Release · Measured Support · Pacific Plaza
Subcision with filler is a two-step plan for tethered acne scars: subcision releases the fibrous band that tethers the scar, and filler or a collagen stimulator goes beneath it only where a hollow remains once the scar is released. At Atelier, Dr Sin Yong decides on the second step after the first, scar by scar.
A tethered acne scar can carry two faults. A fibrous band left by deep inflammation pulls the surface down, and under some scars the same inflammation destroyed fat, leaving a hollow that only shows once the band is cut.
Subcision divides the band with a needle or blunt cannula through a small puncture, without cutting the surface; see the subcision page. Filler then holds the released space open while healing continues, and a collagen stimulator such as Radiesse also gives your own collagen a framework. Where there is no hollow, filler adds nothing.
At A Glance
The usual shape of a plan; yours is written after Dr SY has examined each scar.
Scar Selection
It suits scars that are tethered and short of volume at once: broad rolling scars, boxcar scars that stay pinned on stretch,.
It does not suit scars that are not tethered:
Filler under an intact band spreads sideways: the cheek fills, the dent stays. The realistic aim is a scar closer to level, not one that disappears.
The Decision
Same visit can suit a small area where a scar is clearly tethered over an obvious hollow. Staging is often more careful in skin that bruises heavily and in Fitzpatrick III to V skin, where bruising can leave lasting marks, and it shows what release achieved alone. There is no fixed interval.
Material. Hyaluronic acid can be dissolved; Radiesse gives early support and a scaffold for collagen but cannot. See volume restoration and collagen biostimulators.
Wait or talk it through first with active acne (see acne treatment), infection or a cold sore, pregnancy or breastfeeding, blood thinners, a tendency to keloids or dark marks, or recent isotretinoin. Declare earlier filler, especially silicone. An allergy to a filler ingredient or lidocaine rules that product out.
On The Day
Recovery
Bruising is expected. Use cold compresses, put off strenuous exercise until swelling settles, do not massage unless told to, and wear sunscreen while bruises fade. See filler aftercare and acne scar downtime; fractional CO2 resurfacing follows once scars have settled.
Risks
Subcision: bruising, swelling, tenderness, small firm lumps; less often infection, darker marks, raised scarring or a weaker response. The band can partly re-form.
Filler: swelling, bruising, lumps, uneven placement, a bluish tint under thin skin, and nodules months or years later.
Together: a bleeding pocket makes even placement harder, and inflammation raises nodule and infection risk.
Contact the clinic the same day if skin turns pale, dusky or mottled, pain builds, or vision changes. See vascular occlusion warning signs and complication care.
Continue
Atelier Aesthetics · Owned by AYA
9 Scotts Road, Pacific Plaza #12-01A, Singapore 228210 · +65 8023 7170
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