Subcision London

At a glance

Subcision treatment time:

15-60 minutes, depending on the site and type of scar/line being treated.

Duration:

May require repeated treatments to achieve the desired effects. Following this, subcision generally gives long lasting results.

Return to work:

Usually no delay.

Anaesthetic:

Local anaesthetic

Subcision treatment is a small surgical procedure performed at our London clinic for treating acne scars and other depressed or pitted scarring, and to reduce appearance of lines.

It involves inserting a specially designed needle under the skin to help break up any fibrous tissue that is tethering the top layer of skin to deeper tissues, which causes the scarring or lines to be depressed. This also helps to promote production of connective tissues, such as collagen, within the skin.

As a result, the treated skin becomes more even and scarring to appear less prominent. Subcision is a minor surgical procedure that can easily be performed within an outpatient appointment under a local anaesthetic.

Mr Ioannis Goutos is an expert plastic surgeon with a special interest in both the academic and clinical field of scars and burns. He is in a position to offer consultations and meticulous assessments for a number of surgical and non-surgical procedures. Mr Goutos takes special pride in considering all relevant factors for each individual, such as their concerns, medical history, treatment goals and personal preferences, to create bespoke treatment plans.

Subcision Acne Scar Treatment London

Subcision is a minimally invasive procedure used to treat acne scars. This treatment involves using a needle to break up the scar tissue beneath the skin’s surface. Subcision helps to release the tethered scars and stimulate collagen production for smoother skin.

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What is Subcision treatment?

Subcision treatment is classed as a surgical procedure, however it is short and can be done during an outpatient appointment with only local anaesthetic in most cases. This means that there is minimal downtime following subcision, and you can return to work on the same day. Subcision can give good results in improving the appearance of acne scars and:

Atrophic scarring, from wounds, acne or surgery
Tethered scarring from acne or previous chicken pox
Skin graft scars from previous reconstruction of wounds
Cellulite dimples

It is crucial that the scarring has sufficiently matured and that there is no active infection or inflammation present in the skin prior to undergoing subcision.

Following assessment, typically, an experienced clinician will clean the target area of skin with an antiseptic solution. The area is then infiltrated with a local anaesthetic, which works to make the area numb within a few minutes. You may feel some pressure during the procedure, but you should not feel any sharp pains. A specialised, tri-bevelled needle is then inserted under the skin and moved backwards and forwards in a fan-like pattern underneath the area of scarring or dimpling; this serves to release the fibrous bands of tissue within the skin. The needle is then removed and the entry area is either dressed or in certain cases closed with an absorbable stitch. Further incisions can be made to treat larger areas. In many situations, it is recommended that the subcised area is injected with fat removed from another part of the body (lipofilling or fat transfer).

Following subcision, you may have some mild discomfort, redness and swelling which should reduce within a few days. Pain medication can be helpful to improve the discomfort; nevertheless most patients find the recovery to be smooth and not requiring any medication at all.

Subcision FAQs

We know having medical, surgical or cosmetic treatment can seem daunting and it is natural to have questions. We are here to ensure your comfort and safety at all times. If you are unable to find the answer to your questions below, then please do not hesitate to contact us so we can help.

What are the risks associated with subcision treatment?

Subcision is a minimally invasive treatment, so carries fewer risks than other surgical treatments. As there is a break in the skin, there are risks of infection, bleeding, swelling and mild discomfort following the procedure. These risks are reduced with the use of properly sterile equipment, an experienced practitioner and good aftercare. Sometimes subcision may result in some irregularities, which tend to be temporary. There may also be a very small risk of nerve or blood vessel damage depending on where the target area is. All of these risks should be discussed with you in full prior to undergoing any procedure.

How many subcision treatments will I need?

Although you can expect to see improvement following one session, most individuals require up to 3 sessions to get the optimal final results. It is recommended to allow at least 3-6 months between treatments to allow the skin to heal and to fully appreciate the response to the treatment.

What kind of results can I expect from subcision?

Most people will have visible and positive results after the first treatment with an improvement in the contour of the area; in other words, it should appear ‘plumper’, smoother and more even with the surrounding skin.

Can I have subcision alongside any other cosmetic procedures?

Subcision can be used in conjunction with other procedures, such as needling, laser treatments or fat transfer, in order to achieve the desired result. It is also recommended to consult with an experienced practitioner who will be able to assess your skin, any problem areas you might have and consider your cosmetic goals before suggested an appropriate treatment plan, which may include a number of different procedures.

How does subcision work for treating acne scars?

Subcision is a highly effective and innovative treatment for acne scars. It involves the use of a specialised tool that gently breaks up the fibrous bands of scar tissue beneath the skin’s surface. By releasing these bands, subcision allows for the natural regeneration of collagen, which helps to fill in the depressions caused by acne scars. Additionally, subcision promotes blood flow to the treated area, further aiding in the healing process.

Patient experience

Before

After

Subcision Before & Afters

As a leading Plastic surgeon with expertise in scar management, Mr Goutos is proud to have experience in delivering excellent outcomes in all the treatments and procedures that he offers. Find out how our patients achieved these results with his care.

Patient experience

Prices from

Starting from £850

At Goutos London, we aim to deliver a premium service with no compromise on quality in order to deliver the best results possible for your needs.

Related conditions

Whatever your condition, and whatever your health goals are, we will ensure you get a holistic, focused and bespoke service that offers you the safest options for treatment aiming for the best possible outcome.

Acne

Atrophic Scars

Pitted Scars

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

    
 
 
       Posted on Google  
    Louise Steel 
 
 
 
  Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation,  through surgery, and now my 3-month follow-up, I have nothing but good words to say.
  
 
      Posted on Google  
    Luke Ward 
 
 
 
  This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable.

All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour.

I wish nothing but the best for this man, and the best results for his future patients.
  
 
      Posted on Google  
    Mauricio Lucas 
 
 
 
  Outstanding Doctor - Exceptional Expertise

I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner.

Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients.

What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears.

One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession.

Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process.

Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.
  
 
      Posted on Google  
    Kashmala Khan 
 
 
 
  Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!
  
 
      Posted on Google  
    Javier 
 
 
 
  Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many.

I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.
  
 
      Posted on Google  
    Ieva Lihovida-Yarlett 
 
 
 
  We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus  was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!
  
 
      Posted on Google  
    Amy Munson 
 
 
 
  We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone!
The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field.  Can't thank him enough.
  
 
  
  
 
 
   Google rating score: 4.7 of 5, based on 26 reviews