{"id":273,"date":"2024-07-26T06:01:38","date_gmt":"2024-07-26T06:01:38","guid":{"rendered":"https:\/\/mingkwanclinic.com\/en\/?p=273"},"modified":"2026-04-11T16:00:29","modified_gmt":"2026-04-11T16:00:29","slug":"subcision-acne-scar","status":"publish","type":"post","link":"https:\/\/mingkwanclinic.com\/en\/subcision-acne-scar\/","title":{"rendered":"Subcision Acne Scar Treatment in Bangkok: How It Works."},"content":{"rendered":"\n<p>&emsp;&emsp;At Mingkwan Clinic in Bangkok, Thailand, we provide subcision as a key treatment for atrophic (depressed) acne scars. Subcision can be combined with other modalities such as laser resurfacing, hyaluronic acid, or collagen-stimulating injections to enhance overall results through a synergistic approach.<\/p>\n\n<div class=\"table-outer\" style=\"margin-bottom: 30px;\">\n    <div class=\"table-inner\">\n        <p style=\"padding-left: 15px; font-weight: bold; font-size: 20px;\">Contents &#8211; Click to read<\/p>\n        <ul class=\"table-ul\">\n            <li>\n                <a href=\"#1\">\n                    <strong>What Is Acne Scar Fibrosis?<\/strong>\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"#2\">\n                    <strong>When Does Acne Scar Fibrosis Occur?<\/strong>\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"#3\">\n                    <strong>Why Subcision Is a Key Acne Scar Treatment<\/strong>\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"#4\">\n                    <strong>Types of Subcision<\/strong>\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"#5\">\n                    <strong>Is Subcision Needed for Every Acne Scar?<\/strong>\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"#6\">\n                    <strong>Subcision: Before and after<\/strong>\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"#7\">\n                    <strong>Should Laser or Collagen-Stimulating Injections Be Combined with Subcision?<\/strong>\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"#8\">\n                    <strong>Cost of Subcision<\/strong>\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"#9\">\n                    <strong>Frequently Asked Questions About Subcision<\/strong>\n                <\/a>\n            <\/li>\n        <\/ul>\n    <\/div>\n    <div class=\"space\">\n    <\/div>\n<\/div>\n\n<div id=\"1\"><\/div>\n<h2>What Is Acne Scar Fibrosis?<\/h2>\n<p>&emsp;&emsp;Acne scars form when deep inflammation damages the normal skin structure. During the healing process, disorganized collagen develops and forms fibrous bands beneath the skin surface.<\/p>\n<p>&emsp;&emsp;These fibrotic strands can tether the skin downward, creating indented or depressed scars that are often difficult to improve with surface treatments alone.<\/p>\n\n<picture>\n    <source media=\"(min-width: 671px)\" srcset=\"\/wp-content\/uploads\/sites\/3\/2024\/07\/Acne-scar-histo.webp 800w\">\n    <img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/3\/2024\/07\/Acne-scar-histo_M.webp\" alt=\"Acne scar\" loading=\"lazy\" style=\"width: 100%; margin-bottom: 10px;\"\n        width=\"450\" height=\"450\">\n<\/picture>\n<figcaption style=\"margin-bottom: 30px;\">Histological image showing disorganized collagen (blue) beneath an acne scar, indicating fibrosis pulling the skin down.<\/figcaption>\n\n<div id=\"2\"><\/div>\n<h2>When Does Acne Scar Fibrosis Occur?<\/h2>\n<p>&emsp;&emsp;Fibrosis can begin forming as early as the first month after an acne lesion heals. Over time, these fibrous bands become thicker and firmer. After approximately 6&ndash;12 months, the fibrosis may become dense and more resistant to treatment.<\/p>\n<p>&emsp;&emsp;A simple way to distinguish newer scars from older scars is by their color:<\/p>\n<ul>\n  <li><strong>New scars<\/strong> are typically red or pink and tend to respond more easily to treatment.<\/li>\n  <li><strong>Older scars<\/strong> usually match the surrounding skin tone and contain more established fibrosis underneath, making them more challenging to treat.<\/li>\n<\/ul>\n\n<div id=\"3\"><\/div>\n<h2>Why Subcision Is a Key Acne Scar Treatment<\/h2>\n<p>&emsp;&emsp;Subcision (short for <em>subcutaneous incisionless surgery<\/em>) is a well-established medical technique used to release fibrous bands beneath the skin.<\/p>\n<p>&emsp;&emsp;By carefully breaking these tethering bands, subcision allows the depressed scar to elevate toward the surface. This improves the contour and reduces the depth of rolling or tethered scars.