Subcision: A Further Modification, An Ever Continuing Process

The document from 2012 discusses a new modification to the subcision surgical technique, which is used to treat depressed scars by severing fibrous attachments beneath the scar. The modification involves bending the needle into a two-step shape and attaching it to a 3 cc syringe for better grip and ergonomic benefit, preventing penetration beyond the scar and maintaining a horizontal orientation. This technique is designed for treating acne scars with large bore needles and may not be suitable for longer scars or smaller gauge needles. The authors suggest that this modification will simplify the procedure, increase its effectiveness, and make it less physically awkward for the surgeon, potentially leading to improved patient outcomes.