subcision
Improves deep acne scars and craters that never healed
Subcision is a treatment specialized for treating deep acne scars and craters. This treatment is recommended for those who feel that laser treatments and microneedling have not been sufficiently effective.
Since the hard fibers are cut with a special medical needle, scars are small and the skin is smooth and smooth.
Subcision is recommended for the following people
- People who are concerned about deep acne scars and craters
- People who are concerned about chickenpox scars
- Those who are concerned about deep scars
- Those who did not improve with laser treatment or microneedling
Supervisor information
Tsubasa Shirozu
- 2010
- Graduated from Hiroshima University School of Medicine, Department of Medicine.
Worked at Saga Prefectural Hospital, Kyushu University Hospital, JCHO Kyushu Hospital, Fukuoka Red Cross Hospital, Kitakyushu Municipal Medical Center, Oita Prefectural Hospital, Kyushu Medical Center
- 2020
- Cosmetic dermatology Elm Clinic Fukuoka Clinic
- Juvederm Vista certified doctor
- Certified doctor trained in Allergan’s Vista program
- Cosmetic Ingredient Test Level 1
What is subcision?
Subcision is a treatment method developed to treat pits and craters caused by acne scars.
When chronic inflammation from acne continues, fibrosis (tissue under the skin) becomes hard. By cutting and exfoliating the hardened tissue under the acne scarred skin with a needle, you can expect the effect of lifting the depressed area of the crater upwards.
Microneedling treatment is effective for shallow acne scars over a wide area, but deep acne craters may be difficult to improve. Subcision is especially suitable for deep acne scars with noticeable unevenness, and improves the appearance of smooth skin.
Subcision + Juvelook injection / TULIENNE injection
What are "Juvelook injections/TULIENNE injections"?
This recommended treatment combines subcision with Juvelook injections/Turienne injections.
Juvelook and TULIENNE injections are next-generation injectables that use a mixture of poly-DL-lactic acid (PDLLA) and non-crosslinked hyaluronic acid preparations.
After injection, collagen production within the skin is promoted, which can be expected to improve skin issues such as firmness, pores, and fine wrinkles.
When used in combination with subcision and locally injected, it can be expected to be effective in preventing re-adhesion. Also, unlike hyaluronic acid, it increases the production of your own collagen, making it less likely to cause lumps and giving you a natural finish.
After injection, it decomposes into water and carbon dioxide within one to two years, so there is no need to worry about it remaining in the body, making it a drug that is attracting attention for its safety.
Features and benefits of Subcision
-
Point
Improvement of deep acne scars
This is an effective treatment for deep acne scars and chickenpox scars that are difficult to improve with treatments such as laser treatment or microneedling. By cutting the fibers with a special medical needle, your skin will be smoother and smoother.
-
Point
less downtime
Because the treatment is performed by inserting a needle deep into the skin, it is a treatment method with small scars and short downtime.
Treatment overview
| Duration of treatment | About 30 minutes |
|---|---|
| pain | Local anesthesia will be administered, but you will feel a slight pain. |
| down time |
Internal bleeding may occur.Internal bleeding will gradually improve over about two weeks. |
| make | The treatment area can be used from the next day. |
| Points to note | Please refrain from using facial cleansing foam on the day of treatment. |
| Side effects | You may experience internal bleeding, pain, temporary swelling, and redness. |
| Treatment frequency | We recommend that you take the test four times, once every four weeks. |
*Pain, downtime, and effects vary from person to person.
*The treatment time does not include counseling time.
*Pregnant women cannot undergo any treatments.
Subcision case photo
Left: Before treatment / Right: 1 month after treatment
- type of treatment
- Other injections and infusions
- Our Treatments
Crater Subcision + Juvelook 1 time
- Treatment explanation
- Craters caused by acne or chickenpox show strong adhesions deep in the skin.
The dent will be improved by removing adhesions using subcision and injecting a medicinal solution called Jubeck.
It is important to repeat this process every month.
- clinic
- Fukuoka-in
- Doctor in charge
- white water wings
- Treatment amount
- 83,800 JPY(TAX+)
- Acitivity Time
- About 30 minutes
- downtime
- a few days
- make
- Available from the day after treatment
- Trouble
- Acne and acne scars
- Side effects/risks
- Redness, swelling, pain, edema, internal bleeding, pregnancy problems, lumps
On the day of treatment, you may take a shower, but please avoid bathing.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
- Treatment year
- 2025
- type of treatment
- Other injections and infusions
- Our Treatments
Crater subcision + Trienne (2 times)
- Treatment explanation
- Craters caused by acne or chickenpox show strong adhesions deep in the skin.
Subcision is used to separate the adhesions, and then a chemical solution called Trienne is injected to improve the indentation.
It is important to repeat this process every month.