<\/p>\n<p>&emsp;&emsp;Unlike laser treatments that primarily resurface the skin, subcision addresses the structural cause of depressed scars beneath the surface.<\/p>\n\n<div class=\"ad-insert\">\n    <div>\n        <p style=\"line-height: 1.6;\">View more<br>Acne Scar Treatment: Before and After<\/p>\n    <\/div>\n    <button onclick=\"location.href='\/en\/acne-scar-double-lasers-subcisions\/#7'\" class=\"ad-button\" type=\"button\">View Details<\/button>\n<\/div>\n\n<div id=\"4\"><\/div>\n<h2>Types of Subcision<\/h2>\n<p>&emsp;&emsp;At Mingkwan Clinic, we classify subcision into two main categories:<\/p>\n<h3>1) Traditional Subcision (Deep-Level Release)<\/h3>\n<p>&emsp;&emsp;Traditional subcision mechanically releases fibrosis at the <strong>dermo-subcutaneous junction<\/strong>, approximately 2&ndash;3 mm beneath the skin surface. This technique is suitable for deeper acne scars.<\/p>\n<p>&emsp;&emsp;Releasing fibrosis at this level helps lift the depressed scar.<\/p>\n<p>&emsp;&emsp;The tools used in traditional subcision include:<\/p>\n<ul>\n  <li><strong>Sharp needles<\/strong>: Modified needles with blade-like tips (such as the Nokor needle). These are highly effective at cutting fibrous bands but may cause more bruising or bleeding.<\/li>\n  <li><strong>Blunt cannulas<\/strong>: Typically used for filler injections. They are safer and cause less bruising, but they are less effective at cutting dense fibrous bands.<\/li>\n  <li><strong>Specialized subcision instruments (e.g., Taylor&rsquo;s Liberator)<\/strong>: Specifically designed for subcision procedures. They help release fibrous bands with controlled movement while minimizing unnecessary trauma.<\/li>\n<\/ul>\n<picture>\n    <source media=\"(min-width: 671px)\" srcset=\"\/en\/wp-content\/uploads\/sites\/3\/2024\/07\/Subcisions-EN.webp 1200w\">\n    <img decoding=\"async\" src=\"\/en\/wp-content\/uploads\/sites\/3\/2024\/07\/Subcisions-EN_M.webp\" alt=\"Principle of Subcision\" loading=\"lazy\" style=\"width: 100%; margin-bottom: 10px;\"\n        width=\"450\" height=\"225\">\n<\/picture>\n<figcaption style=\"margin-bottom: 30px;\">Traditional Subcision<\/figcaption>\n<div style=\"position:relative; width:100%; height:0; padding-bottom:67.5%; margin-bottom: 10px;\">\n    <video title=\"Acne Scar Subcision\" style=\"position:absolute; top:0; left:0; width:100%; height:100%;\" autoplay controls playsinline muted loop loading=\"lazy\">\n    <source src=\"https:\/\/demo2.mingkwanclinic.com\/wp-content\/uploads\/2024\/07\/Subcision.mp4\" type=\"video\/mp4\"><\/video>\n<\/div>\n<figcaption style=\"margin-bottom: 30px;\">Video demonstrating deep subcision. You can hear the &#8220;snap sound&#8221; of the fibrous bands breaking when the sound is on.<\/figcaption>\n\n<h3>2) Upper-Skin (Superficial) Subcision<\/h3>\n<p>&emsp;&emsp;This technique targets fibrosis within the dermis, typically within 2&ndash;3 mm from the skin surface.<\/p>\n<p>&emsp;&emsp;Traditional subcision tools may not effectively separate fibrosis in this layer because the dermis behaves like elastic tissue and can reattach within a few days after treatment.<\/p>\n<p>&emsp;&emsp;One method used for superficial fibrosis is a needle-free jet injector. This device delivers high-pressure fluid into the skin to mechanically separate fibrotic attachments and create controlled subcision. This technique is particularly suitable for shallow acne scars and has been supported by medical publications. Click for the reference >>> <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10126042\/\">Medical Publication<\/a><\/p>\n\n<picture>\n    <source media=\"(min-width: 671px)\" srcset=\"\/en\/wp-content\/uploads\/sites\/3\/2026\/02\/Needlefree-2-1.webp 1200w 600h\">\n    <img decoding=\"async\" src=\"\/en\/wp-content\/uploads\/sites\/3\/2026\/02\/Needlefree-1-2.webp\" alt=\"Needlefree acne scar subcision\" loading=\"lazy\" style=\"width: 100%; margin-bottom: 10px;\"\n        width=\"600\" height=\"1200\">\n<\/picture>\n<figcaption style=\"margin-bottom: 30px;\">Concept of Needle-free Jet Injection as &#8220;Upper-skin subcision&#8221;<\/figcaption>\n\n<div class=\"table-outer\" style=\"margin: 20px\">\n    <div style=\"border: 1px solid; border-color: #6bb3a5; width: 100%; padding: 10px;\">\n        <span>&emsp;&emsp;At Mingkwan Clinic, we utilize both specialized traditional subcision tools and needle-free jet injection techniques. By addressing fibrosis at multiple levels, we aim to improve outcomes for both shallow and deep acne scars.