[New Skin for Indented Scars] Scar Regeneration Acupuncture

Key Differentiators of Saesalchim (Subcision)

* 3-Step Approach to Saesalchim Treatment

Step 1: Releasing Superficial Adhesions

Fibrous adhesions widely present on the skin surface are delicately separated using a micro-needle.

This process carefully severs the fibrous bands that pull the scar downwards.

This can improve depressed areas on the skin surface.

Step 2: Releasing Deep Adhesions

For firm adhesive tissues located deep within the dermal layer,

a cannula is used to separate fibrous tissue over a relatively wide area.

The procedure is performed while reducing the possibility of bruising or pain compared to the Nokor needle previously used.

This process is particularly useful for managing wide scar types such as rolling scars and boxcar scars.

→ This process focuses on reducing post-procedure bruising and pain.

Step 3: Promoting Tissue Regeneration (Using Micro-needles)

In the final step, micro-needles are used to create very small stimulations in the skin tissue.

This helps create conditions where blood flow and various growth factors can concentrate in the treated area.

This induces fibroblast activation, thereby helping to promote collagen production.

A Comprehensive Approach is Fundamental to Saesalchim Treatment

This is a combined treatment that can contribute to increasing treatment satisfaction and reducing the burden of the recovery process.

① Combined PDRN Injection (DNA Injection)

When performing Saesalchim treatment, PDRN injection therapy is applied concurrently.

This can aid in wound healing and contribute to reducing the possibility of redness or hyperpigmentation that may occur after the procedure.

It is an important factor that aids in scar regeneration and is included as a fundamental part of the treatment process.

② Combined Erbium YAG Fractional Laser for Faster Recovery

Saesalchim (Subcision) is primarily a procedure that improves adhered structures within the skin.

However, it may be difficult to manage skin texture or subtle irregularities on the skin surface.

Therefore, it is common to apply Erbium YAG Fractional Laser together after the procedure.

This laser works on relatively shallow skin layers, helping to improve skin texture, pores, and subtly depressed areas on the skin surface.

→ Through this, synergistic effects of the treatment can be expected while reducing the burden of recovery.

Special Aspects of Saesalchim Treatment

* Treatment Plan Based on Anatomical Understanding

The procedure is not simply about adjusting depth,

but carefully considers how deep and in which layer the skin adhesions are located, and from which direction to approach them,

from accurate diagnosis to detailed treatment planning.

* Utilization of Precision Treatment Instruments

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

we focus on maximizing treatment efficacy while minimizing post-procedure discomfort such as bruising, swelling, and pain.

* Combined PDRN and Fractional Laser Treatment

Combined treatments that support the recovery process and enhance treatment efficiency

are considered an essential approach, not an option.

* Precise Diagnosis and Consultation, Instead of Unnecessary Treatment Recommendations

Not all scars are suitable for subcision treatment.

We honestly do not recommend treatment for scars that we deem unnecessary to treat.

We believe that accurate medical judgment should precede recommendations in medical care.

Understanding New Tissue Regeneration (Subcision)

Scars are tethered by internal tissue beneath the skin's surface.

While the skin appears sunken, in reality, deep within the dermal layer,

fibrous tissue strongly pulls the scarred area downwards.

Breaking these fibrous adhesions allows the skin to rise back to its original position.

New Tissue Regeneration (Subcision) is a procedure that resolves this adhered structure.

How New Tissue Regeneration (Subcision) Works

1. Adhesion Release

Fibrous bands located deep within the skin are carefully separated using a special needle or cannula.

→ Through this separation, the skin that was pulled down is released, and the sunken scar can be expected to fill in naturally.

2. Inducing Micro-Bleeding (Regeneration Signal)

Micro-bleeding that occurs during the process of breaking adhesive tissues acts as an important regeneration signal that promotes collagen synthesis.

→ This induces the activation of fibroblasts, creating an environment where new tissue can be generated in the scarred area.

3. Enhanced Blood Flow and Tissue Regeneration

If necessary, microneedling or PDRN (DNA injection) may be applied together.

This induces blood circulation and concentrates regenerative cells in the treated area,

thereby supporting tissue regeneration and collagen formation simultaneously.

Consider New Tissue Regeneration (Subcision) in these cases:

Small, deeply pitted scars on the forehead

Scars with uneven skin texture due to temple area indentation

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

Complex scars on both cheeks, sunken or pitted in various forms

Concept of Multi-Layer Subcision (Existing Subcision + Er:YAG Shouldering)

This procedure is a more refined and improved method that adds the shouldering technique to the existing subcision technique.

Simply breaking the adhesions beneath a scar may not be sufficient for scar improvement.

Even if adhesions beneath the sunken area are released with subcision, for scars with clear and deep boundaries, it can be difficult for the skin to fill in naturally.

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

However, if the scar boundary is sharply discontinuous, this natural regeneration process may not occur smoothly.

Therefore, a process is needed to subtly refine and smooth out the scar's boundaries (shouldering).

By reducing the height difference between the scar and the surrounding skin through this process, when the scar area fills in, it can be expected to connect more naturally with the adjacent line, resulting in a less noticeable appearance to the naked eye.

In fact, there are many cases where satisfactory improvement was not achieved with existing subcision treatments alone, which is primarily related to this boundary issue.

Even if the underlying adhesions are resolved, if a distinct boundary remains, tissue regeneration may be limited.

Therefore, shouldering plays an important role in complementing existing methods for treating sunken scars with clear boundaries.

Cases where Multi-Layer Subcision can be considered

1) Those who have not achieved noticeable improvement with existing subcision treatments or other scar treatments

다중 새살침을 고려할 수 있는 경우

1) 기존의 새살침 시술이나 다른 흉터 치료로 눈에 띄는 개선 효과를 얻지 못했던 분

Even after undergoing subcision or laser treatment, if you are concerned that your scar improvement is not as expected

This is because even if only the adhesion at the bottom of the scar is released, it is difficult for the skin to fully regenerate if the surrounding boundaries remain steep.

In such cases, a shouldering procedure can help to gently refine the scar edges, allowing you to expect positive improvement.

2) It can also be considered when the scar type is deeply indented with clear and steep surrounding edges. 

In types where the boundary surface suddenly caves in, such as boxcar scars (abruptly indented scars), even if skin tissue fills in internally,

the side walls often remain firm, leading to limitations in overall recovery.

By alleviating these edges through Er:YAG shouldering, the height difference with the surrounding skin can be reduced, contributing to a more natural blend.

3) Those who expect efficient improvement with fewer sessions compared to general skin regeneration (saesalchim) treatments

Traditional skin regeneration (saesalchim) treatments often require multiple repetitions for gradual changes to appear. In contrast, multi-layer saesalchim uses an approach that addresses scar adhesions at the bottom, side edges, and surface all at once.

You can expect to experience changes with fewer treatment sessions than traditional saesalchim. However, individual results may vary.