WRINKLES SUBCISION

“ironing” of wrinkles from inside the skin to make skin smoother and even

General information — it’s intended to help you think of questions before your consultation or revisit details afterward

What are other names for this procedure?

Many, actually. In classic medicine, we call it subcision (it can refer to many types of release of fibrotic (scar) tissues – acne, post procedure scar, chickenpox depressions, wrinkles, face assymetry etc). This group of procedures also being refered as “separation” – separation of skin from pulling down tissues. It is also called subcutaneous incisional surgery.

The central face modification of the procedure is being called french subcision.

What is wrinkle subcision and what is it for?

Minor surgical procedure to release skin (cutaneous) depressions such as acne scars, wrinkles, nasolabial folds, around mouth lines, smile wrinkles, jowls lift, eye wrinkles, neck bonds, neck wrinkles, irregularities under the chin, forehead wrinkles.
Dr Larissa Miller at VISTA clinic Australia also using modified subcision for knee wrinkles and “cellulite” fat deposits irregularities (“Uneven look of thighs, abdomen).

Here are examples of same day procedure (swelling is seen) by canula subsicion and filler for filling the lack of volume areas at the same time.

Case above: French subcision (wrinkles release by canula), skin quality (laser resurfacing, peeling, biorevitalisation). Same day before/after, bur result is assessed 2-3 months after.

How Wrinkle subcision works? What is a mechanism?

Specially designed precise cannula is moving safely through high density and fibrotic, scar tissues. On the way, the fibrotic strands, pulling skin down, are being released. Sometimes, cosmetic physician may also prescribe a dermal filler to fill the depression and provide optimal healing conditions.
By creating an even base under the skin, the face appearance improves.

What are the contraindications to subcision?

Subcision may not be suitable in the following circumstances:

Patients with a history of hypertrophic or keloid scars
Current or recent (within 12 months) systemic oral retinoid (vitamin A medications)
Bleeding or blood clotting disorders (coagulopathy)
Active bacterial or viral infection

What are combinations with cosmetic treatments?

Doctor will discuss options for each case.

Most commonly french subcision or separation is being combined with

dermal fillers ( 2 functions – to fill in deep defects and also hyaluronic acid is a natural moisturiser. By providing good moisturising environment, there will be more collagen production and more impressive results in 2 months time after the procedure)
threads (besides whinkles smoothing, sometimes we also need to lift up tissues)
Skin quality peel ( to smooth fine wrinkles of the skin itself)
PRP lifting (recommended for clinical assessment of lack of growth factors. PRP is your own blood’ growth factors, which are responsible for healing and rejuvenation at the treatment site)

Is wrinkle separation painful?

The procedure is usually performed under local anesthetic, similar to dentist procedure. VISTA Clinic’ experienced cosmetic physician will put a strong, prescription only numbing cream, then inject local anesthetic, if required.
Additionally, Dr Larissa Miller is using adrenaline with pain relief to reduce chance and amount of bruising.

Some patients prefer to tolerate pain without pain relief to reduce downtime and risks – which can be done for small areas.

Case above: filler, subsision and skin quality (lightening, tightening, biorevitalisation)

What are side effects and downtime?

Usually cosmetic subcision of minor facial defects is well tolerated and reasonably safe procedure.
Most commonly cosmetic patient will have bruising. In fact, this is a part of the procedure as bruise induce collagen production and skin tightening. Bruising lasts from 2 days to 2 weeks. Usually 2-3 days.
You can reduce bruising time twice with a coral peel, or laser.
Rare can be assymetry, lumps, infection, unsatisfactory results, nerve damage and unevenness.

Correction of complication is free of charge at VISTA Clinic Australia

How many procedures are needed?

Individual and depends on the severity of cosmetic . Mild cases can achieve satisfactory results with only 1 procedure. Usually, french cosmetic subcision protocol is to have 3 procedures and then 1 procedure a year to maintain.

Our cosmetic patients can decide themselves as cosmetic treatments are not mandatory.

Disclaimer
All photos show case studies as cases examples for educational purposes, Every person is unique – individual plan will be determined during counsult. Doctor (Dr Larissa Milller (MED001835740) Specialist General Practitioner, works closely with each patient to tailor options, discuss pros and cos, treatment risks, alternatives. Cosmetic treatments usually involve a recovery period (significant swelling). Although in most cases, results can be achieved, but it doesn’t stop aging process and it’s like going to the gym – maintenance. An extensive range of further photos of results is available in the privacy of our clinic. Strictly for above 18 years old