Characteristics of Subcision Treatment

The Subcision procedure is performed in the following three stages:

Stage 1: Superficial Adhesion Release

Using a micro-needle, widespread fibrous adhesions formed beneath the superficial skin layer are precisely separated.

This delicately improves the micro-structures that pull down the scar area,

which can gently alleviate the visible indentations.

Stage 2: Deep Adhesion Removal

Strong adhesion tissues firmly rooted deep within the dermal layer are

released over a relatively wide area using a cannula.

This method can help reduce bruising and pain compared to traditional needle methods.

It can be particularly effective in improving broad scars such as rolling scars or boxcar scars.

This process plays a crucial role in minimizing bruising and pain.

Stage 3: Tissue Regeneration Induction (Using Micro-needles)

In the final stage, micro-needles are used to induce very small bleeds in the skin tissue.

This gathers blood flow and growth factors, creating an environment for skin regeneration.

This stimulation can activate fibroblasts and promote collagen production.

Processes Performed Concurrently with Subcision

This is a complex treatment approach that further enhances treatment effects and rapidly aids the recovery process.

① Concurrent PDRN Injection (DNA Injection)

We consider the concurrent application of PDRN injections during Subcision as standard.

This can help wound healing and reduce redness and hyperpigmentation.

It is an important factor in aiding the regeneration of scar tissue and is included in the basic process of this treatment.

② Method of Concurrent Erbium YAG Fraxel Application

While Subcision focuses on improving adhesions within the skin,

it has limitations in refining the fine texture or quality of the skin surface.

For this reason, Erbium YAG Fraxel can be applied concurrently after the procedure.

This treatment works on relatively shallow skin layers and can help improve skin texture, pores, and subtle indentations on the skin surface.

This comprehensive approach can contribute to reducing recovery burden and further enhancing the treatment effect.

Subcision Treatment Approach

Treatment Design Considering Anatomical Structure

Rather than simply stimulating scars deeply,

we meticulously approach from accurate diagnosis to treatment planning to determine which layer of the skin has adhesions and in which direction they should be released.

Utilizing Precise Medical Devices

By combining micro-needles, cannulas, and micro-needles,

we strive to maintain the effectiveness of the treatment while reducing discomforts such as bruising, swelling, and pain.

PDRN Injection and Fraxel Combination Treatment

Combination therapies that can help recovery and enhance treatment effects are

provided as part of our standardized treatment process.

Treatment based on accurate diagnosis without unnecessary recommendations

불필요한 권유 없이 정확한 진단에 기반한 시술

Not all types of scars are suitable for subcision.

If a scar is deemed unnecessary to treat, we will honestly inform you and not recommend the procedure.

Our medical team believes it is crucial to accurately assess each patient's individual condition before recommending any procedure.

What is Saesalchim (Subcision)?

Although scars appear sunken on the surface, beneath the dermis layer of the skin,

fibrous tethers are often formed,

pulling the scarred area downwards.

To achieve the effect of the skin returning to its original position and the scarred area filling in, these fibrous tethers must be broken.

Saesalchim, or subcision, is a procedure that helps improve scars by breaking these attached structures.

Principle of Saesalchim (Subcision)

1. Release of Adhesions

The fibrous adhesive tissue located deep within the skin is

carefully cut using a needle or cannula.

→ Through this process, the structures that were pulling the skin downwards are released, allowing the sunken scar area to potentially fill in.

2. Induction of Micro-bleeding (Regeneration Signal)

The micro-bleeding that occurs during the process of releasing adhesions

serves as an important signal to induce the production of collagen, which is necessary for skin regeneration.

→ This promotes fibroblast activity, creating an environment where new skin can regenerate around the scar.

3. Enhanced Blood Supply + Tissue Regeneration

Sometimes, microneedling or PDRN (DNA injection) treatments are combined

to more intensively induce blood supply and activate regenerative cells.

This can help promote wound healing and collagen production simultaneously.

Who needs Saesalchim (Subcision)?

Indented scars on the forehead that look like they've been punched.

Scars on the temples that appear deeply indented or have an uneven surface.

One or more sunken scars around the nose, appearing like dots.

Indented or complex scars of various shapes on both cheeks.

What is Multi-Saesalchim? (3-Step Traditional Saesalchim + Er:YAG Shouldering)

Multi-Saesalchim is an improved treatment method that adds the shouldering technique to standard Saesalchim (subcision).

When treating scars, there's more to consider than simply breaking the adhesions beneath the scar.

Even after releasing adhesions with subcision, scars with sharp, deeply indented edges may present difficulties in smooth skin regeneration.

When our body heals damaged areas, there is a natural tendency to restore them to a height and texture similar to the surrounding tissue.

However, if the scar boundary is sharply demarcated, this natural healing process may not proceed smoothly.

Therefore, a process of finely refining the scar's edges to create a gentle slope (shouldering) may be necessary.

When the height difference with the surrounding skin is reduced through shouldering, the regenerating scar area can be expected to connect more naturally with the surrounding tissue, making it less visible to the naked eye.

In reality, many individuals have not achieved sufficient improvement with traditional Saesalchim treatment alone, which is deeply related to the scar boundary issue.

This is because if the boundary remains like a wall even after releasing the underlying adhesions, there may be limitations to the natural healing process of the skin tissue. 

Therefore, shouldering can be considered an important step that complements the limitations of existing approaches in treating indented scars with distinct borders. 

Types of Scars Requiring Multi-Saesalchim

1) Cases where satisfactory improvement has not been experienced even with traditional Saesalchim treatment or general scar treatments.

Despite undergoing subcision or laser treatment, some individuals feel that their scars have not improved as much as expected.

This is because treatments that only release the underside of the scar may still leave the border with the surrounding skin steep, making it difficult for the skin tissue to fully fill in.

In such cases, a 'shouldering' procedure is needed to gently refine the scar edges. This can lead to more positive outcomes in scar improvement.

Secondly, when the scar is deeply indented and its borders are distinctly steep. 

This is the type where the skin surface is sharply depressed and the sides appear nearly vertical, like a boxcar scar. Even if new tissue fills in from within such scars,

the side borders can remain like walls, potentially limiting the overall healing process.

By gently refining this border area with Er:YAG shouldering, it helps to alleviate the height difference with the surrounding skin, allowing for a more natural transition.

Thirdly, it is suitable for those who expect satisfactory improvement with fewer sessions than traditional 'new tissue' treatments.

Traditional 'new tissue' treatments often require multiple repetitions to achieve gradual improvement. However, multi-faceted 'new tissue' treatment comprehensively addresses the adhered underside of the scar, steep side borders, and rough surface.

Therefore, compared to traditional 'new tissue' treatments, you can expect to experience satisfactory changes in scar improvement with fewer sessions.