<\/span>\n    <\/div>\n<\/div>\n\n<div id=\"5\"><\/div>\n<h2>Is Subcision Needed for Every Acne Scar?<\/h2>\n<p>Not necessarily. The decision depends on several factors:<\/p>\n<ul>\n  <li><strong>Scar age<\/strong>: New scars may improve with laser treatment alone. Older scars with established fibrosis usually benefit from subcision.<\/li>\n  <li><strong>Cause of depression<\/strong>: If the indentation is primarily caused by fibrous tethering, subcision is beneficial. If the depression is mainly due to volume loss, collagen-stimulating treatments or fillers may be more appropriate.<\/li>\n  <li><strong>Scar location<\/strong>: The cheeks are generally safer and more suitable for subcision. Areas such as the forehead and nose have thinner skin and higher risk, so subcision may be less advisable.<\/li>\n<\/ul>\n\n<div id=\"6\"><\/div>\n<h2>Subcision: Before and after<\/h2>\n<span>&emsp;&emsp;The results of subcision depend on several factors, including:<\/span>\n<ul>\n  <li>Type of acne scar (rolling scars typically respond best)<\/li>\n  <li>Age of the patient (younger patients often respond more favorably)<\/li>\n  <li>Density and thickness of fibrosis<\/li>\n  <li>Technique and instruments used<\/li>\n  <li>Combination with other treatments such as laser resurfacing or collagen-stimulating injections<\/li>\n<\/ul>\n<p>&emsp;&emsp;***Results vary by individual*** ***No Photoshop used to edit scars***<\/p>\n<picture>\n    <source media=\"(min-width: 671px)\" srcset=\"\/en\/wp-content\/uploads\/sites\/3\/2024\/07\/Pt7-2-2.webp 1200w\">\n    <img decoding=\"async\" src=\"\/en\/wp-content\/uploads\/sites\/3\/2024\/07\/Pt7-2-2_M.webp\" alt=\"before after Subcision for Acne Scars\" style=\"width: 100%; margin-bottom: 10px;\"\n        width=\"450\" height=\"450\" loading=\"lazy\">\n<\/picture>\n<figcaption style=\"margin-bottom: 40px;\">Before and after photos of 1 session of Double Lasers and Double Subcisions<br>**Note the significant improvement in the forehead area, which is usually difficult to treat, when using the correct subcision technique.<\/figcaption>\n\n<picture>\n    <source media=\"(min-width: 671px)\" srcset=\"\/en\/wp-content\/uploads\/sites\/3\/2024\/08\/Pt8-2-1.webp 1200w 600h\">\n    <img decoding=\"async\" src=\"\/en\/wp-content\/uploads\/sites\/3\/2024\/08\/Pt8-1-2_M.webp\" alt=\"before after Subcision for Acne Scars 2\" style=\"width: 100%; margin-bottom: 10px;\"\n        width=\"450\" height=\"900\" loading=\"lazy\">\n<\/picture>\n<figcaption style=\"margin-bottom: 40px;\">Before and after photos of Double Lasers and Double Subcisions<\/figcaption>\n\n<picture>\n    <source media=\"(min-width: 671px)\" srcset=\"\/en\/wp-content\/uploads\/sites\/3\/2024\/07\/2-2-Double-laser-Pt5.webp 1200w 1200h\">\n    <img decoding=\"async\" src=\"\/en\/wp-content\/uploads\/sites\/3\/2024\/07\/1-3-Double-laser-Pt5.webp\" alt=\"before after Subcision for Acne Scars 3\" style=\"width: 100%; margin-bottom: 10px;\"\n        width=\"450\" height=\"1350\" loading=\"lazy\">\n<\/picture>\n<figcaption style=\"margin-bottom: 40px;\">Before and after photos of Double Lasers and Double Subcisions<\/figcaption>\n\n<picture>\n    <source media=\"(min-width: 671px)\" srcset=\"\/en\/wp-content\/uploads\/sites\/3\/2024\/07\/2-1-Frac-CO2-Pt3.webp 1200w 600h\">\n    <img decoding=\"async\" src=\"\/en\/wp-content\/uploads\/sites\/3\/2024\/07\/1-2-Frac-CO2-Pt3-M.webp\" alt=\"before after Subcision for Acne Scars 4\" style=\"width: 100%; margin-bottom: 10px;\"\n        width=\"450\" height=\"900\" loading=\"lazy\">\n<\/picture>\n<figcaption style=\"margin-bottom: 40px;\">Before and after photos of Double Lasers and Double Subcisions + PN injections<\/figcaption>\n\n<div id=\"7\"><\/div>\n<h2>Should Laser or Collagen-Stimulating Injections Be Combined with Subcision?<\/h2>\n<p>Combination treatment is often recommended.<\/p>\n<p>Subcision releases fibrotic bands but does not significantly stimulate collagen production by itself. Without additional collagen stimulation, the scar may not thicken or elevate as much as desired.<\/p>\n<p>Laser treatments and collagen-stimulating injections help promote new collagen formation, enhancing overall improvement in scar texture and depth.