By Dr Magnus Lynch
MA(Cantab) DPhil(Oxon) MRCS FRCP
Consultant Dermatologist & Dermatological Surgeon

Subcision

Scarring caused by deep nodules and cysts can lead to the formation of fibrous bands which tether the skin to deeper tissues. This can exacerbate the dipped appearance and is particularly associated with rolling scars. Subcision is a procedure that will divide these fibrous bands and is particularly effective for tethered scars, for example rolling scars.

Subcision is generally performed with a sharp-edged needle which is inserted under local anaesthetic through the skin surface and then manipulated to divide fibrous bands beneath the skin surface.

Complications include bruising, infection and cyst formation. Very rarely, where bruising is extensive it may need to be drained surgically, however a small amount of bruising is actually desirable since this reflects the presence of blood clot beneath the skin surface which can help to restore volume. Bruising typically lasts for 1-2 weeks after the procedure.

Subcision is a surgical procedure and while it can be effective it can also have complications. Please read the following consent form, which contains a full list of potential risks, carefully before attending for the procedure:

Skin Surgery Consent Form

About Dr Magnus Lynch

MA(Cantab) DPhil(Oxon) MRCS FRCP

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis, Mohs micrographic surgery, acne, rosacea, acne scarring and laser treatments. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John's Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King's College London investigating the molecular biology of skin cancer. In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions.

My NHS practice is at Guy's Hospital. I consult with private patients at OneWelbeck (near to Bond Street station) and on Harley Street. Book A Consultation.