Treatment Overview
Subcision with Dermal Roller Entry is a hybrid acne scar treatment available in Korean dermatology clinics, designed for rolling and tethered depressed scars.
Instead of relying only on a hypodermic needle for scar entry, this method uses a dermal roller (a microneedling device with fine needles) to create multiple controlled entry points in the skin. Through these channels, the dermatologist performs subcision to mechanically release fibrotic scar bands, and the roller itself promotes micro-injury–driven collagen stimulation.
In Korea, this technique is often paired with PRP (Platelet-Rich Plasma), PDRN, exosomes, or scar fillers, applied through the dermal roller channels or directly post-subcision, for superior regeneration and scar remodeling.
Purpose & Benefits
- Scar Release: Subcision breaks fibrotic tethers beneath acne scars.
- Collagen Induction: Dermal roller stimulates wound-healing collagen production.
- Enhanced Serum Absorption: Entry channels allow regenerative boosters (PRP, exosomes, PDRN) to penetrate deeper.
- Dual Mechanism: Combines mechanical release and micro-needling benefits.
- Improved Texture: Smooths uneven skin and softens scar edges.
- Synergistic Results: More effective than standalone subcision or microneedling.
Ideal Candidates
Subcision with Dermal Roller Entry in Korea is recommended for:
- Patients with rolling or tethered acne scars.
- Individuals seeking improvement in both scar depth and skin texture.
- Patients who want a gentle but effective subcision alternative.
- Those who prefer a multi-step approach with regenerative boosters.
- Individuals with Asian skin types needing safe, PIH-minimized protocols.
Possible Risks & Complications
This treatment is safe, but mild and temporary effects may occur:
- Redness & Swelling (2–4 days).
- Bruising from subcision (resolves in about a week).
- Mild Flaking or Dryness post-roller treatment.
- PIH (Post-Inflammatory Hyperpigmentation) risk—minimized with Korean aftercare protocols.
Surgical Techniques Used
- Dermal Roller Entry: Creates multiple microchannels across scarred skin.
- Subcision: Needle or blunt cannula inserted through roller entry points to sever fibrotic bands.
- Regenerative Add-Ons: PRP, PDRN, or exosomes delivered through roller-created microchannels or injected directly.
- Combination Therapy: Korean clinics often integrate fractional laser or microneedling RF post-subcision for enhanced collagen stimulation.
Protocol: Typically 2–4 sessions, spaced 4–6 weeks apart.
Recovery & Aftercare
Immediately: Skin appears red and swollen, with mild pinpoint bleeding.
2–4 Days: Redness and swelling subside; skin may feel tight or dry.
1–2 Weeks: Scars start to appear smoother, with early texture improvement.
1–6 Months: Ongoing collagen remodeling further reduces scar depth.
Aftercare Tips:
- Apply cold compress during first 24 hours for swelling.
- Use soothing creams and barrier moisturizers for comfort.
- Avoid retinoids, acids, or scrubs for 5–7 days.
- Use SPF 50+ sunscreen daily to prevent pigmentation.
Results & Longevity
- After 1 Session: Scars look slightly lifted; texture feels smoother.
- After 2–3 Sessions: Noticeable improvement in scar depth and overall skin tone.
- After 4 Sessions: Long-term scar remodeling with more even, rejuvenated skin.
- Longevity: Results are long-lasting, especially with maintenance booster sessions.
Treatment Process in Korea
Consultation & Scar Mapping
Dermatologist identifies scar types (rolling, boxcar, tethered) and determines suitability.
Preparation
Numbing cream applied; skin disinfected.
Dermal Roller + Subcision Session
- Step 1: Dermal roller creates microchannels across scarred skin.
- Step 2: Subcision performed through roller entry points.
- Step 3: PRP, PDRN, or exosomes applied/injected for regeneration.
- Step 4: Cooling mask or LED healing therapy applied.
Duration: 45–60 minutes.
Why Korea is a Top Destination
- Integrated Techniques: Roller + subcision + boosters in one session.
- Regenerative Add-Ons: Clinics use PRP, PDRN, exosomes for enhanced healing.
- Gentle on Asian Skin: Controlled protocols reduce PIH risk.
- Combination Programs: Korean scar care packages include lasers, RF, and regenerative injectables.
- Affordable Multi-Step Care: Advanced subcision methods at competitive prices.
Cost Range (Estimated)
- Single Session (Dermal Roller + Subcision): USD 300 – 600
- Subcision + Roller + PRP/PDRN: USD 500 – 900
- Comprehensive Scar Program (Subcision + Roller + Laser/Boosters): USD 1,000 – 2,200 per session
Example Korean Packages:
- Standard Program (1 session): USD 400 – 600
- Advanced Program (3 sessions with regenerative add-ons): USD 1,200 – 1,800
- Premium Program (3–4 sessions with exosomes/Rejuran + fractional CO₂): USD 2,500 – 4,000
Popular Clinics in Seoul
- Oracle Dermatology: Dermal roller-assisted subcision with PRP boosters.
- Banobagi Dermatology: Multi-step scar revision with roller entry + fillers.
- Renewme Skin Clinic: Roller subcision with PDRN/exosome therapy.
- View Dermatology: Scar remodeling with dermal roller + subcision + microneedling RF.
- Chaum Anti-Aging Center: Premium protocols combining roller entry subcision with regenerative injectables.
