

2-in-1 Acne Subcision Needling
At Dr.Derme Skin and Fillers Clinic, we offer 2-in-1 Acne Subcision which is an advanced solution for stubborn acne scars by combining acne scar subcision and microneedling. Subcision releases the fibrous bands beneath the skin, lifting indented scars, while microneedling enhances skin texture by stimulating natural regeneration.
This powerful duo works synergistically to smooth, rejuvenate, and restore your skin, giving you a clearer, more confident complexion.
Procedure Time
30-45 minutes
Results
Brighter and smoother skin
Downtime
1-2 days
Time To Work
Days to weeks
Numbing
Numbing cream
Lasts
Up to 6 months*
What Is 2-in-1 Acne Subcision Needling?
Acne Subcision Needling is a minimally invasive procedure that targets tethered scars caused by acne. During this treatment, a specialised needle is used to release the fibrous bands pulling the skin down, which helps lift the scar and smooth out the skin’s surface. Subcision also stimulates collagen production, a key component in repairing and renewing damaged skin.
Acne Subcision
Acne Subcision releases the fibrous bands pulling down acne scars, allowing the skin to naturally lift and smoothen. This foundational step targets the root cause of deep, tethered scars. Subcision also stimulates collagen production, a key component in repairing and renewing damaged skin.
Microneedling
Microneedling creates controlled micro-injuries in the skin using ultra-fine needles. This process triggers your skin’s natural repair mechanism, promoting collagen production and improving skin texture. When paired with PRP, microneedling drives the healing factors deeper into the skin for faster, more noticeable results.
Improved Efficiency
By combining the two treatments in a single session or treatment plan, patients can experience faster and more noticeable results. Subcision addresses the deeper issues, while microneedling refines the skin’s surface, making the overall outcome more comprehensive.
What Can Acne Subcision Treat?
Rolling Scars

Rolling scars are a type of acne scar witch are wide, shallow depressions that create a wave-like appearance on the skin. These scars occur when the skin heals unevenly after inflammatory acne.
Boxcar Scar

A boxcar scar is a type of acne scar characterised by broad, rectangular depressions with well-defined edges. These scars occur when severe acne damages the skin, leaving a pitted appearance commonly found on the cheeks and temples.
Ice Pick Scars

Ice pick scars are a type of acne scar characterised by their narrow, deep, and pitted appearance. They resemble small holes or indentations in the skin, often giving it a textured or uneven look.
Hypertrophic Scars

Hypertrophic scars are raised, thickened scars that form as a result of excessive collagen production during the healing process of a wound. They are often red, firm, and can feel itchy or painful, especially in the early stages.
How Effective Is 2-in-1 Acne Subcision Needling?
Subcision is one of the most effective treatments for depressed acne scars, particularly rolling scars and some types of boxcar scars. This minimally invasive procedure targets the root cause of these scars by severing the fibrous bands that tether the skin to underlying tissue, allowing the skin to lift and smooth over time.
Releases Tethered Tissue
By breaking the fibrous strands pulling the skin down, subcision allows the treated area to return to its natural position, creating a more even skin surface.
Collagen Stimulation
The micro-trauma caused by the procedure encourages the production of collagen, a key protein in skin repair and rejuvenation.
Improves Texture
Gradually over time, the skin continues to improve as new collagen fills in the treated areas.
Acne Subcision Before And After


What to expect during your Acne Subcision Consultation?
Your Acne Subcision consultation will be conducted by our expert dermatology doctor. Our doctor will assess your condition, determine the most suitable treatment, and answer any questions you may have about your skin. If microneedling is the best treatment for your skin condition, the procedure can be performed in the clinic on the same day. Rest assured, all our clinics adhere to safety standards monitored by the General Medical Council and we are insured by Cosmetic Insure.
Three simple steps to start your journey
Contact us
Make a no obligation enquiry on our website. You can attach photos for our doctors to asses so we recommend the best treatment options.
You can also WhatsApp us or call us directly on 0800 009 6109. We are here to help you every step of the way.
Your Consultation
Visit your Dr.Derme clinic and meet your specialist for a consultation. During the visit, we will:
- Complete assessment of your skin
- Explain your best treatment options
- Discuss the treatment or procedure
- Answer all your questions
Your Consultation
Start your Acne Scar Subcision treatment at Birmingham's leading skin clinic. Following the treatment, we provide will all the aftercare advice to get the best results. We are here for you with any follow-up queries:
FREQUENTLY ASKED QUESTIONS
Is Acne Subcision Suitable For All Skin Types?
Subcision is generally safe and effective for most skin types, including lighter and darker skin tones. However, the suitability of the procedure can depend on individual factors such as skin condition, scar type, and healing tendencies.
Key Considerations for Different Skin Types:
Lighter Skin Tones (Fitzpatrick I–III):
Subcision typically produces excellent results with minimal risk of pigmentation issues. Healing is straightforward, with mild swelling and bruising subsiding in a few days.Darker Skin Tones (Fitzpatrick IV–VI):
While subcision is safe for darker skin tones, there is a slightly higher risk of post-inflammatory hyperpigmentation (PIH) or uneven pigmentation following the procedure. This risk can often be minimised with pre- and post-treatment care, including sun protection and the use of pigment-fading creams if necessary.Scar Type:
Subcision is most effective for tethered scars like rolling or some boxcar scars, regardless of skin type. Other scar types may require combination treatments for optimal results.
How Long Do The Results of Subcision Last?
The results of subcision for acne scars are long-lasting and often permanent for the treated areas. Once the fibrous bands tethering the skin are released, they typically do not reform, meaning the improvements achieved are maintained over time. However, the extent and longevity of results can depend on several factors such as aftercare and maintenance.
Protecting the skin from sun damage and maintaining a healthy skincare routine can help preserve the results. In rare cases, some scars may show slight re-tethering, which can be addressed with follow-up treatments
What Is The Downtime After Acne Scar Subcision?
The recovery time after subcision is relatively short, with most patients experiencing mild to moderate downtime. While the procedure is minimally invasive, some temporary side effects are common as the skin heals. Here’s what to expect:
Typical Recovery Timeline:
Immediately After Treatment: Mild swelling and redness around the treated area are common. Bruising at the needle insertion points is typical and may look pronounced initially.
1–3 Days Post-Treatment: Swelling and redness usually begin to subside. Bruising may persist but starts fading gradually.
1 Week Post-Treatment: Most patients notice significant improvement in bruising, although light discolouration may linger in some cases.
2–3 Weeks Post-Treatment: Full healing is typically complete by this stage. Results from collagen stimulation begin to develop and improve over time.
How Long Does Microneedling Take to Work?
Microneedling results can vary based on individual skin conditions and the specific concerns being treated. Generally, you may start to notice improvements in skin texture and tone within a few days to a week after the first microneedling session. More significant results, such as the reduction of scars, fine lines, and wrinkles, typically become visible after 4 to 6 weeks as the skin undergoes its natural healing process and collagen production increases.
For optimal results, our doctors recommend a series of 3 to 6 microneedling treatments spaced about 4 to 6 weeks apart. The number of sessions required depends on the severity of the skin issues being addressed and your individual skin type.
It’s crucial to follow post-treatment care instructions provided by your skincare professional to maximise the benefits of microneedling and ensure proper healing. This includes protecting your skin from the sun and keeping it well-hydrated.



