Microneedling vs. Subcision: Which Treatment is Best for Acne Scars?

Understanding Acne Scars

Acne scars form when deep breakouts damage the skin and underlying tissue. When the skin tries to heal, it can leave behind depressions or indentations due to collagen loss. Both microneedling and subcision work to stimulate collagen production and improve skin texture, but they do so in different ways.

There are different types of acne scars, including:

• Rolling scars – Broad depressions with sloping edges
• Boxcar scars – Sharper, well-defined edges that create a pitted appearance
• Ice pick scars – Deep, narrow scars that extend into the skin

Choosing the right treatment depends on the type and depth of your scars.

What is Microneedling?

Microneedling, also known as collagen induction therapy, involves using a device with fine needles to create tiny micro-injuries in the skin. These micro-injuries trigger the body’s natural healing response, promoting collagen and elastin production, which helps smooth and rejuvenate the skin over time.

Benefits of Microneedling:

• Improves overall skin texture and tone
• Reduces mild to moderate acne scars
• Enhances absorption of skincare products
• Minimally invasive with little downtime
• Safe for most skin types

Microneedling is often recommended for patients with mild to moderate acne scars, as well as those looking to improve overall skin health. It can also be combined with platelet-rich plasma (PRP) therapy for enhanced healing and results.

What is Subcision?

Subcision is a minor surgical procedure designed to release deep, tethered scars by breaking the fibrotic bands that pull the skin downward. A small needle is inserted under the scar to sever these bands, allowing the skin to lift and smooth out over time. This procedure is particularly effective for deeper scars that microneedling may not fully address.

Benefits of Subcision:

• Specifically targets deep, depressed scars (such as rolling and boxcar scars)
• Provides long-term improvement as collagen regenerates
• Can be combined with other treatments like fillers or laser therapy for enhanced results
• Minimally invasive with mild bruising and swelling
• Results are visible after just a few sessions

Subcision is an excellent choice for patients with deeply indented scars that have not responded well to other treatments. Some patients may also opt for dermal fillers following subcision to further improve volume loss.

Which Treatment is Right for You?

The best treatment for acne scars depends on the type and severity of your scars.

• If you have mild to moderate acne scars and want an overall improvement in skin texture, microneedling may be the best option.
• If you have deep, tethered scars, subcision is often the preferred approach.
• In many cases, a combination of both treatments provides the best results for smoother, more even skin.

Combining Treatments for Maximum Results

Many patients achieve the best results by combining both microneedling and subcision. While subcision releases deep scar tissue, microneedling helps refine the skin’s texture and boost collagen production. Additionally, treatments like laser resurfacing, PRP therapy, or chemical peels may further enhance results.

Meet Our Expert: Snehal Amin, MD

At MDCS Dermatology, our highly experienced team, including Dr. Snehal Amin, MD, FAAD, specializes in advanced acne scar treatments. With a patient-centered approach, Dr. Amin tailors each procedure to ensure optimal results. Learn more about Dr. Snehal Amin here.

Book Your Acne Scar Consultation Today

If you’re ready to improve your acne scars and achieve smoother skin, our expert dermatologists at MDCS Dermatology can help. Schedule a consultation today to discuss whether microneedling, subcision, or a combination of both is right for you. Book your appointment online now.