Kkeut Clinic New Skin Acupuncture (Subcision) Treatment Features

* Kkeut Clinic New Skin Acupuncture's 3-Step Customized Treatment

Step 1: Superficial Adhesion Release

This step involves precisely breaking down fibrous adhesions broadly located in the shallow layers of the skin using fine needles.

By carefully separating the delicate tissues that pull down the scarred area,

we help to gently improve the depressed areas on the skin surface.

Step 2: Deep Adhesion Removal

For firmly formed adhesion tissues in the deep dermal layer,

we use a cannula to gently release adhesions over a wide area.

This can be performed more comfortably, reducing the likelihood of pain and bruising compared to traditional methods (e.g., Nokor needle).

This process is effectively utilized in the management of wide-area rolling scars or boxcar type scars.

This aspect can help reduce bruising and pain that may occur after the procedure.

Step 3: Tissue Regeneration Induction (Using Microneedles)

In the final step, microneedles are used to induce controlled micro-bleeding in the skin tissue.

The purpose of this is to create an environment where blood flow and various growth factors can gather smoothly.

This action can help activate fibroblasts and promote collagen production.

Kkeut Clinic New Skin Acupuncture: Combination Treatments as Standard

This combination therapy can help achieve synergistic effects and reduce recovery burden.

① Concomitant PDRN Injection (DNA Injection Treatment)

As a principle, PDRN injections are applied together with the new skin acupuncture treatment.

This injection can promote tissue regeneration and help manage post-procedure redness and hyperpigmentation.

This is a crucial aspect that aids the regenerative capacity of the scarred area and is included in our clinic's standard protocol, not as an option.

② Er:YAG Fractional Laser Combination for Recovery Management

While subcision primarily aims to improve adhered structures beneath the skin,

it may have limitations in delicately refining the skin's fine texture or overall surface quality.

Therefore, we recommend applying Er:YAG fractional laser together after the procedure.

This treatment works at a shallow depth, which can help improve skin texture, pores, and subtle depressions on the surface.

Through such combined procedures, we expect to reduce recovery burden and achieve more efficient treatment results.

What are the features of Kkeut Clinic's New Skin Acupuncture Treatment?

*Treatment Designed Based on Anatomical Understanding

It is not merely a method of deeply stimulating scars.

Understanding which skin layer has adhesions and in what direction they need to be released,

we establish a meticulous treatment plan based on an accurate diagnosis and proceed accordingly.

*Utilization of Precision Treatment Tools

The treatment combines micro-needles, cannulas, and microneedles.

This helps reduce discomforts such as bruising, swelling, and pain, while still expecting effective improvement.

*PDRN and Fractional Laser Combination Treatment as Standard

Combination therapies that aid recovery and enhance treatment efficiency

are implemented at our clinic as part of a standardized treatment process, not as an option.

*Recommendation for Customized Treatment After Accurate Diagnosis

Subcision treatment is not suitable for all scar types.

We do not recommend treatment for scars that are deemed unnecessary after a consultation and will provide honest guidance.

Medical professionals believe it is important to accurately assess a patient's condition before recommending any procedure.

What is Saesalchim (Subcision)?

Depressed scars exhibit the characteristic of being pulled down from beneath the skin.

Areas that appear sunken on the surface are actually deep within the dermal layer,

caused by fibrous tethers that adhere the scar tissue downwards.

These adhered fibrous tethers must be released for the skin to return to its original position.

The procedure that severs these adhesions pulling the skin tissue downwards is Saesalchim, or Subcision.

Principle of Saesalchim Treatment

1. Adhesion Release (Severance)

The fibrous bands deeply adhered to the skin are

carefully severed using a fine needle or cannula.

Through this separation, the skin structure that was pulled downwards is relaxed, and 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 severing adhered tissues

acts as an important regeneration signal that promotes new collagen production.

This helps activate fibroblasts and fosters an environment where new tissue can fill in around the scar.

3. Enhancing Blood Circulation and Promoting Tissue Regeneration

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

activate blood circulation and the influx of regenerative cells to the affected area,

aiming to simultaneously aid the recovery of damaged tissue and collagen production.

When Can Saesalchim Treatment Be Considered?

Deeply indented scars on the forehead, as if punctured

Depressed or irregularly shaped scars around the temples

One, two, or multiple dot-shaped depressed scars on the nose

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

What is Multi-Saesalchim? (Existing Saesalchim 3-Step + Er:YAG Shouldering)

This is an improved method that adds the shouldering technique to the general Saesalchim (Subcision) treatment.

An important aspect of scar improvement is not merely about  releasing adhesions below the scar.

Even if adhesions are released with subcision, in the case of scars with distinct boundaries and deep indentations, the skin may have difficulty filling in naturally.

When our skin regenerates damaged areas, it tends to recover with a height and texture similar to the surrounding tissue.

However, if the scar's border is abruptly deep, this natural regeneration process may struggle to fully manifest.

Therefore, a process of finely refining and smoothing (shouldering) the scar edges is necessary.

Through this method, by reducing the height difference with the surrounding skin, when the inside of the scar fills in, you can expect  results that connect naturally with the side lines and are less noticeable to the naked eye.

There are often cases where improvement was difficult with traditional Saesalchim treatment alone, and this is deeply related to such reasons.

Even if adhesions are released, if a distinct boundary remains, there may be limitations in the process of new tissue filling in. 

Therefore, shouldering can be seen as a process that helps complement existing methods for treating depressed scars with distinct boundaries. 

Types of Scars Where Multi-Saesalchim Can Be Considered

1) Cases where sufficient improvement was not experienced with existing Saesalchim treatment or other scar treatments

There are cases where people have already received subcision or other laser treatments, but the scars have not improved as much as expected, causing concern.

Even if only the adhesions beneath the scar were released, if the scar edges are steep, it can be difficult for the skin to fill in naturally.

For these individuals, a shouldering procedure that gently smooths out the steep edges can help improve the scar.

2) In cases of deep, distinct, and steep-edged scar types 

Even if new skin grows from within for types of scars that are sharply indented, such as boxcar scars,

the lateral edges may remain firm like a wall, limiting the process of the scar filling in.

By gently improving the scar edges with Erbium YAG shouldering, differences in height with the surrounding skin are alleviated, allowing for a more natural skin texture.

3) There are those who wish to experience changes with fewer sessions than traditional scar regeneration treatments.

Traditional scar regeneration treatments often require 10 or more repetitions to feel satisfactory changes. In contrast, multi-scar regeneration treatment simultaneously addresses sub-scar adhesions, lateral edges, and the surface.

As a result, you can notice scar changes with fewer sessions compared to traditional scar regeneration treatments.