Abstract
Background: Treatment of acne scars is a therapeutic challenge that may require the recruitment of multiple modalities. The available options are chemical peeling, punch excision, punch elevation, subcutaneous incision (subcision) and laser resurfacing. Subcision is a non-expensive and simple procedure which has been proved to be of value in acne scar treatment.
Objective of this study is to assess the efficacy of subcision in treatment of rolling acne scars.
A recommended technique was applied to 15 patients aged 24-45 years. Procedure was done under local anesthesia at 2 to 4 week intervals. Patients were followed up for 6 months. Improvement of scars were assessed by patient's satisfaction, 2 independent observer's assessment and serial photographic comparisons.
All patients reported that subcision improved their appearance. The percentage of improvement was graded between 40 -70% by most patients and observers. No major side effects reported except pain, swelling and bruising. One patient developed pigmentation at subcision sites.
Subcision appears to be a safe procedure in managing rolling acne scars.
© 2009 D M Amaratunga, C N Gunasekera, published by Sri Lanka College of Dermatology and Aesthetic Medicine
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