Subcision for Wrinkles: What to Know

Some lines and depressions are influenced by bands that tether skin to tissue below it. Subcision uses a fine instrument under the skin to release selected attachments, allowing the surface to move more freely as healing occurs. A clinician must first distinguish tethering from expression lines, volume loss, sun-related texture, or loose skin, because each may call for a different plan.

Local anaesthetic may reduce sharp sensation, although pressure and movement can be noticeable. Early swelling, bruising, tenderness, and small puncture marks can temporarily make the area look less even. Improvement is considered after those changes settle, and a clinician may recommend another treatment for surface texture or nearby concerns.

Tell the clinician about active skin disease, cold sores, allergies, raised scars, previous injections or procedures, and medicines or supplements that affect bleeding. Receive specific instructions for cleansing, shaving, makeup, and skincare. Do not alter prescribed medicines independently.

Afterward, keep puncture sites clean and avoid rubbing, picking, intense heat, strenuous exercise, and unapproved active products until advised. Use gentle care and sun protection when appropriate for healing skin. Ask whether [Acne Scar Laser Treatment](/treatments/laser-and-energy/acne-scar-laser-treatment/) or another approach would address a separate surface component; [Subcision](/treatments/surgical-dermatology/subcision/) explains the procedure itself.

Contact the clinic if pain, warmth, redness, swelling, or drainage is worsening, or if a puncture wound opens. Seek urgent help for heavy bleeding, rapidly spreading swelling, breathing difficulty, faintness, or a severe allergic reaction. Fever or a new worsening colour change should be assessed promptly.

Ask what is causing the line, whether it is tethered, and what change is realistic. Discuss anaesthetic, bruising, activity and makeup restrictions, review timing, alternatives, and whether treating nearby texture would require a separate plan. Confirm who to call if symptoms worsen.