Scar Regeneration Acupuncture - Filling Indented Scars

Features of Saesalchim (Subcision) Treatment

Saesalchim treatment is carried out in three stages.

Stage 1: Improving Superficial Adhesions

Fibrous adhesions widely formed close to the skin surface are carefully separated using micro-needles.

By gently releasing the fibrous tissues that were pulling the scar area,

this helps the visibly depressed areas to become smoother.

Stage 2: Improving Deep Adhesion Tissues

Adhesion tissues firmly embedded in the deep dermis

are gently separated over a wide area using a cannula.

This approach complements the shortcomings of existing treatment tools, reducing the likelihood of pain and bruising.

It can be particularly considered for wide, depressed rolling scars or boxcar type scars.

This process can help reduce bruising and discomfort after the treatment.

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

In the final stage of the treatment, micro-needles are used to provide micro-stimulation to the skin tissue.

This can promote blood circulation and create an environment where growth factors can be activated.

This stimulation can aid fibroblast activity and positively influence collagen production.

Importance of Combination Therapy with Saesalchim Treatment

To enhance treatment efficacy and aid the recovery process, combination therapy is considered.

① PDRN Injection (DNA Injection) Concurrently

Combining Saesalchim treatment with PDRN injections is a fundamental approach.

This can help the skin's wound healing process and contribute to reducing the likelihood of redness or hyperpigmentation after treatment.

It is considered a factor that supports the regeneration process of scar tissue, and this treatment is utilized as one of the fundamental therapeutic approaches, not an optional add-on.

② Er:YAG Fractional Laser Combination

While subcision is a treatment that improves adhered structures within the skin,

it may have limitations in delicately refining the texture or fine lines of the skin surface.

For this reason, we are considering applying Er:YAG fractional laser treatment concurrently after subcision.

This acts on relatively shallow skin layers and can help improve skin texture, pores, and subtly depressed areas.

Through such combination treatments, discomfort after the procedure can be reduced, and positive effects on the recovery process can be anticipated.

Features of Saesalchim Treatment

Treatment Design Based on Anatomical Knowledge

During treatment, we don't just consider the skin's depth;

where adhesions are formed in which skin layer, and in which direction it is appropriate to separate them,

are important considerations from the diagnostic stage when formulating the treatment plan.

Utilization of Precision Treatment Tools

By using a combination of needles, cannulas, and micro-needles,

we strive to achieve treatment goals while helping to reduce discomfort such as bruising, swelling, and pain.

Combination of PDRN and Fractional Laser Treatments

Combination therapies that can aid skin recovery and complement treatment effects

are considered one of the common treatment approaches.

Treatment Plan Based on Accurate Diagnosis

Subcision treatment is not suitable for all types of scars.

For scars that we determine do not necessarily require treatment, we do not recommend the procedure and provide honest guidance.

We believe it is crucial for medical professionals to make accurate medical judgments before recommending any procedure to a patient.

Definition of New Skin Treatment (Subcision)

Scars are affected not only on the skin surface but also in the underlying tissues.

Even scars that appear indented on the surface are often caused by

fibrous tissue pulling the scar area downwards deep within the dermal layer.

Severing this fibrous tissue can help the skin naturally return to its original position.

New Skin Treatment, or subcision, is a procedure that physically severs these adhered structures.

Principle of New Skin Treatment (Subcision)

1. Separation of Adhered Tissue (Release)

The fibrous tissue firmly attached within the skin is

carefully severed using a special needle or cannula.

This releases the skin structure that was being pulled downwards, allowing the indented scar area to rise and improve.

2. Micro-Bleeding Induction (Regeneration Signal)

The minor bleeding that occurs during the process of separating adhered tissue

can be an important signal to promote new collagen production.

This helps activate fibroblasts and contributes to creating an environment where new skin tissue can regenerate around the scar.

3. Enhanced Blood Flow and Tissue Regeneration Support

If necessary, microneedling or PDRN (DNA injection) may also be applied concurrently.

This induces blood circulation to the scar area and the gathering of regenerative cells,

thereby contributing to both wound healing and collagen production simultaneously.

Who is New Skin Treatment (Subcision) suitable for?

Small, deeply indented scars on the forehead

Scars on the temples that appear sunken or irregular

Pitted scars on the nose, appearing as one, two, or multiple dot-like depressions

Complex, indented scars of various shapes on both cheeks

What is Multi-Subcision? (Conventional Subcision and Er:YAG Shouldering)

Multi-Subcision is a treatment method that complements conventional New Skin Treatment (Subcision) by adding the shouldering technique.

What's important in scar improvement is not merely separating the adhered tissue beneath the scar.

Even after releasing adhesions with subcision, for scars with clear, deep edges, the skin may have difficulty rising naturally.

When repairing damaged areas, the human body tends to maintain a height and texture similar to the surrounding skin.

However, if the scar edges are steeply formed, this natural healing process may not occur smoothly.

Therefore, a process of micro-adjusting the scar edges to create a gentle slope (shouldering) may be necessary.

This method can reduce the height difference with the surrounding skin, allowing the scar area to blend naturally with the adjacent skin and appear less noticeable to the eye as it rises.

In fact, cases where improvement was difficult with conventional New Skin Treatment alone are closely related to these characteristics of scar edges.

Even if adhesions beneath the scar are resolved, if the edges remain abrupt, the skin regeneration process can be hindered. 

Therefore, the shouldering technique is a step that can complement the limitations of existing methods in treating indented scars with clear edges. 

When Multi-Subcision Treatment is Needed

1) Those who have not experienced sufficient improvement with conventional New Skin Treatment or general scar treatments

Some people have already received subcision or laser treatment, but are concerned because the scar area has not filled up as much as expected.

This is because simply releasing the adhesions at the bottom of the scar, the border with the surrounding skin remains steep, making it difficult for new skin to fill in naturally.

In such cases, by smoothing the scar boundaries through shouldering, you can expect even more satisfying improvement.

Second, when the scar type is deeply indented, with clear and steep borders.

Scars of a type like Boxcar (abruptly depressed scars), even if new tissue fills in from within,

the side borders may remain firm like a wall, limiting the complete recovery of the scar.

When these borders are gently smoothed with Er:YAG shouldering, you can expect the height difference with the surrounding skin to decrease, leading to a natural blend.

Third are those who desire skin improvement with fewer sessions than general new tissue regeneration treatments.

While general new tissue regeneration treatments often require consistent sessions, typically 10 or more, multi-layer new tissue regeneration treatments simultaneously address adhesions beneath the scar, side borders, and the surface, helping you experience changes with relatively fewer sessions than general new tissue regeneration treatments.

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