Features of Kkeut Korean Medicine Clinic's Saesalchim (Subcision) Procedure

* Kkeut Korean Medicine Clinic's 3-Step Approach to Saesalchim (Subcision)

Step 1: Releasing Superficial Adhesions

We delicately separate widespread fibrous adhesions in the superficial skin layer using micro-needles.

By gently breaking the fine fibrous structures that pull scars downward,

we help visibly depressed areas improve naturally.

Step 2: Improving Deep Adhesions

For strong adhesive tissues firmly embedded deep in the dermis,

we apply a method of safely releasing them over a wide area using a cannula.

This method can reduce the burden on the treated area compared to using thicker needles.

It is particularly important for managing wide-shaped scars like rolling or boxcar scars.

→ This step can help reduce bruising and pain.

Step 3: Inducing Tissue Regeneration with Micro-needles

Finally, we use micro-needles to provide gentle stimulation to the skin tissue,

creating an environment where blood flow and growth factors can naturally gather.

During this process, fibroblasts are activated, which can positively influence collagen regeneration.

Combination Therapy is a Fundamental Part of Saesalchim Treatment

We pursue a combined treatment approach that enhances the synergy of treatment effects and aids skin recovery.

① Concomitant PDRN Injection (DNA Injection)

When performing Saesalchim treatment, PDRN injections are administered concurrently.

This can aid the wound healing process and help reduce redness or hyperpigmentation.

Considering it a crucial factor in assisting scar regeneration, we offer it as a fundamental component of the treatment, not an optional one.

② Concomitant Er:YAG Fraxel Treatment

While Saesalchim (Subcision) primarily improves structural issues within the skin,

direct management of the skin's fine texture or overall quality on the surface may be challenging.

To complement this, we recommend combining Er:YAG Fraxel treatment after the procedure.

This acts on relatively shallow skin layers and can help improve skin texture, pores, and subtle depressions.

→ Through this, you can reduce the burden of recovery time and expect synergistic effects on the treatment results.

Reasons to Choose Kkeut Korean Medicine Clinic for Saesalchim Treatment

*Treatment Plan Considering Anatomical Structures

Rather than simply adjusting depth,

we accurately identify the skin layer where adhesions have formed and the direction of tissue separation,

focusing on establishing an accurate diagnosis and treatment plan.

*Utilizing Precision Instruments

By using a combination of micro-needles, cannulas, and micro-needles,

we aim to achieve treatment goals while minimizing bruising, swelling, and pain.

*Concomitant PDRN and Fraxel Treatments

Combined treatments that can aid skin recovery and enhance treatment efficacy are

not an optional part for our medical team, but one of our fundamental treatment procedures.

*Establishing Treatment Plans Based on Accurate Diagnosis

Subcision may not be suitable for all types of scars.

We are transparent and do not recommend procedures for scars that we deem unnecessary.

Our medical team prioritizes an accurate assessment of the patient's condition over indiscriminate recommendations.

What is the new scar treatment (Sae Sal Chim) procedure?

Scar tissue beneath the skin is pulled downwards.

While the skin appears indented on the surface, beneath the dermis,

fibrous tethers firmly hold and pull down the scar area.

To allow the skin to return to its original position, these adhesions must be released.

This procedure, which releases adhesions, is called Sae Sal Chim, or subcision.

How Sae Sal Chim Works

1. Release of Adhered Tissue

Fibrous tissue firmly embedded beneath the skin

is carefully separated using special needles or cannulas.

As a result, the skin adhesions that were pulling downwards are resolved, and the indented scar can be expected to fill in naturally.

2. Induction of Micro-bleeding (Regenerative Signal)

The subtle bleeding that occurs when the adhesions are separated

acts as an important stimulus for promoting collagen synthesis.

Through fibroblast activation, it creates conditions for new tissue to form around the scar area.

3. Enhanced Blood Circulation and Tissue Regeneration

If needed, combining microneedling with PDRN (DNA injection)

can direct blood flow and regenerative cells to the affected area,

which can help more effectively promote wound healing and collagen production.

When Sae Sal Chim treatment may be suitable:

Small, indented scars on the forehead

Deeply sunken or irregular-looking scars on the temples

One or more dot-shaped indented scars on the nose area

Indented scars of various shapes appearing on both cheeks

Multi Sae Sal Chim: (Combination of 3-stage Sae Sal Chim and Erbium-YAG Shouldering)

This is an improved method that adds shouldering technique to the Sae Sal Chim (subcision) procedure.

In scar treatment, it's not just about separating adhesions beneath the scar.

Even if adhesions are released through subcision, scars with distinct and deep borders can make smooth skin regeneration difficult.

Our bodies tend to match the height and texture of surrounding tissue when a damaged area heals.

However, if a scar boundary drops off abruptly, this natural healing process can be difficult to proceed smoothly.

Therefore, a process of finely refining and smoothing the scar borders (shouldering) may be necessary.

By reducing the height difference with the surrounding skin through this process, when the scar area fills in, you can expect a natural connection with the surroundings and less visible signs of the procedure.

In fact, for many people, the reason it was difficult to improve with only the existing Sae Sal Chim procedure is deeply related to this point.

Even if the underlying adhesions are sufficiently released, if the border remains like a wall, tissue regeneration may be limited.

Therefore, shouldering plays an important role in complementing the limitations of existing methods for treating clearly defined depressed scars.

Types for which Multi Sae Sal Chim treatment is recommended

1) Those who have not experienced satisfactory improvement with traditional Sae Sal Chim or other common scar treatments

There is an approach for those who are concerned that their scars have not filled sufficiently to their desired extent even after subcision or laser treatment.

Simply performing a procedure to loosen the base of the scar often leads to situations where the borders remain steep, making it difficult for the skin to fill in smoothly.

In such cases, by gently refining the scar borders with a shouldering procedure, one can expect more natural improvement.

2) It can also be considered when the scar is deeply indented and has distinctly steep borders. 

In the case of abruptly indented types like boxcar scars, even if new skin fills in from within,

the side borders may stand like walls, making complete recovery difficult.

By smoothing the borders with an Erbium-YAG shouldering procedure, one can expect a more natural transition as the height difference with the surrounding skin is alleviated.

3) It can also be considered by those who desire changes with fewer sessions than typical new skin regeneration treatments.

Typical new skin regeneration treatments often require consistent sessions of 10 or more to feel an effect. However, multi-level regeneration treatment simultaneously addresses adhesion under the scar, the side borders, and the surface.

Therefore, you can experience skin changes with fewer sessions compared to typical new skin regeneration treatments.