- clinic
- Fukuoka-in
- Doctor in charge
- Yusuke Hayakawa
- Treatment amount
- ¥83,800 x 2 times
- Acitivity Time
- About 30 minutes
- downtime
- a few days
- make
- Available from the day after treatment
- Trouble
- Acne and acne scars
- Side effects/risks
- Redness, swelling, pain, edema, internal bleeding, pregnancy problems, lumps
On the day of treatment, you may take a shower, but please avoid bathing.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
- Treatment year
- 2026
Flow of treatment
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Flow of treatmentCounseling
Before the procedure, you will have a consultation with your doctor.During the consultation, you will receive a detailed explanation of the treatment area, effects, risks, costs, and aftercare.
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Flow of treatmentDisinfection/anesthesia
Before the procedure, the area to be resected will be marked, disinfected, and local anesthesia will be administered.
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Flow of treatmentsubcision
The doctor will perform the subcision treatment. If additional Jebeluk/Turienne is needed, it will be injected at the same time.
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Flow of treatmentEnd of treatment
After the treatment, we will explain the aftercare.Please refrain from wearing makeup on the day of your appointment.
subcision(Cannula and anesthesia included)price of
(tax included)| Menu | One-time fee | in the region |
|---|---|---|
| 4cm × 4cm | ¥44,000 | 4 times ¥132,000 |
| one point | ¥11,000 | 4 times ¥33,000 |
| JUBERLUK [Hiroshima Clinic, Okayama Clinic, Kyoto Clinic, Kumamoto Clinic, Kobe Clinic, Omotesando Clinic, Azabu Clinic] | 1.0cc 39,800 JPY 2.5cc 79,800 JPY |
1.0cc 4 times ¥119,400 2.5cc 4 times ¥239,400 |
| Trienne [Hiroshima Clinic / Fukuoka Clinic] | 1.0cc 39,800 JPY 2.5cc 79,800 JPY |
1.0cc 4 times ¥119,400 2.5cc 4 times ¥239,400 |
*Juberg or Trienne is required.
Example: Craters on both cheeks 44,000 JPY x 2 + 79,800 JPY = 167,800 JPY One chicken pox scar dent 1 JPY + 11,000 JPY = 39,800 JPY
Click here for details on the fees for each treatment
About Payment Methods
You can choose the payment method that suits you.
Various combinations are possible.
- Lump sum cash
- Credit Transfer
- Medical loan(3 to 60 installments/annual interest rate 8.4%)
For minor patients
If you are a minor, a "parental consent form" is required.Please download and fill out the form in advance and bring it with you, or bring one of your parents with you.
FAQ
- Is it okay to have subcision treatment only once?
- Although it is effective even just once, we recommend that you take it four times, once every four weeks.
- Can I go to work the next day?
- Internal bleeding may occur, but you can wear normal makeup the next day.
- Do you have any pain?
- Local anesthesia will be administered before the treatment, but since the treatment involves injections, you may feel a slight pain.
Clinics that offer subcision procedures
- Omotesando-in Temple
- Azabuin
- Kyotoin
- Kobein
- Hiroshima-in
- Okayamain
- Fukuoka-in
- Kumamoto-in
Elm Clinic Omotesando
- Address
- Zip code:107-0062
2F, 5-8-1 Minami-Aoyama, Minato-ku, Tokyo - Access
- 2-minute walk from Exit B1 of Omotesando Station on the Tokyo Metro.
- Medical time
- 9:30 ~ 18:30
[Regular closing day] Sunday *There may be temporary closures. - Phone Number
- 03-5962-6095
Elm Clinic Azabu
- Address
- Zip code:106-0045
4F, Azabu KF Building, 1-9-7 Azabu Juban, Minato-ku, Tokyo - Access
- 1-minute walk from Exit 5a of Azabu-Juban Station on the Tokyo Metro.
- Medical time
- Weekdays 10:00-19:00 / Saturdays, Sundays, and holidays 9:30-18:30
[Regular closing days] Irregular closing days *Temporary closures may also occur. - Phone Number
- 03-6807-4171
Elm Clinic Kyotoin
- Address
- Zip code:600-8031
594 Teianmae-cho, Teramachi-dori Shijo-sagaru, Shimogyo-ku, Kyoto City, Kyoto Prefecture, Okamoto Mirror Shop Building 4F - Access
- 3-minute walk from Exit 10 of Hankyu Railway's Kyoto Kawaramachi Station.
- Medical time
- 10:00 ~ 19:00
[Regular closing days] Irregular closing days *Temporary closures may also occur. - Phone Number
- 075-353-1854
Elm Clinic Kobe
- Address
- Zip code:650-0011
4F, Toei Building, 3-1-21 Shimoyamatedori, Chuo-ku, Kobe City, Hyogo Prefecture - Access
- 5-minute walk from the west exit of Hankyu Railway's Kobe Sannomiya Station.
