Saesalchim (Subcision + PDRN + Fraxel) | Depressed Scars | Kkeut Cheonho

Features of Kkeut Korean Medicine Clinic's New Skin Needle (Subcision) Treatment

* Three-Stage Approach of Kkeut Korean Medicine Clinic's New Skin Needle

Stage 1: Separation of Superficial Adhesion Layer

Fibrous adhesions widely located beneath the skin's surface are precisely broken using micro-needles.

This is a delicate process of carefully removing the fine fibrous structures that pull scars downwards.

As a result, sunken areas can be naturally improved.

Stage 2: Treatment of Deep Adhesion Tissue

Hard adhesion tissues located deep within the dermis

are gently separated over a wide area using a cannula.

This method reduces the burden during treatment compared to needles used in the past (which caused bruising and pain).

It can be particularly helpful in improving broad scar types such as rolling or boxcar scars.

This serves as an important process in reducing the occurrence of bruising or pain.

Stage 3: Tissue Regeneration Promotion (Microneedling Application)

In the final stage, microneedles are used to induce a very small bleeding response in the skin tissue,

thereby creating an environment where blood flow and various growth factors can concentrate in the treated area.

Through this process, fibroblast activation is expected, and collagen production can be promoted.

Systematic Combination Treatments at Kkeut Korean Medicine Clinic

These are combination treatments that can help enhance treatment effectiveness and reduce the burden of recovery time.

① Concomitant PDRN Injection (DNA Injection)

PDRN injections are performed in conjunction with the New Skin Needle treatment.

This can help with wound healing and contribute to reducing redness and hyperpigmentation that may occur after treatment.

As a factor contributing to enhancing the regenerative potential of scar tissue, our clinic applies this as one of the fundamental treatment procedures.

② Combination with Erbium YAG Fraxel, Reducing Recovery Burden

While subcision treatment primarily aims to improve internal skin structure,

it has limitations in improving the fine texture or overall quality of the skin surface.

Therefore, our clinic fundamentally combines Erbium YAG Fraxel after the treatment.

This acts on shallower skin layers to help improve skin texture, pore size, and subtle indentations on the surface.

This reduces the burden of recovery time and allows for positive effects on overall treatment results.

What Makes Kkeut Korean Medicine Clinic's New Skin Needle Special?

* Treatment Design Based on Anatomical Understanding

Rather than a treatment that simply emphasizes depth,

considering which skin layer has adhesions and in which direction they should be released for effective results.

From the diagnostic stage, a detailed treatment plan is established.

* Utilization of Precision Instruments

By combining micro-needles, cannulas, and microneedles,

we can help reduce treatment burdens such as bruising, swelling, and pain, while still achieving desired results.

* PDRN and Fraxel Combination Treatments as a Standard

Combination therapies that aid in the recovery process and enhance treatment efficiency

are considered essential procedures at our clinic, not optional elements.

* Accurate Diagnosis Instead of Indiscriminate Treatment Recommendations

Subcision is not suitable for all types of scars.

If a scar does not necessarily require treatment, I frankly tell patients that the procedure is unnecessary.

I believe that medical staff should prioritize accurately 'assessing' a patient's condition over 'recommending' treatments.

What is Subcision?

Scars are often pulled downwards by tissues located deep within the skin.

The skin surface may appear indented, but in reality, beneath the dermis,

a fibrous tether is fixing and pulling down the scar area.

Breaking these adhered bands can help the skin return to its original position.

The procedure that separates such internal structures is Subcision.

How Subcision Works

1. Release of Adhered Tissue

The fibrous bands located deep within the skin are

carefully broken using a medical needle or cannula.

→ As the adhesions pulling the skin downwards are released, the indented scar can be expected to improve upwards.

2. Induction of Micro-Bleeding (Regeneration Signal)

The micro-bleeding that occurs during the process of breaking adhesions

can be an important signal to promote new collagen production.

→ This induces the activation of fibroblasts, providing a foundation for new tissue regeneration around the scar.

3. Promotion of Blood Circulation and Tissue Regeneration

Additionally, microneedling and PDRN (DNA injection) may be applied together to

help blood circulation and induce the concentration of cells necessary for regeneration,

which can help support wound healing and collagen synthesis simultaneously.

Who can consider Subcision?

Indented scars on the forehead that appear as if poked

Scars on the temples that are deeply depressed and have an irregular surface

Indented scars on the nose area appearing as one, two, or multiple dot-like lesions

Complex types of scars appearing as various shapes of indentations or depressions on both cheeks

What is Multi-Subcision? (Adding Erbium YAG Shouldering to the existing 3-step approach of Subcision)

This is an improved approach that applies the shouldering technique to the existing Subcision procedure.

For scar improvement, simply releasing the adhesions beneath the scar may not be sufficient.

Even if adhesions are released with subcision, for scars with distinct and deep borders, there may be limitations in achieving complete skin flattening.

The human body tends to match the damaged area to a similar height and texture as the surrounding tissue when repairing it.

However, if the scar borders are abruptly deep, this natural healing process may be difficult to achieve smoothly.

Therefore, a process of finely smoothing the scar borders into a gentle slope (shouldering) is necessary.

Through this approach, the height difference with the surrounding skin is reduced, allowing the scar area, when filled, to connect more naturally with the side lines, leading to visually less noticeable results.

In fact, there are many cases where improvement was difficult with traditional Subcision alone, and this is directly related to the issue of scar borders.

Even if adhesions are sufficiently released, if the scar borders remain steep, achieving the desired level of tissue regeneration may be difficult. 

Therefore, the shouldering technique becomes a significant step in complementing the limitations of existing treatment methods for deeply indented scars with distinct borders. 

Types of Patients Who May Consider Multi-Subcision

1) Those who have not achieved satisfactory results from previous Subcision or general scar improvement treatments

If you have previously received subcision or laser treatments but feel that scar improvement is insufficient

This is because even if the base of the scar has been released, if the boundary with the surrounding skin remains steep, it can be difficult for the skin to regenerate on its own.

In such cases, by smoothly refining the scar edges through a shouldering procedure, you can expect more satisfactory improvement.

2) If the scar is deeply indented and has clear, steep edges 

Especially, for scar types that are deep and sharply indented, like boxcar scars, even if new skin regenerates from within,

the side edges remain like a wall, becoming a factor that hinders complete recovery.

By using Erbium-YAG shouldering to smoothly adjust the scar edges, it helps reduce the height difference with the surrounding skin, promoting a natural blend.

3) If you expect improvement with fewer sessions than traditional regenerative needle treatments

Traditional regenerative needle treatments usually require more than 10 sessions to expect gradual improvement. In contrast, multi-layered regenerative needle treatment is a method that comprehensively addresses the adhesion under the scar, steep edges, and the surface layer.

Therefore, it is expected that you can experience changes with fewer sessions compared to traditional regenerative needle treatments.