Subsession (crater treatment)
SUBSICION
Into deep-type craters!
From bumpy skin to smooth skin
- Improve deep, large acne scars and skin indentations
- Effective even on thickened and hardened skin
- Targeting the deep-rooted causes that lasers and needles couldn't cure
Not fixated on a single treatment
Planning the best treatment for your concerns
While acne scars may seem similar at first glance, each person's skin condition, the depth of indentations, and the course of inflammation vary. At Bianca Clinic, we combine diverse treatments, including subcision, to propose a personalized crater treatment plan tailored to each individual.
Subcision, which cuts through hardened fibrous tissue beneath the skin, is one effective treatment for depressed acne scars. Furthermore, adding skin boosters like hyaluronic acid or Juvelook Volume can help achieve firmer, smoother skin.
Once the indentations become less noticeable, undergoing treatments like Potenza Macuum or Vampire Facials that support skin reconstruction can further enhance your complexion. At Bianca Clinic, under the supervision of a board-certified aesthetic dermatologist, we provide meticulous support extending to skincare, helping you achieve beautiful skin.
Downtime
DOWNTIME
Recommended for people like this
RECOMMENDED FOR:Features
CHARACTERISTICSSubcision (Craters Treatment) is
Subcision is a procedure that gently separates hardened fibrous tissue beneath the skin caused by acne scars using a specialized needle, providing support from within to areas with crater-like depressions. It is suitable for noticeable acne scars and crater-like skin, and can be expected to smooth the skin's surface.
When acne inflammation becomes chronic, fibrosis progresses deep within the skin, causing tissue to thicken and harden, resulting in crater-like depressions. Subcision precisely releases these fibrous adhesions, leading to improved skin texture. At Bianca Clinic, we use subcutaneous anesthesia, so those concerned about pain can rest assured. For those who wish, nitrous oxide anesthesia is also available as an option.
Types of Acne Scars
There are four types of acne scars: inflammatory erythema, post-inflammatory hyperpigmentation, atrophic scars (pits), and hypertrophic scars (keloids).
Types of Atrophic Scars (Craters)
Atrophic scars, also known as acne scar craters, come in three types: icepick, rolling, and boxcar.
■Ice Pick Type
Ice-pick-type scars are small, punctate depressions measuring less than 2–3 mm in diameter. They extend from the deep dermis to the subcutaneous fat layer. Approximately 60–70% of atrophic scars are classified as ice-pick-type scars.
■Rolling Type
Rolling-type scars are craters with a diameter of 3mm or more and a gentle depression. Fibrous tissue pulls beneath the skin, resulting in varying depths. Approximately 15 to 25 percent of atrophic scars are classified as rolling-type craters.
■Boxcar Type
Boxcar-type craters are well-defined, vertical depressions with diameters ranging from 1.5 to 4 mm. Those with depths of 0.1 to 0.5 mm are classified as shallow craters, while those exceeding 0.5 mm are classified as deep craters. Boxcar-type craters are estimated to account for approximately 20 to 30 percent of atrophic scars.
Subcision (crater treatment) is a procedure suitable for rolling-type scars. Since many cases involve mixed scar types and distinguishing them can be difficult, we recommend first consulting a doctor about your acne scar concerns.
Benefits
MERITTreatments available for acne scars that are difficult to manage with self-care
Acne scars can worsen if left untreated. Medical intervention before they worsen is crucial.
Even my cratered skin, which I had given up on, is now clear.
Subcision can sometimes make crater-like acne scars less noticeable. Combining it with other treatments can help achieve smoother skin.
Smoothing out uneven texture for brighter-looking skin
Acne scars can create unevenness that casts shadows, making skin appear darker. Crater treatment smooths the skin to minimize shadowing.
Recommended Features
RECOMMENDED POINTSSolve your long-standing acne scar concerns
Acne that appeared during adolescence. You kept touching it because it bothered you, and before you knew it, it had become acne scars. Many of you have probably had that experience. Even acne scars that have been a long-standing source of worry don't have to be something you give up on, thinking "they'll never heal."
Craters-type acne scars are difficult to improve with self-care alone. However, by incorporating aesthetic medical treatments that assist the skin's regenerative power, it is possible to achieve smoother skin.
If you're concerned about pitted scars or acne marks, please don't keep it to yourself—consult Bianca Clinic.
Subcision × Hyaluronic Acid Injections for Smooth Skin
For crater-like acne scars, combining subcision with hyaluronic acid injections can be an effective treatment. Subcision is a procedure that cuts away hardened scar tissue (fibrotic areas) deep within the skin, promoting the reconstruction of surrounding healthy tissue. Following subcision, injecting hyaluronic acid is expected to smooth out the indentations.
At Bianca Clinic, we use Juvederm Volite™ XC hyaluronic acid filler in combination with subcision. Volite XC is a hyaluronic acid filler that excels at enhancing firmness and moisture retention.
Additionally, combining treatments like peels, HydraFacials, and Mesona J is also suitable for those troubled by adult acne. At Bianca, we support building skin that is less prone to acne recurrence.
We offer a wide range of treatments for acne scars and crater-like skin concerns.
