Subcision-suction method: a new successful combination therapy in treatment of atrophic acne scars and other depressed scars

Harandi, Shervin; Balighi, Kamran; Lajevardi, Vahideh; Akbari, Elham

doi:10.1111/j.1468-3083.2010.03711.x

Cited by 57 publications

(60 citation statements)

References 19 publications

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“…In Group B, 46.7% of patients showed moderate improvement, 33.3% showed marked improvement, and (20%) showed significant improvement. This was in accordance with Hanradi et al where 28.6% of their patients showed improvement≥ 80% [28] . This may be attributable to the inclusion of other types of scars as chicken pox scars, surgical and traumatic scars in the study.…”

Section: Discussionsupporting

confidence: 93%

Comparing the role of subcision suction method with and without the injection of platelet-rich plasma in the treatment of depressed scars

2017

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Among wound-healing modalities, platelet-rich plasma (PRP) has been used for wound healing, through the release of multiple growth factors. The platelets mediate wound healing by initiating the clotting pathway and the subsequent matrix remodelisation. The aim of the work was to study the role of injection of platelet-rich plasma in the treatment of scars. This study was conducted on thirty patients who were divided into two groups (A and B). Each group included fifteen patients. The two groups were randomly distributed by using individual sealed envelopes. Group A was subjected to subcision of their acne scars using Nokor needle, followed by suction. Group B patients were subjected to the same treatment but followed by an injection of platelet-rich plasma once per month over three months. In Group A, 6 patients (40%) showed moderate improvement, 5 patients (33.3%) showed slight improvement and 4 patients (26.7%) showed significant improvement. In Group B, 7 patients (46.7%) showed moderate improvement, 5 patients (33.3%) showed marked improvement and 3 patients (20%) showed significant improvement. There was a statistically significant difference on the independent observer's after-treatment assessment between the groups (P = 0.014). In conclusion, subcision suction leads to a persistent improvement of acne scars in a short time, and the coupling with injection of PRP is the most effective in the treatment of depressed facial scars.Keywords: Platelet-rich plasma; scars; subcision; suction Citation: Abou Khedr NAE, Hussein TM, Abd El-Fatah AME. Comparing the role of subcision suction method with and without the injection of platelet-rich plasma in the treatment of depressed scars. J Surg Dermatol 2017; 2(2): 88-97; http://dx

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Section: Discussionsupporting

confidence: 93%

Comparing the role of subcision suction method with and without the injection of platelet-rich plasma in the treatment of depressed scars

2017

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“…Suction–subcision is a new combined successful treatment for curing the atrophic acne scars and other depressed scars. [11]…”

Section: Discussionmentioning

confidence: 99%

“…Hence, subcision is a valuable method, but as it has a high risk of recurrence, the effectiveness of this method is considered low to medium. [11] For more effectiveness, it can be combined with other methods such as laser. [12]…”

Section: Introductionmentioning

confidence: 99%

Fractional Carbon Dioxide Laser and its Combination with Subcision in Improving Atrophic Acne Scars

et al. 2017

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Background:Acne is a very common skin disease in which scars are seen in 95% of the patients. Although numerous treatments have been recommended, researchers are still searching for a single modality to treat the complication due to its variety in shape and depth. We compared the effects of fractional carbon dioxide (CO2) laser alone and in combination with subcision in the treatment of atrophic acne scars.Materials and Methods:This clinical trial study was performed in Skin Diseases and Leishmaniasis Research Center (Isfahan, Iran) during 2011–2012. Eligible patients with atrophic acne scars were treated with fractional CO2 laser alone (five sessions with 3-week interval) on the right side of the face and fractional CO2 laser plus subcision (one session using both with four sessions of fractional CO2 laser, with 3-week interval) on the left side. The subjects were visited 1, 2, and 6 months after the treatment. Patient satisfaction rate was analyzed using SPSS 20 software.Results:The average of recovery rate was 54.7% using the combination method and 43.0% using laser alone (P < 0.001). The mean patient satisfaction was significantly higher with the combination method than laser alone (6.6 ± 1.2 vs. 5.2 ± 1.8; P < 0.001). Bruising was only seen with the combination method and lasted for 1 week in 57.0% and for 2 weeks in 43.0%. Erythema was seen in both methods. Postinflammatory pigmentation and hyperpigmentation were associated with combination method. No persistent side effects were seen after 6 months.Conclusion:Using a combination of subcision and laser had suitable results regarding scar recovery and satisfaction rate.

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“…As there is also usually damage to the surface skin layer, most patients benefit from a secondary treatment with a resurfacing laser. If the resurfacing procedures are used alone, the scar will still be deep compared with the surrounding skin .…”

Section: Commentmentioning

confidence: 99%

“…Depressed facial scars can be caused by conditions such as acne, scleroderma, cutaneous lupus erythematosus, trauma, and secondary changes to the chicken pox site, as in the case described herein . Several modalities have been suggested to treat these scars.…”

Section: Introductionmentioning

confidence: 96%

Sequential treatment with intradermal incision (intracision) and 2,940-nm Er:YAG laser for chicken pox scars

Lee¹,

Kim²,

Choi

et al. 2013

Dermatol Ther

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Boxcar scars, such as chicken pox scars, are round to oval depressions with sharply defined vertical edges. Subcision is a simple and safe procedure for treatment of atrophic and depressed scars, but boxcar scars are generally not eliminated by subcision. Intradermal incision technique (intracision) can treat chicken pox scars by untethering fibrotic strands, raising collagen synthesis, and having additional intradermal blood pocket formation. We have found that chicken pox scars further improve when intracision is followed by laser skin resurfacing.

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Subcision-suction method: a new successful combination therapy in treatment of atrophic acne scars and other depressed scars

Cited by 57 publications

References 19 publications

Comparing the role of subcision suction method with and without the injection of platelet-rich plasma in the treatment of depressed scars

Comparing the role of subcision suction method with and without the injection of platelet-rich plasma in the treatment of depressed scars

Fractional Carbon Dioxide Laser and its Combination with Subcision in Improving Atrophic Acne Scars

Sequential treatment with intradermal incision (intracision) and 2,940-nm Er:YAG laser for chicken pox scars

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