How to Treat Acne Scars

Subcision: How Many Sessions to See Results — Before/After · Timeline

How many Subcision sessions for real results · spacing between sessions · what before/after to expect. Dr. Big explains · Clarity Clinic Ratchathewi, near BTS.

Subcision steps and timeline to results, cream editorial

“Will one Subcision cure it?”

Dr. Big answers this daily — and the honest answer is no, not in one session, but you’ll see a good change. Patients who expect “cured in one” are disappointed; those who understand the process and complete 3–5 sessions see a 60–80% improvement.

Why Subcision isn’t one-and-done

Acne scars come from fibrous bands tethering the skin into a depression. After releasing them:

  1. Day 0: bands cut with a cannula
  2. Day 1–7: tissue swells slightly · skin looks smoother
  3. Week 2–4: the body builds collagen at the released area
  4. Week 4–8: new collagen matures · scar shallower
  5. Week 8–12: the clearest result of that session

The problem: some old bands remain, and new collagen isn’t yet enough to fill the scar fully → repeat to cut remaining bands and keep stimulating collagen.

Read more: What is Subcision.

Results timeline — per session

SessionCumulative improvementWhat you feel
115–25% (weeks 8–12)“A bit better — still see the scar”
230–45%“Now I can see clearer improvement”
345–60%“People say my face looks better”
4–560–80%“The scars that stood out are hard to see now”
6+maintenance every 6–12 monthspreserve and refine

Important: the % means scars are shallower, not gone — in normal light it feels “almost gone.”

Factors for faster / slower results

Faster: age < 35 · mostly rolling scars · continuous treatment · daily SPF50 · collagen-supporting food. Slower: age 40+ · lots of ice pick (needs TCA Cross) · sessions > 8 weeks apart · no sunscreen · smoking.

Read more: Collagen after acne scar treatment and Skin-nourishing foods for acne scars.

Before/After — common Clarity patterns

Pattern A: Rolling scars across the face

Sessions 1–2: 25–40% · Sessions 3–4: 50–65% · Session 5: 65–75%.

Pattern B: Mixed (rolling + box)

Sessions 1–2: 20–30% · Sessions 3–5: 40–60% · Sessions 6–8: 60–75% (full multi-modal).

Pattern C: Mostly ice pick

Sessions 1–3: 15–25% (Subcision alone not enough — add TCA Cross) · Sessions 4–6: 40–60%.

Read more: How much can acne scars improve.

Why 4–8 weeks between sessions

Under 4 weeks: collagen isn’t mature · no added benefit. 4–6 weeks: optimal. Over 12 weeks: too far apart · you restart from a new baseline.

Frequently asked questions

Q: Can one Subcision show results? A: A change, but not “cured” · ~20% improvement · usually 3–5 sessions needed.

Q: How long until results show? A: 4–8 weeks after each session · the total peaks at 6–12 months from start.

Q: I paused for a year — can I continue? A: Yes · the prior result remains · you continue from a new baseline.

Q: Does Subcision cure it completely? A: Treated scars improve 60–80% · invisible to most in normal light · maintenance every 6–12 months preserves it.

Q: Where can I discuss how many sessions I need near BTS? A: At Clarity Clinic Ratchathewi, near BTS Ratchathewi (1-min walk), easy to reach from Siam, Phaya Thai, all of Bangkok — Dr. Big assesses and treats in person, free 30-min consult.

Summary

Subcision = 3–5 sessions, 4–8 weeks apart · cumulative 60–80% improvement · continuous treatment + consistent skincare = a good result.

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