[Naturally Fills Sunken Scars] Scar Regeneration Acupuncture

Differentiated Approach to New Skin Needle (Subcision) Procedure

The New Skin Needle procedure is performed through a three-stage approach.

Stage 1: Superficial Adhesion Separation

Fibrous adhesions widely spread beneath the skin surface are delicately separated using micro-needles.

Gently releasing the fine fibrous tissues that pull the scar area downwards,

this helps in the natural improvement of depressed scar areas.

Stage 2: Deep Adhesion Release

Adhesion tissues firmly formed in the deep part of the dermis

are treated by gently releasing a wide range of adhesions using a cannula.

Compared to needles used in the past, the added gentleness can help reduce the burden of bruising and pain that may occur during the procedure.

This can be considered an effective approach, especially for wide-shaped scars like rolling scars or boxcar scars.

This stage focuses on reducing bruising and discomfort that may occur after the procedure.

Stage 3: Tissue Regeneration Induction (Utilizing Micro-needles)

Finally, delicate stimulation is applied to the skin tissue using micro-needles.

This contributes to creating an environment that aids blood circulation and the activation of growth factors.

Through this process, fibroblasts are activated and collagen production is promoted, which can positively impact the generation of new skin.

The Importance of Combination Therapy During New Skin Needle Procedures

This is a combined treatment approach designed to enhance the effectiveness of the procedure and reduce recovery burden.

1) Concurrent PDRN Injection (DNA Injection)

It is a principle to apply PDRN injections concurrently with the New Skin Needle procedure.

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

It is considered a key factor in aiding the regenerative capacity of scar tissue and is included as a basic component of the procedure, not an option.

2) Concurrent Erbium-YAG Fraxel with Low Recovery Burden

While subcision is a procedure that improves the adhered structures within the skin,

it may have limitations in refining the skin's surface texture or minor irregularities.

Therefore, Erbium-YAG Fraxel is performed concurrently after the New Skin Needle procedure.

This procedure acts at a relatively shallow depth and can help improve skin texture, pore condition, and minor depressed areas on the surface.

This combination can reduce the burden of recovery time and positively impact the overall satisfaction with the procedure.

Characteristics of the New Skin Needle Procedure

Procedure Design Considering Anatomical Structure

Instead of simply deeply stimulating the scar area,

we accurately diagnose which skin layer has adhesions and in which direction they need to be released,

and establish a detailed treatment plan based on this precise diagnosis.

Utilization of Sophisticated Equipment

By combining various instruments such as micro-needles, cannulas, and microneedles,

we strive to reduce the burden of bruising, swelling, and pain that may occur during the procedure while maintaining its effectiveness.

Concurrent PDRN and Fraxel Procedures

Combined treatments that enhance skin recovery and procedural efficiency

are considered a fundamental part of the procedure, not merely an option.

Customized Procedure Through Accurate Diagnosis

Not all scar types are suitable for the subcision procedure.

If we determine that treatment is unnecessary for a scar, we will frankly advise against the procedure.

We operate with the belief that medical judgment should take precedence, and procedure recommendations should follow.

Understanding New Tissue Acupuncture (Subcision)

Depressed scars are more than just a sunken skin surface.

While they appear as indentations on the surface, deep within the dermis,

tough fibrous tissue bands (fibrous tether) strongly pull the skin in that area downwards.

Only by severing these adhesive bands can the skin restore its foundation to its original position.

The procedure that separates these adhesive fibrous tissues is called New Tissue Acupuncture (Subcision).

How New Tissue Acupuncture (Subcision) Works

1. Release of Adhesions (Release)

The fibrous adhesive bands deeply embedded in the skin

are carefully severed using a specialized needle or cannula.

→ This relieves the pressure on the skin tissue that was pulled downwards, helping the depressed scar area to gradually fill in.

2. Induction of Regeneration Signals through Micro-bleeding (Regeneration Signal)

The micro-bleeding that occurs during the process of separating adhesive tissues

acts as a significant stimulus, promoting the generation of new collagen.

→ This activates fibroblast activity, providing a basis for healthy new tissue to regenerate around the scar area.

3. Improved Blood Circulation and Enhanced Tissue Regeneration

If necessary, microneedling and PDRN (DNA injection) therapy are performed together

to effectively induce blood supply and the concentration of regenerative cells in the area.

This supports both the recovery process of damaged tissue and collagen synthesis simultaneously.

Scar Types for which New Tissue Acupuncture (Subcision) is Considered

Depressed scars on the forehead, appearing as if indented

Deeply pitted scars with an irregular surface in the temple area

One or two, or multiple, small, deep, dot-like scars around the nose

Complex scars of various shapes, indented or depressed on both cheeks

What is Multi-Subcision? (Combining the 3-step traditional subcision with Erbium YAG shouldering)

This procedure presents an improved form by adding the shouldering technique to the existing New Tissue Acupuncture (Subcision) method.

The core of scar treatment is not limited to just releasing the adhesions beneath the scar.

Even if adhesions are released through subcision, scars with clear, deep boundaries may face difficulties in the smooth regeneration and filling of skin tissue.

The human body tends to form a height and texture similar to the surrounding skin when healing damaged areas.

However, if the scar boundary is abruptly disconnected, this natural healing mechanism may not function smoothly.

Therefore, a process of micro-shaping and gently softening the scar boundaries (shouldering) is performed.

Through this process, the height difference with the surrounding skin is reduced, and when the scar area fills in, it is expected to connect more naturally with the adjacent skin, leading to improvement.

In fact, many people do not achieve satisfactory improvement with traditional New Tissue Acupuncture alone, and this is deeply related to this point.

Even if the underlying adhesions are sufficiently released, if the boundary remains like a wall, it ultimately hinders the effective progression of tissue regeneration.

Therefore, the shouldering technique can be seen as an essential step that complements the limitations of existing procedures in treating depressed scars with clear boundaries.

Cases where Multi-Subcision may be suitable

1) If you have not experienced sufficient improvement with traditional New Tissue Acupuncture or other general scar treatment methods.

Even after having received subcision or laser treatments, you might consider this option if your scars haven't improved as much as expected.

This is because even if the base of the scar has been addressed, if the borders around the scar remain steep, it's difficult for the skin to fill itself in.

In such cases, by performing a shouldering treatment to smooth the edges of the scar, you can expect better improvement.

Second, it is suitable when the scar type is deeply indented with clearly raised surrounding borders. 

Boxcar scars (abruptly depressed scars), even if the inner tissue fills in through skin regeneration for deep and abrupt scars like these,

the side borders often remain like walls, hindering satisfactory recovery.

By smoothing these borders with Er:YAG shouldering treatment, the height difference with the surrounding skin is alleviated, leading to a more natural skin texture.

Third, it is suitable for those who desire positive changes with fewer sessions than traditional 'Saesalchim' (new skin needling) treatments.

Traditional 'Saesalchim' requires multiple repeated sessions to expect gradual improvement. In contrast, multi-layered 'Saesalchim' comprehensively approaches the scar's adhered base, steep borders, and external surface all at once.

Therefore, compared to traditional 'Saesalchim', scar improvement effects can be expected with relatively fewer sessions.