Scar Treatments

Subcision vs. Microneedling: Which Acne Scar Treatment Do You Need?

Understand why deep rolling scars require subcision to release tethered fibrous bands while surface texture responds best to RF microneedling.

Dr. Sadia
July 12, 2026
6 min read
Subcision vs. Microneedling: Which Acne Scar Treatment Do You Need?

Acne scars are rarely all the same. Most patients in Bangladesh present with a combination of rolling scars, boxcar scars, and post-inflammatory dark marks.

Why Subcision is Crucial: Rolling scars are caused by thick fibrous collagen bands pulling the epidermis down towards the subcutaneous fat layer. Topicals or simple microneedling alone cannot cut these deep bands. Subcision uses a specialized cannula inserted under the skin to gently sever these tethers.

Why RF Microneedling Completes the Result: Once the tether is released, Radiofrequency Microneedling delivers thermal energy into the dermis, stimulating rapid collagen synthesis to fill the newly freed skin volume.

Combination Protocol at Dr. Sadia's Clinic: Rather than offering one-size-fits-all treatments, Dr. Sadia combines customized subcision with RF microneedling in a single tailored session for maximum scar elevation.

Tags
#Acne Scars#Subcision#Microneedling#Skin Remodeling
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