Subcision Management for Acne Scars in Preselected Adult Patients from Concepción, Paraguay, 2024

Authors

  • Hilda Mariela Ortiz 1 Consultorio médico Med House. Horqueta, Concepción, Paraguay. 2 Universidad Nacional de Caaguazu, Facultad de Ciencias Médicas, Especialización en Medicina Estética y Envejecimiento Fisiologíco. Coronnel Oviedo, Paraguay. https://orcid.org/0009-0000-4999-5190

Keywords:

acne, atrophic scars, subcision, aesthetic medicine, minimally invasive techniques

Abstract

Introduction: Atrophic acne scars are a frequent sequela that are difficult to treat and have a negative impact on quality of life. Subcision is a minimally invasive technique that has proven useful in improving these lesions.

Objective: To evaluate the clinical use of subcision in atrophic acne scars in preselected adult patients treated at a private clinic in Concepción, Paraguay, in 2024.

Materials and methods: Observational, descriptive, cross-sectional study. Twenty adult patients with atrophic acne scars (mostly rolling and boxcar types) were treated. Subcision was performed using an 18G Nokor needle under local anesthesia. Clinical outcomes, postoperative evolution, and subjective patient satisfaction were assessed.

Results: Seventy-five percent of patients showed moderate to significant clinical improvement. Eighty percent reported high subjective satisfaction (≥ 8/10). Adverse effects were mild and transient, mainly hematoma (35%) and mild pain (30%). No serious complications were reported.

Conclusion: Subcision is an effective, safe, and well-tolerated technique for the treatment of atrophic acne scars. Its systematic application can improve aesthetic outcomes in outpatient settings.

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References

1. Reynolds RV, Yeung H, Cheng CE, Cook-Bolden F, Desai SR, Druby KM, Freeman EE, Keri JE, Stein Gold LF, Tan JKL, Tollefson MM, Weiss JS, Wu PA, Zaenglein AL, Han JM, Barbieri JS. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2024 May;90(5):1006.e1-1006.e30. doi: 10.1016/j.jaad.2023.12.017.

2. Tan JK, Bhate K. A global perspective on the epidemiology of acne. Br J Dermatol. 2015 Jul;172 Suppl 1:3-12. doi: 10.1111/bjd.13462.

3. Magin P, Adams J, Heading G, Pond D, Smith W. Psychological sequelae of acne vulgaris: results of a qualitative study. Can Fam Physician. 2006 Aug;52(8):978-9.

4. Boen M, Jacob C. A Review and Update of Treatment Options Using the Acne Scar Classification System. Dermatol Surg. 2019 Mar;45(3):411-422. doi: 10.1097/DSS.0000000000001765.

5. Alam M, Omura N, Kaminer MS. Subcision for acne scarring: technique and outcomes in 40 patients. Dermatol Surg. 2005 Mar;31(3):310-7; discussion 317. doi: 10.1111/j.1524-4725.2005.31080.

6. Gozali MV, Zhou B. Effective treatments of atrophic acne scars. J Clin Aesthet Dermatol. 2015 May;8(5):33-40.

7. Chilicka K, Rusztowicz M, Szyguła R, Nowicka D. Methods for the Improvement of Acne Scars Used in Dermatology and Cosmetology: A Review. J Clin Med. 2022 May 12;11(10):2744. doi: 10.3390/jcm11102744.

8. Amiri R, Khalili M, Mohammadi S, Iranmanesh B, Aflatoonian M. Treatment protocols and efficacy of light and laser treatments in post-acne erythema. J Cosmet Dermatol. 2022 Feb;21(2):648-656. doi: 10.1111/jocd.14729.

9. Al-Dhalimi MA, Arnoos AA. Subcision for treatment of rolling acne scars in Iraqi patients: a clinical study. J Cosmet Dermatol. 2012 Jun;11(2):144-50. doi: 10.1111/j.1473-2165.2012.00616.x.

10. Nilforoushzadeh MA, Fakhim T, Heidari-Kharaji M, Hanifnia AR, Hejazi S, Torkamaniha E. Efficacy evaluation of Endolift-based Subcision on acne scar treatment. J Cosmet Dermatol. 2021 Aug;20(8):2579-2582. doi: 10.1111/jocd.13876.

11. Eichenfield DZ, Sprague J, Eichenfield LF. Management of Acne Vulgaris: A Review. JAMA. 2021 Nov 23;326(20):2055-2067. doi: 10.1001/jama.2021.17633.

12. Nilforoushzadeh MA, Faghihi G, Jaffary F, Haftbaradaran E, Hoseini SM, Mazaheri N. Fractional Carbon Dioxide Laser and its Combination with Subcision in Improving Atrophic Acne Scars. Adv Biomed Res. 2017 Mar 1;6:20. doi: 10.4103/2277-9175.201332.

13. Abdelwahab AA, Omar GAB, Hamdino M. A combined subcision approach with either fractional CO2 laser (10,600 nm) or cross-linked hyaluronic acid versus subcision alone in atrophic post-acne scar treatment. Lasers Med Sci. 2022 Dec 24;38(1):20. doi: 10.1007/s10103-022-03677-y.

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Published

2025-01-17

How to Cite

1.
Ortiz HM. Subcision Management for Acne Scars in Preselected Adult Patients from Concepción, Paraguay, 2024. Cienc. Est. [Internet]. 2025 Jan. 17 [cited 2026 Apr. 2];1(1):27-31. Available from: https://cienciayestetica.org/index.php/revista/article/view/6

Issue

Vol. 1 No. 1 (2025): Enero - Abril

Section

Artículos originales

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Copyright (c) 2025 Hilda Mariela Ortiz

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This work is licensed under a Creative Commons Attribution 4.0 International License.