Treatment Overview
Microneedling RF with Subcision is an advanced dual treatment offered in Korean dermatology clinics for tethered, rolling, and depressed acne scars.
This method combines:
- Subcision – a minimally invasive procedure where a fine needle or blunt cannula is used to break fibrotic bands pulling acne scars down.
- Microneedling RF (Radiofrequency) – insulated microneedles deliver controlled RF energy deep into the dermis, stimulating collagen production, skin tightening, and scar remodeling.
The synergy of mechanical scar release + RF-driven collagen stimulation makes this one of Korea’s most popular and effective treatments for acne scar revision, with lasting results and minimal downtime compared to aggressive lasers.
Purpose & Benefits
- Scar Release: Subcision frees tethered scars.
- Collagen Remodeling: RF energy boosts fibroblast activity, improving texture.
- Dual Action: Mechanical release + thermal stimulation = stronger results.
- Skin Tightening: Improves laxity around scars for smoother skin.
- Reduced Risk of PIH: Safer for Asian skin types than aggressive ablative lasers.
- Long-Term Regeneration: Ongoing collagen remodeling for months post-treatment.
Ideal Candidates
Microneedling RF with Subcision in Korea is recommended for:
- Patients with rolling scars, tethered boxcar scars, or atrophic scars.
- Individuals who want visible improvement without aggressive resurfacing downtime.
- Those who previously had limited improvement with chemical peels or PRP alone.
- Patients with Asian skin types prone to hyperpigmentation.
- Individuals seeking a multi-session, progressive scar correction program.
Possible Risks & Complications
This procedure is generally safe, but mild side effects may occur:
- Redness & Swelling (1–3 days).
- Bruising from subcision (resolves in 3–7 days).
- Mild Tenderness or tightness.
- Temporary PIH (rare in Korea due to controlled protocols).
Korean dermatologists minimize risks with insulated microneedles and scar-specific RF settings.
Surgical Techniques Used
- Subcision: A needle or blunt cannula inserted beneath scars to release fibrotic bands.
- Microneedling RF: Devices such as INFINI, Secret RF, or Sylfirm X deliver RF energy through microneedles to stimulate dermal remodeling.
- Layered Technique: Subcision first, followed by RF microneedling for deeper collagen induction.
- Combination Programs: Often paired with PRP, PDRN, or exosome boosters for enhanced healing.
Protocol: Typically 3–4 sessions, spaced 4–6 weeks apart.
Recovery & Aftercare
Immediately: Redness, pinpoint bleeding, mild swelling.
1–3 Days: Skin feels tight; mild bruising may appear from subcision.
1–2 Weeks: Noticeable smoother skin as healing progresses.
1–6 Months: Collagen remodeling continues, scars improve progressively.
Aftercare Tips:
- Apply cold compress for swelling in first 24 hours.
- Use SPF 50+ sunscreen daily to prevent pigmentation.
- Avoid harsh skincare (retinoids, acids, scrubs) for 5–7 days.
- Apply soothing, hydrating creams to support barrier recovery.
Results & Longevity
- After 1 Session: Scars appear lifted, skin feels firmer.
- After 2–3 Sessions: Noticeable reduction in scar depth and smoother texture.
- After 4 Sessions: Long-term scar remodeling, tighter skin, and overall improved complexion.
- Longevity: Results last years, especially when combined with maintenance treatments.
Treatment Process in Korea
Consultation & Scar Assessment
Dermatologist maps scar types (rolling, boxcar, tethered) and chooses device (INFINI, Sylfirm X, Secret RF).
Preparation
Topical numbing or local anesthesia applied; skin sterilized.
Subcision + Microneedling RF Session
- Step 1: Subcision performed to release fibrotic tissue.
- Step 2: Microneedling RF device delivers energy into the dermis.
- Step 3: Soothing mask, LED therapy, or regenerative serum applied post-procedure.
Duration: 45–60 minutes.
Why Korea is a Top Destination
- Cutting-Edge RF Devices: Korean clinics are global leaders in microneedling RF technology.
- Dual-Treatment Protocols: Subcision seamlessly integrated with RF energy delivery.
- Safe for Asian Skin: Controlled protocols reduce PIH risk.
- Combination Scar Programs: Often paired with PRP, exosomes, or fractional lasers.
- Affordable High-Tech Care: Advanced devices at lower costs than Western countries.
Cost Range (Estimated)
- Single Subcision + Microneedling RF Session: USD 400 – 700
- Subcision + RF + LED/Soothing Care: USD 500 – 900
- Comprehensive Scar Program (RF + Subcision + PRP/Exosomes): USD 1,000 – 2,200 per session
Example Korean Packages:
- Standard Program (1 session): USD 500 – 700
- Advanced Program (3 sessions with PRP add-ons): USD 1,200 – 1,800
- Premium Program (3–4 sessions with exosomes/Rejuran + fractional laser): USD 2,500 – 4,200
Popular Clinics in Seoul
- Oracle Dermatology: RF subcision protocols with INFINI and Secret RF.
- Banobagi Dermatology: Multi-layered scar treatment with RF + subcision.
- Renewme Skin Clinic: RF subcision combined with PRP and PDRN injections.
- View Dermatology: Advanced scar programs using Sylfirm X with subcision.
- Chaum Anti-Aging Center: Premium regenerative care with RF subcision + exosomes.