<\/p>\n\n<div class=\"ad-insert\">\n    <div>\n        <p style=\"line-height: 1.6;\">View more<br>Acne Scar Treatment: Before and After<\/p>\n    <\/div>\n    <button onclick=\"location.href='\/en\/acne-scar-double-lasers-subcisions\/#7'\" class=\"ad-button\" type=\"button\">View Details<\/button>\n<\/div>\n\n<div id=\"8\"><\/div>\n<h2>Cost of Subcision<\/h2>\n<ul>\n    <li>\n        <strong>Cost of subcision alone at Mingkwan Clinic<\/strong><br>\n        Entire face: 11,500 THB<br>\n        Both cheeks: 8,900 THB<br>\n        Both temples: 6,000 THB\n    <\/li>\n    <li>\n        <strong>Cost of subcision combined with other treatments<\/strong> (such as laser or biostimulator injection)<br>\n        Entire face: 9,500 THB<br>\n        Both cheeks: 6,500 THB<br>\n        Both temples: 4,000 THB\n    <\/li>\n<\/ul>\n\n<div id=\"9\" style=\"background-color: #f8f8f8;\"><\/div>\n<div style=\"background-color: #f8f8f8; padding: 20px;\">\n<h2>Frequently Asked Questions About Subcision<\/h2>\n\n    <h3>\u2022 Is subcision painful?<\/h3>\n    <p>Local anesthesia is typically used to minimize discomfort during the procedure. Patients may feel pressure or movement beneath the skin. Mild soreness or swelling can occur afterward and may last for several days.<\/p>\n\n    <h3>\u2022 How many subcision sessions are usually required?<\/h3>\n    <p>The number of sessions depends on the scar type, depth, age of the scar, and whether combination treatments are used. Some patients may see noticeable improvement after one session, while others require multiple sessions spaced several weeks apart.<\/p>\n\n    <h3>\u2022 What is the downtime after subcision?<\/h3>\n    <p>Bruising and swelling are common and may last 5\u201310 days, depending on the treated area and individual healing response.<\/p>\n\n    <h3>\u2022 Can subcision make acne scars worse?<\/h3>\n    <p>Temporary swelling or unevenness may occur after treatment. When performed properly, subcision is intended to safely release tethered scars and is unlikely to worsen them. Proper patient selection and technique are important to minimize risks.<\/p>\n\n    <h3>\u2022 How soon can I see results after subcision?<\/h3>\n    <p>Results should generally be evaluated after about 6 weeks, as swelling may persist during the early healing phase. If the scars remain elevated after this period, the improvement is likely to represent the treatment outcome.<\/p>\n\n    <h3>\u2022 Is subcision suitable for Asian or darker skin types?<\/h3>\n    <p>Yes, subcision can generally be performed safely on Asian and darker skin types. Proper technique and post-treatment care are important, especially for patients prone to pigmentation.<\/p>\n\n    <h3>\u2022 Can I wear makeup after subcision?<\/h3>\n    <p>Light makeup is usually allowed after 24\u201348 hours, provided there are no open entry points. Your doctor will give specific aftercare instructions based on your treatment.<\/p>\n\n    <h3>\u2022 When can I return to work after subcision?<\/h3>\n    <p>Most patients can return to non-physical work, although visible swelling and bruising may remain for about one week. Downtime varies depending on the treated area and individual healing response.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&emsp;&emsp;At Mingkwan Clinic in Bangkok, Thailand, we provide subcision as a key treatment for atrophic (depressed) acne scars. Subcision can be combined with other modalities such as laser resurfacing, hyaluronic acid, or collagen-stimulating injections to enhance overall results through a synergistic approach. Contents &#8211; Click to read What Is Acne Scar Fibrosis? When Does Acne&hellip;&nbsp;<a href=\"https:\/\/mingkwanclinic.com\/en\/subcision-acne-scar\/\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">Subcision Acne Scar Treatment in Bangkok: How It Works.<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":272,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[3],"tags":[],"class_list":["post-273","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acne-scar"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Subcision Acne Scar Treatment in Bangkok: How It Works. - Mingkwan Clinic - Eng<\/title>\n<meta name=\"description\" content=\"Mingkwan Clinic in Bangkok provides subcision, an effective treatment for acne scars. 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