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診療科目

Subcision

There is a treatment that tackles acne scars that won't go away no matter what you do.

In many cases, crater-like acne scars are difficult to improve with superficial skincare or lasers alone.

Subcision is a treatment that separates the fibers deep within the skin that are causing the indentations, drawing out the skin's natural regenerative powers.

It is gaining attention as an alternative option for acne scars that have bothered you for years.

Recommended for people who

  • I'm concerned about uneven skin that can't be hidden with makeup.
  • I've been struggling with stubborn acne scars for years.
  • I want to improve my skin quality from the root.
  • I want to clear up scars and chickenpox scars.
  • I've tried Dermapen, Potenza, and fractional lasers many times, but nothing worked.

We will solve your concerns in the shortest time possible!

What is Subcision?

Subcision is a treatment that uses special medical needles (cannulas) to physically peel away the scar tissue that causes acne scars.
It is characterized by its ability to improve sunken craters by releasing adhesions between the dermis and fascia deep within the skin.
Developed in 1995, this treatment is now an established technique used in cosmetic dermatology clinics around the world.
It has been medically proven to be highly effective, particularly for wavy, rolling acne scars.
Subcision's greatest feature is its ability to directly address adhesions deep within the skin that are difficult to reach with laser treatments.

Types of Scars Suitable for Subcision

  • Rolling Type

    (gentle depressions)

  • Ice Pick Type

    (deep into the dermis)

  • Boxcar Type

    (flat-bottomed depressions)

Subcision is particularly effective for rolling acne scars with an opening of 4mm or larger that are saucer-shaped depressions.

This treatment is especially recommended for those who have not seen significant improvement with other methods.

Characteristics of our subcision

  • サブシジョン施術中の様子｜ライブリークリニック

    Many people experience a change after just one treatment

    Subcision does not have the same effects regardless of where you receive the treatment. At our clinic, the treatment is performed by experienced doctors, so many patients see a difference after just one treatment. In addition, our doctors carefully examine each patient and propose the optimal plan suited to their skin type, allowing us to achieve faster improvement of craters than anywhere else.
    *Effects may be perceived differently by each individual.

  • カウンセリング中の様子｜ライブリークリニック

    Affordable prices even for a wide range of craters

    In the case of extensive craters, depending on the treatment, a single session can be expensive. At our clinic, we have set the maximum fee at 110,000 yen, so even those who are troubled by extensive craters can receive treatment at a reasonable price.

Case

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Subcision Downtime

  • On the day of treatment
    サブシジョンの術後直後の様子｜ライブリークリニック

    Redness, swelling, and bruising may occur in the treatment area.

  • 1-3 days later
    サブシジョンの1〜3日後の様子｜ライブリークリニック

    Bruising may become noticeable. This will gradually subside.

  • 1 week later
    サブシジョンの1週間後の様子｜ライブリークリニック

    Bruising will gradually fade, and in most cases, you will be able to return to your normal activities.
    *Individual results may vary.

Combination of Subcision and Hyaluronic Acid Injection

By combining subcision with hyaluronic acid injections into the areas where the skin's adhesions (dermal layer) have been released, the depressions caused by acne can be lifted.

Hyaluronic acid, commonly used for treating wrinkles and nasolabial folds, can be injected under acne scars to prevent re-fibrosis and enhance the effects of subcision.

When hyaluronic acid injections and subcision are combined, the following benefits can be expected:

  • Prevents re-adhesion of the treated areas.
  • Lifts the depressions caused by acne.
  • Stimulates collagen production.

  • Treat deep acne scars and uneven pores for smooth skin!

    Although the injected hyaluronic acid will be absorbed by the body in about six months, your own tissue will regenerate and replace it, so the effect will not completely disappear after six months.

    In addition to subcision, we offer other treatments for acne scars such as microneedling (Dermapen) and oral medications to control acne. Our clinic will propose the best treatment plan based on the condition of your skin.

For those who are worried about pain

At our clinic, we offer a wide range of anesthesia methods, including cream anesthesia, laughing gas anesthesia, block anesthesia, and intravenous anesthesia, and we strive to make treatment as painless as possible.
Before treatment, we provide a thorough consultation and answer any concerns or questions you may have, so you can undergo treatment with peace of mind.

Recommended Frequency Many people feel the effects from the first session, but continuing for about three sessions at one-month intervals can lead to even greater results.
Face Washing/Bathing Face washing and bathing are possible from the day of the procedure. However, avoid long baths for a week and opt for showers instead.
Avoid saunas.
Makeup Basic skincare (skincare products) can be used from the day of the procedure, but avoid the needle insertion sites.
Alcohol consumption should be avoided for about a week as it may increase swelling.
Contraindications Pregnant or breastfeeding women / Infections at the treatment site / Neurological disorders, heart disease, diabetes / Active herpes simplex I or II at the treatment site / Immunodeficiency or use of immunosuppressants / Use of anticoagulant medications / Coagulation disorders / Skin cancer at the treatment site / Keloid tendency / Vascular diseases, tattoos, or permanent makeup at the treatment site / Use of chemical substances at the treatment site / Skin that is immediately sunburned.

FAQ Frequently Asked Questions

Will one treatment be effective?
Subcision results are not the same regardless of where you receive the treatment. At our clinic, treatments are performed by experienced doctors, so many people see noticeable improvement after just one treatment.
*Results may vary from person to person.
Does subcision treatment hurt?
Thanks to our advanced anesthesia techniques, you will feel almost no pain during the procedure.
We offer a wide range of anesthesia methods, including cream anesthesia, nitrous oxide anesthesia, block anesthesia, and intravenous anesthesia, and strive to provide treatment with as little pain as possible. Even if you are concerned about the pain of the procedure, please feel free to visit us.
Is there any downtime?
Swelling will subside in a few days, and any internal bleeding will subside in about a week. If you wear a mask, it will not affect your daily life.
Is there a recommended interval between treatments?
Subcision can be effective with just one treatment, but depending on your symptoms, we recommend 3 to 6 treatments spaced about one month apart.
How long will it take to see results?
Some people notice results after just one session, but you can expect even better results with more sessions.
When can I wear makeup?
You may experience some internal bleeding, but you will be able to wear normal makeup and go out the next day.
Can I exercise after treatment?
Please refrain from exercising on the day of treatment.