- Medical time
- 9:00 ~ 18:00
[Regular closing days] Sundays and Mondays *There may be temporary closures. - Phone Number
- 078-335-6025
Elm Clinic Hiroshima
- Address
- Zip code:730-0051
5F Ueda Building, 1-4-14 Otemachi, Naka-ku, Hiroshima City, Hiroshima Prefecture - Access
- 3-minute walk from the Hondori tram stop on the Hiroshima Electric Railway.
- Medical time
- 9:00 ~ 18:00
[Regular closing day] Sunday *There may be temporary closures. - Phone Number
- 082-246-2406
Elm Clinic Okayama
- Address
- Zip code:700-0903
Actus Building B1F, 7-20 Saiwaicho, Kita-ku, Okayama City, Okayama Prefecture - Access
- 5-minute walk from JR Okayama Station, Korakuen Exit (East Exit)
- Medical time
- 9:00 ~ 18:00
[Regular closing day] Sunday *There may be temporary closures. - Phone Number
- 086-222-8772
Elm Clinic Fukuoka
- Address
- Zip code:810-0041
3F Center Building, 2-2-7 Daimyo, Chuo-ku, Fukuoka City, Fukuoka Prefecture - Access
- 4-minute walk from Exit 5 of Akasaka Station on the Fukuoka City Subway / 6-minute walk from Exit 2 of Tenjin Station on the Fukuoka City Subway
- Medical time
- 10:00 ~ 19:00
[Regular closing days] Irregular closing days *Temporary closures may also occur. - Phone Number
- 092-717-7227
Elm Clinic Kumamoto
- Address
- Zip code:860-0845
6-15 Kamitori-cho, Chuo-ku, Kumamoto City, Kumamoto Prefecture, Oaks Building 2, 3rd Floor - Access
- 5-minute walk from the Kumamoto City Tram "Toorimachi-suji" stop.
- Medical time
- 9:00 ~ 18:00
[Regular closing days] Irregular closing days *Temporary closures may also occur. - Phone Number
- 096-277-1950
Supervisor information (overall supervision, treatment supervision, column supervision)
Hiroshi Kikuchi
- 2008
- Graduated from Hiroshima University School of Medicine, Department of Medicine Worked at Chiba University School of Medicine Affiliated Hospital and related hospitals.
- 2013
- Cosmetic dermatology Elm Clinic Fukuoka clinic opened
- Juvederm Vista certified doctor
- Certified doctor trained in Allergan’s Vista program
- Cosmetic Ingredient Test Level 1
About medical advertising guidelines
At Elm Clinic, under the supervision of a doctor, we are reviewing and improving our website as appropriate in the following two areas, in accordance with the "Medical Advertising Guidelines."
(i) Addition/deletion of testimonials
(ii) When posting case photos, please describe the details of the treatment, risks of the treatment, price of the treatment, etc.
[Business hours] 9:00-18:00 [Closed] Sundays
*Temporary closures may be established.[Business hours] 10:00-19:00 [Closed days] Irregular holidays
*Temporary closures may be established.[Business hours] 9:00-18:00 [Closed] Sundays
*Temporary closures may be established.[Business hours] 10:00-19:00 [Closed days] Irregular holidays
*Temporary closures may be established.[Business hours] 9:00-18:00 [Closed days] Irregular holidays
*Temporary closures may be established.[Business hours] 10:00-19:00 [Closed] Sundays
*Temporary closures may be established.[Business Hours] 9: 00-18: 00
[Closed] Sundays and Mondays
[Business Hours] 9: 30-18: 30
［ Regular holiday ］Sunday
Weekdays 10:00-19:00 Saturdays, Sundays and holidays 9:30-18:30
[Regular holidays] Irregular holidays
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Hiroshima-in
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Fukuoka-in
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Okayamain
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Kyotoin
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Kumamoto-in
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Osaka-in
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Kobein
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Omotesando-in Temple
@elmclinic_omotesando View post -
Azabuin
@elmclinic_azabu View post
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Director Kazuhito Aihara
@elm_kaz_ View post -
Hiroshima clinic doctor Madoka Hananoki
@dr.hananoki View post -
Director of Fukuoka Clinic Hiroshi Kikuchi
@dr_kikuchi View post -
Fukuokain doctor white water wings
@tsubasa_shirozu View post -
Fukuokain doctor Yusuke Hayakawa
@dr___yusuke View post -
Director of Kyoto Institute Yuichiro Uchiyama
@dr_yuichiro View post
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Director of Fukuoka Clinic Hiroshi Kikuchi
Director's blog View post -
Fukuokain doctor white water wings
Dr. Shiramizu's note View post -
Director of Okayama Clinic Tohru Takahashi
Director Tooru and staff blog View post