Subcision + Filler Combination

Service Description

WHAT IT IS Subcision to release the fibrous bands tethering a depressed scar, immediately followed by placement of a small amount of filler into the space that has been created — holding the released skin at its new level while collagen forms. WHY PEOPLE CHOOSE IT Subcision alone releases the tether, but the space can partially re-tether as it heals. Filling it immediately holds the correction open, gives a visible improvement on the day rather than in months, and produces a more reliable final result. WHAT WE AIM FOR Immediate visible lifting of depressed scars, held in place while your own collagen fills the released space — a correction that is both faster and more durable than subcision alone. WHO IT SUITS · Depressed rolling scars · Wanting a visible improvement sooner · Subcision alone having partially relapsed · Deeper depressed scarring · Scarring where volume as well as tethering is an issue TREATMENT DETAILS Appointment: 60–75 minutes Discomfort: Local anaesthetic used Downtime: Bruising and swelling for 7–14 days First results: Immediate lift, visible once bruising settles Sessions: 1–2 usually sufficient Duration: Filler component lasts 9–18 months; collagen change is lasting FREQUENTLY ASKED QUESTIONS Do I have to keep having filler? No. The filler holds the space while collagen forms. As it breaks down, the new collagen has usually taken over, so the improvement persists. Some patients choose a top-up; many do not need one. Is this better than subcision alone? For depressed scars, generally yes — it gives a faster visible result and reduces the chance of re-tethering. Dr Selvi will advise whether your scar type warrants the combination or whether subcision alone is sufficient. What result can I realistically expect? Improvement, not erasure. No treatment removes acne scarring completely, and any clinic telling you otherwise is misleading you. A realistic outcome from a well-planned course is typically a 40 to 70 per cent improvement — the difference between scarring that is the first thing someone notices and scarring you have to look for. Why do I need more than one type of treatment? Because acne scars are not all the same. Ice-pick, boxcar and rolling scars have different structures and respond to different techniques. Applying one treatment to every scar type is the single most common reason scar treatment underdelivers. Do I need my acne under control first? Yes, absolutely. Treating scars while new ones are still forming wastes your money. Dr Selvi will get the active acne controlled before starting scar work — and will say so even if it delays the treatment you came in for. Is scar treatment suitable for darker skin? Yes, with appropriate technique and settings. The main consideration is post-inflammatory hyperpigmentation, which is more likely in richly pigmented skin. Dr Selvi may prime your skin, adjust the approach, or space sessions further apart. How important is sun protection? Critical. Daily broad-spectrum SPF 50 throughout the course and for months afterwards. Freshly treated skin pigments readily, and sun exposure is the most common cause of a disappointing scar treatment result. Who will treat me? All treatments at Dr Selvi Clinic are carried out by a doctor, following a face-to-face consultation and an assessment of your suitability. BOOKING Book online, or start with the free 15-minute initial consultation if you are unsure which treatment is right for you. Prices are a guide and may vary according to your personalised treatment plan.