Subcision and TCA CROSS are two targeted techniques for the acne scars that resurfacing alone treats poorly. Subcision releases scars that are tied down from beneath; TCA CROSS rebuilds narrow, deep ice-pick scars from the bottom up.
Acne scarring is rarely one type, so good results come from matching each scar to the right technique and combining them over several sessions.
What Subcision and TCA CROSS for Acne Scars involves
For subcision, after local anaesthetic, a needle or blunt cannula is passed under the scar and moved back and forth to cut the fibrous bands pulling it down. The small pocket of blood that forms helps new tissue lift the scar. For TCA CROSS, a fine applicator places a tiny drop of 70 to 100 per cent trichloroacetic acid into each ice-pick scar; the scar turns white, scabs and heals with new collagen that narrows and raises it.
Who is a good candidate for Subcision and TCA CROSS for Acne Scars?
The doctor maps your scars by type before planning.
- Rolling scars that improve when the skin is stretched, for subcision
- Ice-pick and narrow boxcar scars, for TCA CROSS
- Acne that is now under control
- Any skin tone for subcision; TCA CROSS with extra care in darker skin
It is usually not the right choice if:
- Active inflamed acne, which must be treated first
- Isotretinoin in recent months, on your doctor's advice
- Blood-thinning medication or a bleeding disorder, for subcision
- A keloid tendency
الخيارات التقنية
- Needle subcision: precise release of individual scars
- Cannula subcision: treats larger areas with less bruising
- TCA CROSS: for ice-pick scars, repeated every six to eight weeks
- Combined plan: followed by microneedling, RF microneedling or laser, and sometimes filler under stubborn scars
ماذا يحدث خلال علاجك
A session takes 20 to 40 minutes. Subcision causes pressure and a crunching sensation rather than pain. TCA CROSS stings for a few minutes.
الإعداد لرحلتك
Expect two to four sessions six to eight weeks apart. A first session in Istanbul is worthwhile if you can return or continue at home with a dermatologist who offers the same techniques.
- Tell the doctor about medication, allergies, pregnancy or breastfeeding, and any history of cold sores, keloid scars or autoimmune disease
- Avoid alcohol, aspirin and anti-inflammatory painkillers for a few days beforehand if your own doctor agrees, to reduce bruising
- Arrive without make-up on the treatment area and avoid sunbeds and strong sun for two weeks before
التعافي والنتائج
After subcision the cheeks are swollen and bruised for five to ten days. After TCA CROSS each treated scar forms a small scab that falls off within five to seven days; do not pick. Pinkness fades over weeks. Improvement is judged three to six months after each session.
- Back to everyday activity: 5 to 10 days of bruising or scabs
- When results show: 3 to 6 months
- How long they last: Permanent improvement
سياسة السلامة والمخاطر والتنقيح
Both are safe in trained hands. Risks to discuss:
- Bruising, swelling and tender lumps after subcision, which settle over weeks
- Temporary darkening of treated spots, more common in darker skin
- Widening of a scar if too much acid is applied
- Infection, which is uncommon
- Incomplete improvement, requiring further sessions
Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.
Cost of Subcision and TCA CROSS for Acne Scars in Türkiye
Clinic-Y does not publish a single price for Subcision and TCA CROSS for Acne Scars, because the honest figure depends on your case. What moves it:
- The product or device used and how much of it your treatment needs
- Who performs it: for injectables and lasers it should be a doctor
- The number of sessions in the course
- Whether it is combined with other treatments in the same visit
Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.
الأسئلة المتكررة
Which acne scars need subcision?
Rolling scars that look better when you stretch the skin. That sign means they are tethered from below, and no laser can release them.
Is TCA CROSS a chemical peel?
It uses the same acid at far higher strength, but only as a pinpoint inside each scar, never over the whole face.
Can scars be removed completely?
Rarely. A realistic goal is 50 to 70 per cent improvement, enough that scars no longer catch the light.