Scar Treatments/Subcision Treatment for Acne Scars

Improves scar appearance without the need for more invasive procedures

Subcision (subcutaneous incisionless) surgery is a minimally invasive procedure used for improving ice-pick, rolling, and other types of pitted scars. Scar subcision is commonly used for acne scarring, nevertheless it can be helpful for scarring in other parts of the body . 

Subcision is a safe and effective treatment that improves the appearance of your skin without the need for more invasive procedures. The result is smoother, more even-looking skin. 

Our team of highly experienced surgeons at The London Scar Clinic have significant experience in subcision treatments. 

Black female model shopwing her shoulder

What kind of scars does subcision treatment help with? 

Subcision treats various types of scars, primarily those caused by acne. It is also used to treat other types, including scars caused by: 

  • surgery 
  • accidental injury/trauma 
  • burns 

The treatment can be performed on any area of the face or body, and it is particularly effective on depressed/tetheredscars. 

Who is a suitable for subcision treatment? 

Subcision treatment is suitable for you if you want to improve pitted, ice-pick, or rolling scars caused by acne or other conditions.  

If you have any of the following , you might not be suitable for this procedure and a consultation with one of our specialist will be able to guide you appropriately: 

  • blood clotting disorders 
  • active acne or skin infections 
  • keloid scars 
  • skin conditions such as psoriasis or eczema 
  • active skin infections 
hand on leg


Initial consultation for subcision treatment 

During your initial consultation, our specialist will evaluate your scarring to determine if you are suitable for the procedure. 

We will explain the subcision treatment process, including the risks and benefits, and answer any questions you may have. We will also examine your skin and take photographs to document your progress. 

After the examination, we will discuss the recommended treatment plan and provide instructions on preparing for the procedure. 

Subcision treatment procedure 

Subcision is an outpatient procedure performed by breaking up the fibres of the underlying tissue that pull down on the skin, which can cause the appearance of scars.  

During the procedure, a small needle is inserted into the skin and moved back and forth under the scar. This allows the skin to lift and smooth out. 

We perform this procedure under local anaesthesia, ensuring you won’t feel any pain. You may feel some pressure or pulling sensations as the needle is moved under your skin, but under local anaesthesia, this should not be uncomfortable. 

back skin

How many treatments will I need? 

The number of treatments you need will depend on the severity of your scarring and your desired results. Most people see significant cosmetic improvement even after just one treatment, but some may require additional treatments to achieve their desired results. 

We will monitor your progress after the initial treatment and determine if further treatments are necessary. 

How long does the subcision procedure take? 

The procedure typically takes around 30 minutes to complete, but this can vary depending on the size and severity of the area being treated. 

How long do the results last?

The results of the treatment typically last for many years, but the procedure may need to be repeated for optimal results. The duration of the results will depend on several factors, including the severity of your scarring, your skin type, and your lifestyle. 

You will notice the results immediately after the procedure, with continued improvement over the following weeks and months as collagen production increases. 


How long is the recovery? 

Most people can return to work or their daily activities immediately following subcision treatment. However, you may experience some redness, swelling, and bruising in the treatment area for a few days following the procedure. Try to avoid strenuous exercise and direct sunlight for a few days after treatment. 

Subcision in London 

At the London Scar Clinic, our team of experienced plastic surgeons and dermatologists are experts in the latest subcision techniques. We are dedicated to helping our patients achieve the best possible results, using the most advanced techniques and technologies available. 

Book a consultation with the London Scar Clinic today to learn more about how we can help you achieve smoother, more even-looking skin. 

Contact 152 harley street

If you have been recommended to use a filler with your acne scar treatment or subcision treatment, it means that your scarring may be deeper than usual.  

Pairing acne scar subcision treatment with a filler treatment gives the skin an extra boost to create a flatter appearance. The filler helps to fill in any depressions or indentations in the skin, resulting in a smoother and more even appearance. 

Subcision is generally associated with a few common risks, such as bruising, swelling and a small risk of infection. However, these risks are generally minimal, and most people can undergo subcision  without complications. 

If you develop any concerns after the subcision treatment, please contact us at the London Scar Clinic at the earliest convenience. 

Subcision is a minimally invasive surgical procedure that involves the use of a special needle  to break up the scar tissue that lies beneath the skin.  

During the procedure, the surgeon will use a special needle to carefully release the scar tissue and stimulate the production of collagen, which helps to fill in the depressed areas of the skin. The process typically takes around 30 minutes to complete and is performed under local anaesthesia for most patients. 

Before your subcision procedure, we will provide you with specific instructions on how to prepare. This may include avoiding blood thinners such as aspirin and other non-steroidal anti-inflammatory drugs for two weeks before the procedure. 

Additionally, you should avoid vitamin E for one week before the procedure. Try to keep the treated area clean and avoid touching it for a few days after the procedure. 

Is subcision the only treatment available for acne scars? 

No, subcision is not the only treatment available for acne scars. At the London Scar Clinic, we offer a variety of treatments for scars, including: 

The severity of your scarring and your desired results are crucial factors in deciding which treatment you should undergo. 

Treatment Overview

  • Subcision improves the appearance of your skin without the need for more invasive procedures 
  • Subcision involves breaking up the fibres that pull down on the skin, allowing the skin to lift and smooth out
  • The procedure takes around 30 minutes to complete, but this can vary depending on the size and severity of the area being treated
  • The results typically last for many years, but the procedure may need to be repeated for optimal results. The duration of the results will depend on several factors
  • Procedure is performed under local anaesthetic for most patients
  • You will have an initial consultation with an expert specialist in this area

"Saw Mr Ioannis Goutos for a scar on my hand. Had a full hour with the doctor, which I believe is unusually long for a Harley Street appointment, in a good way. I felt all my questions were answered. Questions I didn’t even know I had were also answered. I will use this same service for scars from any future surgeries. Thank you again!"

"Mr Young has provided an excellent all-through service. From confirmatory diagnosis, through arranging hasty intervention and excellent after care, his care for my welfare and attention to detail has been exemplary. He has provided clear information and advice, at an appropriate level of detail, answering my questions attentively. He coached me to self-care for the later stages of my healing process. My experience has also benefited from an excellent support (both administrative and nursing) team at The London Scar Clinic."