Subcision with PRP is a doctor-performed treatment for depressed acne scars. A fine needle releases the fibrous bands that pull the scar down, and platelet-rich plasma from your own blood is placed under the scar to support healing and new collagen. It is one of the most effective options for rolling scars.
Why Choose Charisma for PRP Subcision
- Scar mapping first — each scar is classified so subcision is used only where it helps.
- Doctor-performed release — careful technique to limit bruising and protect surrounding tissue.
- Closed PRP system — sterile, single-use kits to prepare your plasma.
- Staged scar plans — subcision combined with RF microneedling, lasers or boosters when needed.
What Is Subcision?
Many depressed scars are tethered to deeper tissue by bands of scar tissue. Subcision uses a special needle or cannula inserted under the skin to cut these bands, so the scar can lift. A small pocket forms under the scar, and filling it with PRP supports healing and collagen production, which helps stop the bands from reforming.
Types of Acne Scars and Which Respond to Subcision
- Rolling scars — wide, soft depressions with sloping edges. Respond best to subcision.
- Boxcar scars — flat-bottomed scars with sharp edges. Shallow ones may improve; deeper ones often need laser or other methods too.
- Ice-pick scars — narrow and deep. Subcision alone is not enough; TCA CROSS or punch techniques are used instead.
Who Is a Good Candidate?
- Rolling or tethered scars — scars that flatten when the skin is stretched.
- Acne under control — active breakouts should be treated first.
- Healthy adults — without bleeding disorders or uncontrolled diabetes.
Not suitable during pregnancy, with active infection, or with a tendency to keloid scarring.
Key Benefits
- Visible lift — scars often look shallower within weeks.
- Natural healing support — PRP uses your own growth factors.
- Better overall skin quality — texture, tone and fine lines improve as collagen builds.
- Short downtime — bruising and swelling usually settle within about a week.
Procedure Step by Step
- Assessment and marking — scars are marked under angled light.
- Blood draw — a small sample is taken and spun to separate PRP.
- Numbing — topical cream and local anaesthetic where needed.
- Subcision — the needle releases the bands under each marked scar.
- PRP placement — plasma is injected into the released areas.
- Aftercare — gentle pressure and cold compresses.
How Many Sessions and Results Timeline
Most patients need 2 to 4 sessions spaced 4 to 6 weeks apart. Some improvement is visible once swelling settles, and collagen remodelling continues for about three months after each session.
Pre-Treatment Guidelines
- Avoid blood thinners — aspirin, ibuprofen, fish oil and vitamin E for about a week, if your doctor agrees.
- No alcohol — 24 to 48 hours before.
- Plan around events — bruising can last up to a week.
Aftercare and Side Effects
- Swelling and bruising — expected for 3 to 7 days; cold compresses help.
- Gentle skincare — no actives for several days.
- No massage or heat — for 48 hours.
- Rare risks — lumps, infection or uneven healing; report any concern early.
Subcision with Microneedling or Laser: Combination Protocol
Most acne-scarred skin has more than one scar type. Charisma often plans subcision first to release tethered scars, then RF microneedling or fractional laser a few weeks later to smooth edges and boxcar scars. Skin boosters can be added for hydration and skin quality.
PRP Subcision in Dubai & Abu Dhabi
Charisma performs subcision with PRP at its Dubai and Abu Dhabi clinics as part of a full acne scar service, with doctors who plan treatment around your scar types and skin tone.
PRP Subcision Cost in Dubai
Cost depends on how many scars or areas are treated and whether combination treatments are included. Your doctor confirms the price after scar mapping.
FAQs
Is subcision painful?
Numbing keeps it comfortable. You may feel pressure and a snapping sensation as bands release.
Are results permanent?
Released scars usually stay improved, although natural ageing continues.
Can subcision treat ice-pick scars?
Not well on its own. Other techniques are used for narrow, deep scars.
When can I go back to work?
Many patients return the next day if they are comfortable with some bruising.
Why add PRP?
PRP supports healing and collagen growth in the released area.