What should you know about subcision and RF microneedling?

Subcision works beneath the scar by cutting or separating fibrous attachments. RF microneedling uses insulated or non-insulated needles to reach a planned depth and release radiofrequency energy, creating heat in the dermis. It can address texture and collagen remodelling, but it is not a substitute for mechanically releasing every tether. Some plans use the procedures at separate visits so the clinician can observe healing.

Expected effects can include redness, swelling, pinpoint bleeding, bruising, tenderness, and temporary roughness. Burns, infection, pigment alteration, prolonged inflammation, or scarring are uncommon but possible risks. Device settings and needle depth matter, especially for darker or recently tanned skin.

Ask for an examination under different lighting and with the skin relaxed and stretched. Share medicines, skin conditions, active acne, recent tanning, and any history of abnormal scars. Follow instructions for cleansing and sun protection, avoid picking or applying strong products while the skin heals, and use only the prescribed or recommended topical care. A treatment course may need review before another session is considered.

Contact the provider for increasing pain, expanding redness, warmth, drainage, fever, or swelling that becomes more pronounced. Seek urgent help for extensive blistering, severe facial swelling, breathing difficulty, or rapidly changing skin colour. These findings should be assessed promptly rather than treated with another device or injection at home.

Which scars have true tethering, and what would RF microneedling add? What needle depth and energy settings are appropriate for my skin? Should the procedures be staged, how long should healing be observed, and what signs require an urgent call?