Subcision: Indications, adverse reactions, and pearls

J Cosmet Dermatol. 2020 May;19(5):1029-1038. doi: 10.1111/jocd.13308. Epub 2020 Jan 28.

Abstract

Background: Subcision, also known as subcutaneous incisionless surgery, is a surgical intervention used to treat a variety of skin conditions including atrophic acne scars, depressed scars, cellulite, and wrinkles.

Aims: We plan to prepare a review article about the indications of subcision, its adverse reactions, and pearls.

Patients/methods: We searched the literature for the information about subcision and its applications from papers published up to March 2019. The search was performed through the databases of the National Library of Medicine.

Results: After a thorough review of the published papers about subcision, we finally chose to review 40 articles that had proper sample size and design to prepare this review article. Twenty-one papers were related to the application of subcision in the treatment of acne scar and other scars. Four articles were about the application of subcision to treat cellulite, and eight articles were related to other applications of subcision such as the treatment of striae or nasolabial fold. The remaining seven articles include published review papers about subcision or acne scar classification.

Conclusion: Subcision seems to be effective on various skin conditions including acne scar, other depressed scars, and cellulite. It is easy to apply and inexpensive with short downtime and no significant complications. Subcision needs proper technique and adequate experience.

Keywords: acne scar; cellulite; scar; subcision; wrinkle.

Publication types

  • Review

MeSH terms

  • Acne Vulgaris / complications*
  • Atrophy / surgery
  • Cellulite / surgery*
  • Cicatrix / etiology
  • Cicatrix / pathology
  • Cicatrix / surgery*
  • Dermatologic Surgical Procedures / adverse effects
  • Dermatologic Surgical Procedures / instrumentation
  • Dermatologic Surgical Procedures / methods*
  • Humans
  • Postoperative Complications / epidemiology*
  • Postoperative Complications / etiology
  • Skin / pathology
  • Skin Aging
  • Treatment Outcome