There are three types of crater-like acne scars: boxcar, rolling, and ice pick. Determining the appropriate treatment depends on the specific type. Treatments like Dermapen 4, Potenza, and Tri-Fill Pro are relatively versatile and can address most types. However, the doctor will adjust the output and application technique based on the crater's depth and type. As mentioned, subcision is effective for rolling scars, while TCA Cross is said to work well for ice pick scars. With TCA Cross, the concentration and amount are customized for each crater during treatment.
After treating indentations with peels or subcision, we may also recommend Vampire Facials or Potenza Microneedling for those seeking smoother skin. As some treatments cannot be performed on the same day, please consult your physician for details.
At Bianca Clinic, our doctors will assess the condition of your acne scars and recommend the most suitable treatment from our range of acne scar therapies. If you're troubled by acne scars, please come in for a consultation.
Treatment area
TREATMENT AREAcrater section
Treatment Process
CONTENT OF TREATMENTMakeup Removal & Cleansing
To facilitate observation of your bare skin condition, we ask that you cleanse and wash your face. Cleansing and facial wash items are provided by our clinic.
Doctor-led counseling and examination
A physician will consult with you and examine your skin condition and concerns. Please feel free to discuss any symptoms or requests you may have. For acne scar treatment, the physician will assess the specific condition of each scar and recommend the most suitable procedure. If treatment is performed on the same day as the consultation, photographs will be taken after payment. If you have any questions, please ask the physician.
Anesthesia
Subcutaneous anesthesia is administered at the site where the subcision needle will be inserted. Nitrous oxide anesthesia is also available as an option. If you are concerned about pain, please consult your physician.
treatment
A small puncture is made at the treatment site with a needle, and a subcision needle is inserted. The hard tissue beneath the acne scar is severed with the needle. If hyaluronic acid injection is performed, hyaluronic acid is injected into the subcision site to complete the procedure.
Schedule of Charges
PRICE LISTSubdivision
| Part | Standard rate |
|---|---|
| Full face | ¥275,000 |
| 1 additional part※ | ¥108,900 |
Lifestyle Beautyis
proposed.
Our goal is to move you beyond satisfaction.
Responding to the desire for greater beauty and health,
What can we do for the well-being of our patients?
Providing total beauty to make your life shine,
That is our policy.
Go to BIANCA and you'll find a smile.
That's the kind of place we're aiming for.
Treatment Details: Subcision
Treatment period and number of sessions: Approximately 3 to 6 sessions every 4 weeks. *May vary depending on individual condition.
Risks and Side Effects: Bruising, swelling, redness, pain, etc.
Important Notes Regarding Unapproved Devices and Pharmaceuticals
・The pharmaceutical product "Juvederm Vista® Volite XC" used has received approval from the Ministry of Health, Labour and Welfare for the purpose of correcting surface depressions such as fine wrinkles in the face and neck and improving skin condition (moisture retention, elasticity, etc.) (Approval Number: 30200BZX00389000).
However, it may be used for purposes or on body parts other than those for which it is approved.
・Medicines and medical devices used in treatments are imported through personal import procedures under the judgment of a physician. For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Medicines and Other Items Requiring Caution for Personal Import."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
・There may be no other domestically approved pharmaceuticals or medical devices with identical ingredients or performance.
・Information regarding safety and other matters in other countries
Juvéderm Volite® XC has received approval from the U.S. Food and Drug Administration (FDA).
・In the unlikely event of serious side effects, you may not be eligible for the national pharmaceutical adverse reaction victim relief system.
Frequently Asked Questions About Subcision (Craters Treatment)
Q&AWhen can I start feeling the effects of the subcision?
Many patients tend to notice significant changes starting one month after treatment. Some individuals experience noticeable results immediately after treatment by combining hyaluronic acid injections with subcision.
How long is the downtime for the subsystem?
Swelling and bruising typically subside within a few days.
Does subcision hurt? How can I reduce the pain?
During treatment, subcutaneous anesthesia is used to minimize discomfort. For those who feel anxious, nitrous oxide anesthesia is also available as an option.
What are the recommended combination treatments for subcision?
Once subcision improves indentations, procedures like the Vampire Facial or Potenza Macuum can help achieve smoother skin. Combining subcision with needle-based treatments, heat-based procedures, or thread lifts on the same day is contraindicated.
Besides subcision, what other treatments do you recommend for acne scars?
Dermapen 4, Potenza, and Tri-Fill Pro are suitable for a wide range of crater types. For small, deep ice pick scars, TCA cross is recommended. Juvelook Volume is also expected to improve indentations.
What are the precautions and care methods immediately after subcision?
You may wash your face and take a bath starting the day of your subcision procedure. However, please refrain from vigorously rubbing the treated area.
What is the typical recovery process after subcision treatment?
After the procedure, temporary swelling and bruising may occur, but these will gradually subside. Around one week post-procedure, downtime typically subsides, and many patients begin to notice visible changes.
When can I apply makeup after a subcision procedure?
Makeup may be applied starting the day after the subcision procedure.
Are there any side effects or risks associated with subcision?
Temporary swelling, bruising, or redness may occur after treatment, but these typically subside within a few days to a week. If you have any concerns, please consult your physician.
What is the difference between subcision and fractional laser?
Subcision is a treatment that physically separates deep-seated scars within the skin, while fractional laser therapy delivers thermal energy from the surface to stimulate the skin's regenerative capacity. Subcision is suitable for deep craters, while laser is appropriate for shallow depressions.
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