Combination Therapy of Subcision and Laser in Rolling Acne Scars: Outcome Analysis

Open Access

Abstract

Background: Acne scarring, particularly rolling scars, represents a common dermatological concern with significant psychosocial impact. Multiple treatment modalities exist; however, combination approaches are increasingly preferred for improved outcomes. This study evaluates the efficacy and safety of combined subcision and laser therapy in rolling acne scars. Objective: To assess clinical improvement, patient satisfaction and complication profile of subcision combined with fractional laser therapy in patients with rolling acne scars. Methods & Materials: A prospective observational study was conducted on approximately 230 patients attending City Aesthetics, Advanced Skin Laser Center, Jashore, from May 2023 to March 2026. Patients with clinically diagnosed rolling acne scars were enrolled. Treatment involved subcision followed by fractional laser resurfacing sessions at defined intervals. Outcomes were assessed using Goodman and Baron Scar Grading System and patient satisfaction scale. Results: Significant improvement in scar depth and skin texture was observed after combination therapy. At final follow-up, approximately 78% of patients demonstrated ≥50% improvement in scar severity grading. Patient satisfaction was high with 82% reporting good to excellent outcomes. Adverse effects were mild and transient, including erythema, edema and post-inflammatory hyperpigmentation in a small proportion of patients. Conclusion: Combination therapy using subcision and fractional laser is an effective and safe approach for rolling acne scars, providing superior outcomes compared to monotherapy approaches. Further controlled studies are recommended to standardize treatment protocols.