Step-by-Step Approach to Subcision (New Skin Needle) Procedure

The new skin needle procedure is carried out in three stages.

Stage 1. Superficial Adhesion Separation

Fibrous adhesions widely present on the skin surface are meticulously severed using micro-needles.

This process delicately removes fibrous tissue that pulls the scar area downwards.

Through this, you can expect the visible skin indentations to be alleviated.

Stage 2. Deep Adhesion Removal

For tenacious adhesion tissue deeply embedded in the dermis layer,

we gently separate relatively wide areas of adhesion using a cannula.

This method can be performed more smoothly, reducing the likelihood of bruising or pain compared to the previously used Nokor needle.

This approach can help improve wide-shaped scars such as rolling scars or boxcar scars.

This process is an important step that contributes to reducing bruising and pain during the procedure.

Stage 3. Induction of Tissue Regeneration (using micro-needles)

Finally, micro-needles are used to induce micro-bleeding in the tissue.

This creates an environment where blood flow and growth factors can gather, aiding regeneration.

As a result, fibroblasts are stimulated, and the collagen regeneration process is expected to be activated.

Combination Procedures for Synergistic Effects

We aim for combination procedures that can further enhance treatment effects and help reduce recovery burden.

① Concomitant PDRN Injection (DNA Injection)

As a principle, PDRN injections are performed together with the new skin needle procedure.

This injection promotes the wound healing process and can help alleviate redness or hyperpigmentation that may occur after the procedure.

PDRN is an important factor that aids the regenerative power of scar tissue, and at our clinic, it is included as a basic treatment process, not an option.

② Concomitant Erbium YAG Fraxel for Faster Recovery

Subcision primarily focuses on improving the internal, adhered tissue structures of the skin.

However, it is difficult to directly refine the skin texture or fine irregularities on the surface.

Therefore, at our clinic, it is common to combine the Erbium YAG Fraxel procedure after subcision.

This procedure works at a relatively shallow depth and can positively influence the improvement of skin texture, pores, and fine indentations on the surface.

Such combined procedures can help reduce the burden of recovery time and enhance overall treatment effectiveness.

Key Features of the New Skin Needle Procedure

Treatment design based on anatomical knowledge

The procedure goes beyond merely stimulating scars deeply;

it involves meticulously establishing a treatment plan from the diagnostic stage to determine which skin layer has adhesions and in which direction to separate them.

Use of precise treatment tools

By complexly utilizing micro-needles, cannulas, and micro-needles,

we aim to minimize discomforts such as bruising, swelling, and pain, while faithfully maintaining the treatment's effectiveness.

PDRN Injection and Fraxel Combination Procedure

Combined treatments that aid recovery and enhance efficiency after the procedure

are applied as a basic part of the treatment at our clinic, not merely as optional choices.

Personalized treatment recommendation through accurate diagnosis

정확한 진단을 통한 맞춤 시술 권유

Subcision treatment is not suitable for all types of scars.

We do not recommend treatment for scars that are deemed unnecessary to treat.

We believe that medical staff should make an accurate assessment before recommending any procedure.

What is New Skin Needle (Subcision)?

While scars may simply appear as depressions on the skin's surface, they are often caused by underlying tissue pulling the skin downwards.

While they appear as depressions on the surface, deep within the dermal layer,

adhesions, such as fibrous tethers, strongly pull the scarred area downwards.

These adhesions must be released for the skin to naturally return to its original position.

New Skin Needle (Subcision) is a procedure that physically severs these adhesive tissues pulling the skin downwards.

Principle of New Skin Needle Treatment

1. Release of Adhesions

The fibrous adhesive tissues that pull the scar downwards from within the skin are

delicately severed using a special needle or cannula.

→ This releases the adhesions that were pulling the skin downwards, creating a foundation for the depressed scar to rise.

2. Induction of Micro-circulation (Regeneration Signal)

The subtle stimulation and blood flow generated during the process of releasing adhesions

can serve as an important signal to induce new collagen production.

→ This stimulation is expected to activate fibroblasts, creating an environment where new skin can regenerate in the scarred area.

3. Promoting Skin Regeneration and Improving Blood Flow

In some cases, microneedling and PDRN (DNA injections) may be applied together

to help improve blood circulation and stimulate regenerative cell activity in the treated area,

further aiding in the recovery of damaged tissue and promoting collagen production.

New Skin Needle may be considered for those with these types of scars:

Deep, icepick-like scars on the forehead

Depressed or uneven scars on the temple area

Single or multiple dot-like depressed scars on the nose

Complex scars on both cheeks, appearing as various indentations or wide depressions

What is Multi-New Skin Needle? (Enhanced Traditional New Skin Needle + Er:YAG Shouldering)

This is an enhanced method that integrates the shouldering technique with the traditional New Skin Needle (Subcision) procedure.

In scar treatment, simply releasing the adhesions beneath the scar may not be sufficient.

Even after releasing adhesions with subcision, scars with distinct borders and deep depressions may make it difficult for the skin to rise smoothly.

When a damaged area of the skin heals, it has a tendency to form a height and texture similar to the surrounding tissue.

However, if the scar borders form an abrupt step-off, this natural regeneration process may be difficult to achieve smoothly.

Therefore, it is possible to delicately refine the scar borders to create a gentle slope (shouldering).

Through this process, by reducing the height difference with the surrounding skin, we can expect an improvement effect where the scar's interior blends more naturally with the surrounding tissue as it fills in.

Indeed, one of the reasons it was difficult to achieve satisfactory improvement with traditional New Skin Needle treatment alone is closely related to the characteristics of these scar borders.

Even if the underlying adhesions are resolved, if the borders remain like steep walls, skin regeneration may be limited. 

Therefore, shouldering becomes a meaningful approach that complements the limitations of existing methods in treating depressed scars with clear borders. 

Scar Types for which Multi-New Skin Needle may be considered

1) Those who have not experienced satisfactory improvement with traditional New Skin Needle or general scar treatments

This treatment can be considered when, despite having previously received subcision or other laser treatments, the scar has not improved as much as expected.

This is often because even if only the lower part of the scar has been addressed, if the boundary with the surrounding skin is abrupt, the skin tissue cannot fill in smoothly on its own.

In such cases, the shouldering technique can be used to gently smooth out the steep edges around the scar, leading to a more satisfying improvement.

2) This also applies to scar types that are deeply indented with clearly steep boundaries. 

Especially for boxcar scars (abruptly indented scars), even if new skin regenerates from within,

the lateral edges can remain like walls, hindering complete healing.

By applying Er:YAG shouldering to smooth out these boundaries, the difference in height with the surrounding skin can be alleviated, leading to an improvement where it connects more naturally.

3) It can also be considered for those who desire skin improvement with fewer treatment sessions than general new skin regeneration procedures.

General new skin regeneration treatments often require multiple cumulative sessions. In contrast, multi-channel new skin regeneration treatment approaches three elements simultaneously: the lower part of the scar (adhesion), the sides (boundaries), and the surface.

Thanks to this comprehensive approach, improvement effects can be expected with relatively fewer sessions compared to general new skin regeneration treatments.