Treatment Overview
Scar Filler Subcision is a dual-approach scar revision technique offered in Korean dermatology clinics for depressed acne scars such as rolling or tethered scars.
This method combines:
- Subcision – the mechanical release of fibrotic bands pulling scars downward, using a needle or blunt cannula.
- Scar Filler Injection – immediate restoration of lost volume beneath the released scar with hyaluronic acid (HA) fillers or, in some cases, collagen-stimulating fillers like Sculptra or Radiesse.
The combination provides instant scar lifting while also preventing scar re-tethering, making it one of Korea’s most popular treatments for patients seeking fast results with natural, smooth outcomes.
Purpose & Benefits
- Scar Release: Breaks down fibrous bands tethering the skin.
- Immediate Improvement: Fillers lift depressed scars right after treatment.
- Scar Recurrence Prevention: Volume support helps prevent scars from re-attaching.
- Collagen Remodeling: Some fillers stimulate long-term collagen growth.
- Natural Results: Korean injection techniques ensure subtle, smooth correction.
- Customizable: Choice of HA or collagen-stimulating fillers based on scar type.
Ideal Candidates
Scar Filler Subcision in Korea is recommended for:
- Patients with rolling, tethered, or shallow boxcar scars.
- Individuals seeking quick, visible improvement without aggressive downtime.
- Those who want a safe and minimally invasive solution.
- Patients hesitant to undergo fat grafting or permanent fillers.
- Individuals combining scar subcision with multi-step scar programs (lasers, RF, PRP).
Possible Risks & Complications
When performed by skilled dermatologists, this procedure is safe. Potential but temporary side effects include:
- Redness, Swelling, or Bruising at injection sites.
- Tenderness for a few days post-treatment.
- Overcorrection or Lumpiness (rare, minimized with microcannula techniques).
- Filler Migration or Dissolving (possible with HA fillers, but reversible with hyaluronidase).
Korean dermatologists minimize risks by using layered injection techniques and scar-specific protocols.
Surgical Techniques Used
- Subcision: A fine needle or blunt cannula inserted under the scar to break fibrotic bands.
- Filler Injection:
- Hyaluronic Acid (HA) Fillers (e.g., Restylane, Juvederm) for reversible, natural correction.
- Collagen-Stimulating Fillers (e.g., Radiesse, Sculptra) for long-term collagen induction.
- Layering Technique: Fillers placed at the correct depth for stable support.
- Combination Therapy: Often paired with microneedling RF, fractional CO₂ laser, or PRP/PDRN boosters for comprehensive scar care.
Protocol: Usually 1–2 sessions, spaced 1–2 months apart.
Recovery & Aftercare
Immediately: Mild redness, swelling, or tenderness.
1–3 Days: Bruising may appear but resolves quickly.
1–2 Weeks: Scars look lifted, smoother, and more refined.
1–6 Months: Collagen stimulation from fillers further enhances texture.
Aftercare Tips:
- Apply cold compress during first 24 hours.
- Avoid alcohol, saunas, and strenuous exercise for 48 hours.
- Use SPF 50+ sunscreen daily to prevent pigmentation.
- Avoid massaging treated areas unless instructed.
Results & Longevity
- After 1 Session: Immediate scar lifting and smoother texture.
- After 2 Sessions: Significant reduction in scar depth and improved contour.
- Longevity: HA fillers last 9–18 months, while collagen-stimulating fillers last 2–5 years.
- Regenerative Effect: Even after fillers dissolve, collagen stimulation provides lasting improvement.
Treatment Process in Korea
Consultation & Scar Mapping
Dermatologist assesses scar type, depth, and filler choice.
Preparation
Topical numbing cream or local anesthesia applied.
Scar Filler Subcision Session
- Step 1: Subcision performed to release tethered scars.
- Step 2: Fillers injected beneath scars for immediate lift.
- Step 3: Cooling mask or LED therapy applied post-treatment.
Duration: 30–45 minutes.
Why Korea is a Top Destination
- Expertise in Subtle Filler Techniques: Korean dermatologists focus on natural results.
- Scar-Specific Protocols: Multi-depth filler placement customized per scar type.
- Integrated Programs: Often combined with resurfacing lasers or regenerative injectables.
- Safe for Asian Skin: Minimized PIH (post-inflammatory hyperpigmentation) risk.
- Cost-Effective Packages: Affordable compared to Western scar filler treatments.
Cost Range (Estimated)
- Single Scar Filler Subcision Session: USD 300 – 600
- Subcision + Filler + LED/Soothing Care: USD 500 – 900
- Comprehensive Scar Program (Subcision + Filler + Laser/Boosters): USD 1,000 – 2,500 per session
Example Korean Packages:
- Standard Program (1 session): USD 400 – 600
- Advanced Program (2 sessions with regenerative add-ons): USD 1,000 – 1,600
- Premium Program (2–3 sessions with exosomes/Rejuran + fractional laser): USD 2,500 – 4,200
Popular Clinics in Seoul
- Oracle Dermatology: Subcision with HA filler for rolling acne scars.
- Banobagi Dermatology: Combination scar filler programs with lasers.
- Renewme Skin Clinic: Scar filler subcision paired with PRP and PDRN boosters.
- View Dermatology: Filler-based subcision integrated with microneedling RF.
- Chaum Anti-Aging Center: Premium filler subcision with regenerative exosome therapy.
