Acne scars are especially common in men due to thicker skin, stronger collagen fibers, and deeper inflammatory acne. Some scars — especially rolling scars and tethered scars — cannot be effectively treated with lasers alone because they are physically attached to deeper tissue.
Subcision is the gold-standard treatment for releasing these tethered scars. Using a fine needle or blunt cannula, the practitioner breaks the fibrotic bands pulling the skin downward, allowing the surface to lift naturally and heal from below.
Bangkok is one of the best places for subcision due to experienced practitioners and combination therapy options like RF microneedling, pico laser, and fillers for scar lifting.
This guide explains how subcision works, who it’s ideal for, and what to expect during and after treatment.
What Is Subcision?
Subcision is a minimally invasive procedure that releases fibrotic bands under the skin responsible for deep, rolling acne scars.
How it works:
A numbing cream is applied
A needle or blunt cannula is inserted under the scar
Fibrotic bands tethering the scar are broken
The area lifts as the tension is released
New collagen forms, improving long-term volume
Subcision directly targets scar structure, not just the surface.
Which Acne Scars Need Subcision?
Subcision is ideal for:
Rolling scars
Tethered scars
Depressed scars that worsen when smiling
Scars that do not improve with laser alone
Long-standing scars stuck to deeper tissue
These scars are caused by fibrous attachment pulling the skin downward, creating a shadowed, uneven texture.
Who Should Consider Subcision?
Men who:
Have deep, tethered acne scars
Want more dramatic improvement
Have not responded to laser or microneedling
Prefer a long-lasting remodeling approach
Want permanent scar improvement with minimal downtime
Not suitable for:
Active acne inflammation
Certain bleeding disorders
Severe keloid tendencies
Benefits of Subcision for Men
1. Immediate Scar Release
Skin lifts instantly once fibrotic bands are cut.
2. Best Treatment for Rolling Scars
Lasers alone cannot treat the physical tethering.
3. Long-Lasting Results
Collagen regeneration continues for months.
4. Can Be Combined With Other Modalities
Improves effectiveness of RF microneedling or fillers.
5. Safe & Minimally Invasive
Small punctures that heal quickly.
6. Treats Male Skin Effectively
Ideal for thicker skin and deep scars common in men.
The Subcision Procedure — Step by Step
1. Consultation
Scar assessment
Identification of tethered areas
Marking of scars that require release
Treatment plan discussion
2. Treatment (15–30 minutes)
Numbing Topical cream + local anesthetic injection.
Scar Release Needle or cannula inserted under scar.
Breaking Fibrotic Bands Back-and-forth motion releases tethered scar tissue.
Optional Add-Ons
PRP for healing
Filler for scar lifting
RF microneedling in future sessions
3. Aftercare
Ice compress for swelling
Avoid strenuous activity for 24 hours
No massage unless advised
Mild bruising expected
Recovery Timeline
Day 1–3:
Swelling
Redness
Possible bruising
Week 1:
Bruising fades
Scar elevation noticeable
Weeks 4–8:
Collagen remodeling improves texture
2–3 months:
Final results visible
Multiple sessions may be needed for deeper scars.
Expected Results
Men typically see:
Lifted, smoother scars
Significant improvement in rolling scars
Better skin texture and contour
Reduced shadowing and indentation
Enhanced confidence
Subcision results are structural and permanent.
Risks & Safety Considerations
Subcision is safe but may involve:
Bruising
Swelling
Mild soreness
Temporary lumps
Rare infection
When paired with a skilled practitioner, risks are minimal.
Why Men Choose Subcision in Bangkok
Experienced acne scar specialists
Often combined with RF microneedling (Morpheus8)
Affordable pricing
Effective for deep, male-pattern scars
Personalized treatment plans
Frequently Asked Questions (FAQ)
Is subcision painful?
Numbing makes it very tolerable.
Do I need multiple sessions?
Most men need 1–3 sessions depending on severity.
Can scars come back?
Once released, they do not re-tether.
Can I combine with laser?
Yes — often recommended.
When will I see improvement?
Immediate lift + best results at 2–3 months.
Key Takeaways
Subcision is the gold-standard treatment for rolling and tethered scars.
Provides permanent structural improvement.
Works extremely well for thicker male skin.
Bangkok offers skilled practitioners and combination treatment plans.
Menscape provides expert acne scar mapping and treatment guidance.
📩 Interested in smoother, more even skin? Book your consultation at Menscape Bangkok today.
