different structure and usually require other approaches such as punch excision or TCA cross. Your doctor will assess your specific scar types.

Yes. Subcision is a mechanical procedure rather than an energy-based treatment, so pigmentation risk is generally lower than with laser. Your doctor will assess suitability and advise on bruising and healing.

Subcision can significantly improve depressed rolling scars, but complete removal is not always achievable. Depth, chronicity, and skin healing all affect the outcome. Your doctor will give an honest assessment.

Subcision is most often used as the structural release step before or alongside RF microneedling, CO₂ laser, or chemical peels in a staged acne scar plan.

We do not publish prices because subcision is planned per patient — the number of scars, the areas treated, and whether it is combined with RF microneedling or laser all affect the quote. After your scar assessment you receive a personalised, written quote with no obligation to proceed. WhatsApp us and we can explain what your assessment would involve.

Realistic before-and-after change from subcision is a visible softening of rolling scars — depressions sit flatter, and shadows under angled light reduce. It is rarely a single-session transformation: the lift develops as the released skin heals over weeks, and improves further when collagen-stimulating treatments follow. Photos you see online vary enormously in lighting and scar type, which is why we assess your scars in person and tell you honestly what degree of change to expect before you commit.

Expect swelling and firmness at the treated sites straight away — some of this is deliberate (blood collecting under the released scar acts as a natural spacer). Bruising typically develops over the first day or two and settles over one to two weeks. Tenderness is common but usually manageable. Your doctor provides aftercare instructions covering cleansing, activity, and what is normal versus what to report.

Yes — combination is the norm rather than the exception. A typical staged plan uses subcision to release tethered rolling scars, TCA CROSS for any ice pick scars, then CO₂ laser or RF microneedling to remodel surface texture once the structure is released. In selected cases, a small amount of filler after subcision helps hold the released scar up while it heals. Your doctor sequences these by scar type at assessment.