Kkeut Korean Medicine Clinic's Saesalchim (Subcision) Treatment Features

* Kkeut Korean Medicine Clinic's Saesalchim Treatment: A 3-Step Approach

Step 1 – Superficial Adhesion Release

Fibrous tissue adhesions widely located near the skin surface are precisely separated using micro-needles.

This process carefully removes tiny tissues that appear to pull scars downward.

This helps alleviate the appearance of depressed skin areas.

Step 2 – Deep Adhesion Removal

For firmly established adhesion tissues deep beneath the dermis layer of the skin,

a cannula is used to safely perform the separation procedure over a wider area.

Compared to traditional needles, this is a gentler and safer method, focusing on reducing bruising or pain that may occur during the procedure.

It can be particularly applied to the management of wide-shaped scars such as rolling scars or boxcar scars.

This step can play an important role in reducing bruising and pain.

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

In the final step, micro-needles are used to induce very small amounts of bleeding in the skin tissue.

This contributes to promoting blood circulation and creating an environment where growth factors can be activated.

This stimulated environment can help activate fibroblasts and promote collagen regeneration.

Combined Treatments with Kkeut Korean Medicine Clinic's Saesalchim Procedure

To improve treatment outcomes and aid in faster recovery, we apply a combination of treatment methods.

① Concurrent PDRN Injection (DNA Injection)

PDRN injections are applied concurrently with every Saesalchim procedure.

PDRN supports the recovery of damaged tissues and can be expected to reduce the burden of redness or hyperpigmentation.

Recognizing its significant role in enhancing the regenerative power of scar tissue, our clinic includes it as a fundamental part of the procedure, not an optional one.

② Er:YAG Fraxel Combination for Faster Recovery

The subcision procedure focuses on improving adhered structures within the skin.

However, there may be limitations in refining skin texture or very fine details on the surface.

Considering these aspects, our clinic applies Er:YAG Fraxel after the procedure.

This acts on relatively shallow skin layers to help improve skin texture, pores, and subtle depressed areas on the surface.

This can reduce the burden of recovery time and lead to a positive synergistic effect on overall treatment results.

Strengths of Kkeut Korean Medicine Clinic's Saesalchim Procedure

*Anatomy-Based Procedure Design

The procedure does not merely emphasize depth,

but rather thoroughly identifies the skin layers where adhesions have formed and their directionality,

then proceeds after establishing an accurate diagnosis and treatment plan.

*Use of Precision Instruments

The procedure is performed by combining micro-needles, cannulas, and microneedles.

Through this, we strive to minimize discomforts such as bruising, swelling, and pain while maintaining high expectations for treatment results.

*Concurrent PDRN and Fraxel Treatments

Combined treatments that can help enhance skin regeneration and treatment efficacy

are implemented at our clinic as a fundamental part of the procedure, not an optional one.

*Personalized Diagnosis and Treatment

Subcision treatment is not suitable for all types of scars.

For scars that we determine do not require treatment, we will frankly inform you that the procedure is not necessary.

As a medical professional, I believe that accurate medical judgment should precede any recommendation for a procedure.

What is Subcision?

Depressed scars exhibit a characteristic where tissue pulls the skin downwards from within.

While the skin surface appears indented from the outside, beneath the dermis,

tissues called fibrous tethers are pulling the scar area downwards.

Only by releasing these adhered tethers can the skin return to its original position.

The procedure that severs these fibrous tissue adhesions is precisely Subcision.

Principle of Subcision Treatment

1. Adhesion Release (Release)

The fibrous tethers deeply embedded in the skin are

delicately separated using a specialized needle or cannula.

Through this process, the adhesive structures pulling the skin downwards are released, and as a result, the depressed scar area can be expected to gradually fill in.

2. Inducing Micro-bleeding (Regeneration Signal)

The micro-bleeding that occurs during the process of separating the adhered tissue

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

This can induce fibroblast activation, creating an environment where new skin tissue can regenerate around the scar.

3. Promoting Blood Supply and Tissue Regeneration

Depending on the procedure, microneedling and PDRN (DNA injection) may be applied together,

thereby improving blood flow and inducing the aggregation of regenerative cells,

allowing simultaneous support for the wound healing process and new collagen production.

When can Subcision be considered?

Deeply indented scars on the forehead, appearing as if sharply pricked

Scars around the temples that appear sunken or feel uneven on the surface

One or more indented scars on the nose, appearing as if dotted

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

What is Multi-Subcision Treatment? (Existing Subcision 3 steps + Er:YAG Shoulderling Technique)

This is an advanced method that combines the Shoulderling Technique with conventional Subcision treatment.

In scar treatment, it is difficult to consider that simply releasing the adhered tissue beneath the scar is the only important factor.

Even if adhesions at the scar base are released with subcision, scars with distinct and angular borders may hinder uniform skin regeneration.

Our bodies tend to restore damaged areas to a height and texture similar to the surrounding skin when healing.

However, if the scar borders drop abruptly, this natural regeneration mechanism may struggle to work effectively.

Therefore, a process is needed to delicately refine the scar's borders into a gentle slope (shoulderling).

Through this approach, by reducing the height difference with the surrounding skin, when the scar area regenerates, it can be expected to connect more naturally with the adjacent skin, resulting in a less noticeable appearance.

In reality, many people do not achieve satisfactory improvement with traditional Subcision treatment alone, and this is closely related to the issue of scar borders.

Even if the adhesions at the scar base are sufficiently released, if the borders remain like a wall, the regeneration process may have limitations. 

Therefore, the shoulderling technique can be seen as an important step that helps to complement the limitations of existing approaches in the treatment of depressed scars with clear borders. 

When to consider Multi-Subcision Treatment

1) When sufficient improvement has not been experienced through conventional Subcision treatment or other general scar treatments

If you have previously received subcision or laser treatment but are still unsatisfied with the improvement of your scars

Simply releasing the adhesions at the base of the scar may make it difficult for skin tissue to naturally fill in due to the steep edges.

In such cases, smoothing out the steep edges of the scar with the shouldering technique can lead to more effective improvement.

2) Scar types that are deeply indented, with distinct and steep edges

Especially for deeply and sharply pitted scars like boxcar scars, even if new tissue fills in from within the skin,

the surrounding edges remain like a wall, hindering natural recovery.

By gently smoothing the steep edges of the scar with Erbium-YAG shouldering, you can reduce the height difference with the surrounding skin, promoting a more natural blend.

3) Those who expect improvement with fewer sessions compared to general 'new skin' acupuncture treatments

General 'new skin' acupuncture usually requires consistent treatment for 10 or more sessions to see gradual effects. However, multi-'new skin' acupuncture comprehensively addresses the adhesions at the base of the scar, the side edges, and the surface.

Thanks to this multifaceted approach, you can experience changes with relatively fewer sessions compared to general 'new skin' acupuncture.