Understand how subcision for acne scars works and its benefits for improving skin appearance.
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Acne scars are one of the most common complaints in dermatology clinics. Studies indicate that around 80% to 90% of people who have had acne to some degree develop some type of residual scarring. And the problem is not just aesthetic: these marks can directly impact self-esteem and confidence.
If you have already treated acne but still deal with those depressions on your face that don’t seem to go away, this content will clarify subcision for acne scars—one of the most effective techniques for improving skin texture.
What are depressed acne scars?
Acne scars can appear in different forms, but so-called depressed scars are among the most challenging. They create small “indentations” in the skin that do not improve with creams or makeup alone.
Why don’t these scars disappear on their own?
Many people believe the problem lies only on the skin’s surface, but its origin is deeper. Beneath the depressed area, there are fibrous scar bands that act like small “tethers,” pulling the skin downward.
These structures prevent the skin from returning to its normal level, even with the use of topical products. That’s why superficial treatments are often not enough.
What is subcision for acne scars and how does it work?
Subcision is a minimally invasive dermatological procedure performed in-office under local anesthesia. Its goal is to treat the root cause of depressed scars.
How is the procedure performed?
During subcision, the doctor uses a specific needle to break the fibrous bands that are pulling the skin downward. By releasing these “tethers,” the skin tends to gradually lift, becoming more level with the surrounding surface.
Collagen stimulation: an additional benefit
In addition to mechanically releasing the skin, the procedure creates controlled trauma in the area. This activates the body’s natural healing process, stimulating collagen production—an essential protein for skin firmness and uniformity.
What results can you expect from subcision?
Subcision typically delivers very satisfactory results, especially in cases of deeper depressed scars.
Progressive and natural results
It’s important to understand that this is not an immediate or artificial transformation. The goal is to promote a significant and visible improvement in skin texture, making it smoother and more even to the touch.
Combination with other treatments
To enhance results, subcision can be combined with other technologies, such as CO₂ laser. This combination helps further refine skin texture and tone, offering a more complete outcome.
How many sessions are needed?
There is no standard number of sessions. Each case should be evaluated individually, considering factors such as:
- Depth of the scars
- Skin type
- Healing capacity
- Response to treatment
The ideal plan should always be defined by a qualified professional.
What is recovery like after subcision?

Recovery from subcision is relatively simple but requires some important care.
Common post-procedure effects
After the session, it is common to experience small bruises in the treated area. These signs are expected and are part of the healing process.
Essential care
To ensure proper recovery and avoid complications, it is recommended to:
- Use sunscreen consistently
- Avoid direct sun exposure in the first few days
- Follow all medical instructions
These measures help prevent pigmentation issues and ensure better results.
Is subcision worth it?
If you live with acne scars that affect your self-esteem, subcision can be an excellent treatment option. It is a safe, effective technique based on solid medical principles.
More than eliminating imperfections, the procedure aims to restore skin harmony and improve your relationship with your own appearance.
Conclusion
Acne scars go beyond aesthetics—they directly impact how you see yourself. Fortunately, treatments like subcision offer an effective solution by addressing the root cause of the problem.
If you want to treat your scars safely and with medical support, seek a specialized dermatologist for a personalized evaluation. With proper guidance, it is possible to achieve smoother skin and regain confidence when looking in the mirror.
Contact
Clínica de Pele has specialized in dermatological treatments in Rio de Janeiro for over 60 years, since 1969. Dr. Szerman has more than 20 years of experience and also teaches other physicians.



