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MysaDerma

Acne & Scars

Deep Acne Scar Treatment in Chhatrapati Sambhajinagar

Deep acne scars — ice-pick, boxcar and tethered rolling scars — need procedures that work below the surface. Subcision releases tethering, CROSS treats narrow deep scars point by point, and fractional resurfacing refines the surrounding texture. Improvement is gradual and layered across several sessions.

Sessions

Deep scarring usually needs a longer course than superficial scarring — commonly five or more sessions spaced four to six weeks apart, with final results judged several months after the last session.

Downtime

Bruising after subcision can last about a week. Fractional resurfacing typically causes redness and peeling for five to seven days.

Understanding deep acne scar treatment

Deep scarring involves loss of tissue and fibrous tethering under the skin. Surface-only treatments cannot lift a scar that is being pulled down from beneath, which is why single-modality plans often disappoint.

Subcision uses a fine instrument passed under the scar to release those bands, allowing the depression to lift and new collagen to form in the released space. CROSS applies a focused agent precisely into narrow ice-pick scars to stimulate collagen at the base without affecting surrounding skin.

Fractional CO₂ laser or MNRF is then used to remodel the surrounding texture. The sequence and spacing matter as much as the individual procedures, and both are planned at the consultation.

This may suit you if

  • Rolling scars that look tethered when you stretch the skin
  • Deep boxcar or ice-pick scars on the cheeks and temples
  • Scarring that has not improved with peels or facials
  • Patients able to commit to a multi-session plan with some downtime

What happens at the clinic

  1. 1

    Assessment and consent

    Scar types are mapped, suitability is confirmed, and the expected degree of improvement is discussed honestly before you agree to proceed.

  2. 2

    Numbing

    Topical anaesthetic, and local anaesthetic where needed, is used so the procedure is tolerable.

  3. 3

    The procedure

    Subcision, CROSS or fractional resurfacing is performed as planned for your scar pattern, often in combination within the same visit.

  4. 4

    Recovery and next session

    Aftercare is explained in detail, and the next session is scheduled once the skin has fully recovered.

Aftercare

  • Cold compresses as advised for the first 24 hours after subcision
  • Barrier-repair moisturiser and strict sun protection during healing
  • Avoid gym, steam and swimming until the skin has settled
  • Do not apply actives until you are cleared to restart them

Possible side effects

  • Bruising, swelling and tenderness for several days
  • Temporary pigmentation, particularly in deeper skin tones
  • Rarely, nodule formation at a subcision site, which is treatable
  • Variable response between scar types on the same face

Questions patients ask

Deep Acne Scar Treatment — your questions

The area is numbed first. You may feel pressure during the procedure and tenderness for a few days afterwards, with bruising that settles over about a week.

Not sure which treatment you need?

That is what the consultation is for. Your skin or scalp is examined first, and only then is a plan suggested.
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