Approach to Subcision Treatment

* 3-Step Approach to Subcision Treatment

Step 1 – Surface Adhesion Release

Fibrous adhesions widely spread in the shallow areas of the skin are delicately separated with micro-needles.

By carefully treating the fibrous tissues that pull down the scarred area,

we help naturally improve the depressed parts of the skin surface.

Step 2 – Deep Adhesion Tissue Treatment

Strong adhesive tissues that seem to be rooted deep in the dermis layer

can be addressed using a cannula to release adhesions in a wide area, reducing the burden of the procedure.

The use of a cannula can help minimize the possibility of bruising or pain,

and can be particularly useful in improving wide-ranging rolling or boxcar scars.

→ This step is an important process that contributes to reducing the burden of bruising and pain after the procedure.

Step 3 – Tissue Regeneration Induction (Utilizing Micro-needles)

Finally, micro-needles are used to create micro-bleeding in the skin tissue.

This promotes blood circulation and contributes to creating an environment where growth factors necessary for regeneration gather.

This process is expected to help stimulate fibroblasts and promote collagen production.

Combination Treatments for Enhanced Procedure Effects

Combination treatments can be considered to positively impact the procedure results while reducing the recovery burden.

① Concomitant PDRN Injections

When performing subcision treatment, PDRN injections are applied concurrently.

This can aid in the wound healing process and help reduce the likelihood of redness or hyperpigmentation after the procedure.

As it plays a role in assisting the regeneration of scar tissue, this injection is performed as a standard process, not an optional additional procedure.

② Combination with Erbium YAG Fraxel, Considering Recovery Burden

Subcision is primarily a procedure focused on improving structural issues within the skin.

However, it may be limited in delicately refining the skin's surface texture or subtle irregularities.

For this reason, it is common to combine Erbium YAG Fraxel after subcision treatment.

Erbium YAG Fraxel delivers energy to the shallow layers of the skin, which can positively influence the improvement of skin surface texture, pores, and subtle depressed areas.

→ This is expected to reduce the recovery burden while contributing to overall improvement in the procedure's results.

Key Approach to Subcision Treatment

* Treatment Design Based on Anatomical Understanding

Rather than simply stimulating the skin deeply,

we carefully determine in which layer adhesions are formed and in what direction they should be resolved

from diagnosis to the entire process of establishing a treatment plan.

* Utilization of Precision Medical Devices

By combining various devices such as needles, cannulas, and micro-needles,

we aim to reduce potential discomforts like bruising, swelling, and pain while expecting satisfactory improvement effects.

* Combination Treatment with PDRN and Erbium YAG Fraxel

Combination treatments, which contribute to enhancing the post-procedure recovery process and efficiency,

are proposed as a standard part of subcision treatment, not as optional additional procedures.

* Suitability Assessment Based on Precise Diagnosis

Subcision treatment is not equally applicable to all types of scars. It requires a process of carefully analyzing the individual characteristics of each patient's scar to determine suitability.

We honestly do not recommend scar treatments that we deem unnecessary for the patient.

We believe that before recommending any procedure, medical professionals must first make a precise medical judgment of the patient's condition.

What is New Skin Needle (Saesalchim) treatment?

Depressed scars appear as tissues beneath the skin surface being strongly pulled inwards.

Superficially, they look sunken, but in fact, deep beneath the dermal layer,

a tissue called a 'fibrous band' forms a structure that strongly pulls the scar area inwards into the skin.

Only by breaking these adhered fibrous tissues does the possibility of the skin returning to its original flat height increase.

The procedure that releases such a downward-pulled structure is called New Skin Needle (Saesalchim) or subcision.

Principle of New Skin Needle (Saesalchim) Treatment

1. Adhesion Release

The fibrous adhesions formed deep within the skin are

carefully separated using a special needle or cannula.

Once the skin structure pulling the scar downwards is released, the sunken area may gradually fill up and show smooth improvement.

2. Micro-bleeding Formation (Regeneration Signal)

The micro-bleeding that naturally occurs during the process of separating adhered tissues

acts as a crucial signal to stimulate new collagen production within the skin.

Through this process, fibroblast activity becomes vigorous, creating an environment where new skin tissue can be generated around the scar.

3. Blood Flow Enhancement and Tissue Regeneration Support

In some cases, microneedling treatment is combined with PDRN (DNA injection) to

improve blood circulation in the area and help regenerative cells concentrate effectively.

As a result, wound healing and new collagen production can be jointly promoted.

Who is New Skin Needle (Saesalchim) treatment suitable for?

If you have deeply indented scars on your forehead, as if a dot was pressed into it

Scars where the temple area is deeply sunken, making the skin texture appear rough and uneven

If one or more dot-like depressed scars appear on the nose area

Complex scars on both cheeks, indented or deeply pitted in various forms

What is Multi-New Skin Needle (Saesalchim) Treatment? (Existing Saesalchim 3 Steps + Erbium YAG Shouldering)

This procedure is a method that enhances effectiveness by adding the shouldering technique to the existing New Skin Needle (Saesalchim) (subcision) method.

When treating scars, it may be difficult to achieve satisfactory results by merely releasing the adhesions beneath the scar.

Even if adhesions beneath the scar are resolved with subcision, scars with distinct boundaries and deep depressions may make it difficult for the skin to naturally regenerate to its original height.

The human body has a natural tendency to restore damaged areas to a height and texture similar to the surrounding tissue during the self-healing process.

However, if the scar's border is abruptly disconnected, this natural regeneration process may struggle to proceed smoothly.

In this case, a process of finely refining the scar's border to create a more gradual (shouldering) form is necessary.

Undergoing this process reduces the height difference with the surrounding skin, and as the scar area fills in, you can expect a look that is more smoothly connected with the surrounding skin and less noticeable to the naked eye.

In fact, one of the reasons why it was difficult to achieve sufficient improvement with the existing New Skin Needle (Saesalchim) treatment alone is closely related to this border issue.

Even if the adhesions beneath the scar are sufficiently resolved, if the border remains firm like a wall, skin regeneration results may be limited. 

Therefore, the shouldering technique can contribute to compensating for the shortcomings of existing approaches in treating depressed scars with clear boundaries. 

Types of individuals who may consider Multi-New Skin Needle (Saesalchim) treatment

1) Individuals who feel they have not achieved sufficient improvement through existing New Skin Needle (Saesalchim) treatment or general scar treatments

Even after undergoing subcision or laser treatment, some individuals may worry that their scar improvement is not as significant as expected.

Even if adhesions under the scar have been released, if the scar edges remain steep, the skin may have difficulty filling in smoothly.

In such cases, by performing a shouldering treatment to gently smooth out the steep scar edges, one can expect better results in scar improvement.

The second type is scars that are deeply indented with distinct, steep edges.

Types like boxcar scars with suddenly deep edges, even when new skin tissue fills in from within,

the lateral edges of the scar can remain like a wall, hindering the scar's recovery.

In this case, by gently smoothing the border area with Er:YAG shouldering treatment, you can expect the scar to blend more naturally with the surrounding skin by reducing the height difference.

The third method is suitable for those who wish to achieve good changes with fewer sessions than traditional 'new skin' needle treatments.

Traditional 'new skin' needle treatments may require multiple sessions for the treatment effects to become apparent. In contrast, multi-layered 'new skin' needle treatment helps improve scars with a comprehensive approach, addressing adhesions beneath the scar, lateral edges, and the skin surface.

Thanks to this multi-faceted approach, positive changes can be expected with fewer sessions compared to traditional 'new skin' needle treatments.