Subcision for Atrophic Acne Scarring: A Comprehensive Review of Surgical Instruments and Combinatorial Treatments

Abstract

Subcutaneous incisionless surgery, also known as subcision, is a minimally invasive procedure that is commonly indicated for the treatment of atrophic acne scars. In recent years, many new techniques have been developed to maximize results from this procedure. This review article aims to identify an updated list of instruments and combinatorial treatments available for atrophic acne scar patients undergoing subcision. We constructed a comprehensive PubMed search term and performed triple-blinded screening on all resulting studies for mentions of subcision as indicated by acne scarring. Our results show that there are four main categories of subcision tools that are commonly employed to treat atrophic acne scars: needles, cannulas, wires, and blunt-blade instruments. Usage of these devices varies by scar depth, personal preference, and combinatorial treatment options. Overall, subcision is a particularly effective treatment for atrophic acne scars, and there is vast potential for further innovation with this technique.

Evaluation and comparison of the efficacy and safety of the combination of topical phenytoin and microneedling with microneedling alone in the treatment of atrophic acne scars: A controlled blinded randomized clinical trial

“…There were several studies that compare efficacy of different treatment methods in the atrophic acne scars. 19 , 20 , 21 , 22 , 23 In a study by Waleed Albalat et al which compared effectiveness of microneedling combined with botulinum toxin‐A versus microneedling combined with platelet‐rich plasma in treatment of atrophic acne scars, the results showed that there was no significant difference between two methods in the treatment of atrophic acne scars and Both combinations are effective options for treating acne scars. 24 Another study by Sahar A. Ismail which compared the microneedling alone or platelet rich plasma alone or combined both therapeutic in the treatment of atrophic acne scars, their results showed that the skin microneedling, PRP and combined microneedling with PRP are effective therapeutic approaches in atrophic post‐acne scars treatment.…”

Beyond the Surface: A Deeper Look at the Psychosocial Impacts of Acne Scarring

“…For example, variance in chemoexfoliant formulations, subcision instruments, or combinatory treatment selection can produce contrasting clinical outcomes. 44 , 45 Furthermore, treatment success is not always guaranteed. Clinical outcomes are highly dependent on the operator’s skill and experience as well as the patient’s individual response to treatment.…”