[Scar Regeneration Acupuncture] Treatment for Pitted Scars

Features of Our Clinic's Saesal-chim (Subcision)

* Three Approaches of Kkeut Clinic's Saesal-chim

Step 1 – Superficial Adhesion Release

We precisely separate widespread fibrous adhesions on the skin surface using micro-needles.

By carefully removing the delicate fibrous bands that pull down the scar tissue,

we help naturally improve noticeable skin depressions.

Step 2 – Deep Adhesion Removal

Adhesive tissue firmly established in the deep layers of the skin, beneath the dermis,

is gently separated over a wide area using a cannula.

Compared to the Nokor needles used in the past, this method can be performed with reduced discomfort such as bruising or pain after the procedure.

This method can be usefully considered for managing broad types of scars like rolling or boxcar scars.

→ This is an important step in reducing bruising and pain that may occur during the procedure.

Step 3 – Tissue Regeneration Promotion (Using Micro-needles)

Finally, micro-needles are used to gently stimulate the tissue, inducing micro-bleeding.

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

Through this process, fibroblasts are stimulated, which can contribute to collagen regeneration.

Kkeut Clinic Adheres to the Principle of Combination Procedures

Combination treatments that help increase treatment efficiency and reduce recovery burden

① Concomitant PDRN Injection (DNA Injection)

PDRN injections are applied concurrently with all Saesal-chim procedures.

This can promote wound healing and help reduce redness or hyperpigmentation that may occur after the procedure.

Since this is a crucial process for aiding tissue regeneration in the scarred area, our clinic includes it as a standard procedure, not an optional one.

② Concomitant Erbium YAG Fraxel with Low Recovery Burden

While subcision aims to improve the internal structure of the skin,

it may be difficult to improve the skin's surface texture or fine details.

Therefore, we adhere to the principle of combining Erbium YAG Fraxel after the procedure.

This acts on relatively shallow skin layers and can contribute to improving skin texture, pores, and minor depressions on the surface.

→ Consequently, it can reduce recovery burden, help with a quicker return to daily life, and achieve synergistic effects.

Why Choose Our Clinic's Saesal-chim Procedure?

*Procedure Design Based on Anatomical Knowledge

Our procedure does not simply stimulate the skin deeply;

instead, we precisely diagnose which skin layer adhesions have formed in and in which direction they should be released,

and then establish a treatment plan to proceed.

*Utilization of Precision Instruments

By combining sophisticated needles, cannulas, and micro-needles,

we strive to help achieve desired results while minimizing bruising, swelling, and pain that may occur after the procedure.

*Standard Combination of PDRN and Fraxel

The combination treatment method, which aids recovery and enhances treatment effectiveness,

is not an optional add-on procedure for us, but a fundamentally included step.

*Precise Diagnosis Oriented, Without Unnecessary Recommendations

Subcision treatment is not suitable for all types of scars.

For scars that are determined not to require treatment, we do not actively recommend the procedure.

As a medical professional, I believe accurate assessment should take precedence over unnecessary recommendations.

What is New Skin Needle Treatment?

Scars often appear as if they are being pulled down by surrounding tissues deep within the skin.

Even if they appear sunken on the surface, they are actually beneath the dermis where

a fibrous tether strongly pulls the scar tissue downwards.

Releasing these fibrous tissues can help the skin return to its original position.

The procedure that releases these structural adhesions is called New Skin Needle Treatment, or subcision.

Principle of New Skin Needle Treatment

1. Release of Adherent Tissue (Release)

The fibrous adherent tissue located deep within the skin is

delicately released using a needle or cannula.

Once the adherent part is released through this process, the scar area that was pulled down can naturally rise.

2. Inducing Micro-bleeding (Regeneration Signal)

The micro-bleeding that occurs when adhesions are broken

can serve as an important signal to induce collagen production.

This action can activate fibroblasts, creating an environment where new tissue can regenerate around the scar.

3. Promoting Blood Flow and Supporting Tissue Regeneration

Additionally, combining micro-needling with PDRN (DNA injection)

can help blood flow and regeneration-related cells concentrate in the area,

contributing to simultaneous activation of wound healing and collagen synthesis.

When Can New Skin Needle Treatment Be Considered?

Deeply indented scars on the forehead

Scars on the temples that appear sunken and uneven

One or more indented scars around the nose, appearing like dots

Complex scars on both cheeks, marked or sunken in various shapes

What is Multi-Subcision Treatment? (Combining traditional subcision and Erbium YAG shoulder remodeling)

This method aims for improvement by adding the shouldering technique to general New Skin Needle Treatment (subcision).

In scar treatment, there is another aspect as important as releasing the adhesions beneath the scar.

Even if the underlying adhesions are released with subcision, for scars with distinct and sharply indented borders, the skin may have difficulty rising naturally.

During the process of healing damaged areas, our body tends to match the height or texture of the surrounding tissue.

However, if the scar's border drops off abruptly, this natural healing mechanism may not be fully effective.

Therefore, a process of deliberately refining the scar edges to make them gentler and smoother (shouldering) is applied.

By reducing the height difference with the surrounding skin in this way, when the scar area fills in, it can connect more naturally with the surrounding skin, leading to a less noticeable scar effect.

In practice, there are cases where limitations in improvement are felt with general New Skin Needle Treatment alone, and this is largely related to the issue of the scar border.

Even if the underlying adhesions are sufficiently released, if the scar border remains like a wall, complete tissue regeneration may be difficult.

Therefore, the shouldering technique can be seen as an important step that can complement the limitations of existing approaches in treating scars with distinct indentations.

Cases Where Multi-Subcision Treatment Can Be Considered

1) Cases where the expected improvement was not achieved with traditional New Skin Needle Treatment or other general scar treatment methods.

Even after undergoing subcision or laser treatment, if you're not satisfied with your scar improvement

This is because treatments that only release the scar's underlying tissue may not allow the skin to fill in sufficiently due to steep edges.

In such cases, you can expect improvement by using the shouldering procedure to gently smooth out the scar's edges.

2) When the scar is deeply indented with clearly steep edges 

Deep, abruptly indented types of scars, such as boxcar scars, even when the skin fills in from within,

the side edges can remain like a wall, hindering the natural recovery of the scar.

By gently refining these edge areas with Er:YAG shouldering treatment, the height difference with the surrounding skin can be reduced, allowing for a more natural blend.

3) Individuals seeking improvement with fewer sessions than traditional scar micro-needling

Traditional scar micro-needling typically achieves gradual effects through 10 or more cumulative sessions. In contrast, multi-layered scar micro-needling is a procedure that simultaneously improves the scar's adherent base, steep side edges, and surface.

Therefore, you can experience changes with relatively fewer treatment sessions compared to traditional scar micro-needling.