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Subcision: Indications, adverse reactions, and pearls
Sahar Dadkhahfar1, Reza M Robati1,2, Mehdi Gheisari1,2
1Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Journal of Cosmetic Dermatology
|January 29, 2020
Summary
Subcision, a minimally invasive procedure, effectively treats acne scars, cellulite, and other skin depressions. This technique is affordable, has minimal downtime, and few complications when performed correctly.
Area of Science:
- Dermatology
- Aesthetic Medicine
- Minimally Invasive Surgery
Background:
- Subcision, or subcutaneous incisionless surgery, is a versatile dermatological procedure.
- It is utilized for treating various skin concerns such as atrophic acne scars, depressed scars, cellulite, and wrinkles.
Purpose of the Study:
- To conduct a comprehensive review of subcision.
- The review focuses on the indications, adverse reactions, and key techniques (pearls) associated with subcision.
Main Methods:
- A systematic literature search was performed using the National Library of Medicine database.
- Articles published up to March 2019 were reviewed, with a focus on studies with adequate sample size and design.
Main Results:
- Forty articles were selected for this review.
- Key applications include treatment of acne scars (21 papers), cellulite (4 papers), and other conditions like striae and nasolabial folds (8 papers).
Conclusions:
- Subcision demonstrates efficacy in treating diverse skin conditions, including acne scars and cellulite.
- The procedure is characterized by ease of application, affordability, minimal downtime, and a favorable safety profile.
- Proper technique and practitioner experience are crucial for optimal outcomes.

