It is a minimally invasive aesthetic body treatment that involves subcutaneous undermining of the skin using a blunt, specialized cannula. The procedure achieves the release of fibrous adhesions responsible for the development of lipodystrophy, commonly known as cellulite.
Regardless of age, body type, weight, or lifestyle, cellulite can be observed in the vast majority of individuals, as its presence is primarily attributed to genetic factors. Other contributors to the development and worsening of cellulite include:
- aging,
- hormonal imbalances,
- smoking,
- lack of physical activity,
- rapid fluctuations in body weight,
- poor dietary habits.
The subcision technique involves the use of a blunt-tipped, specialized cannula, which is inserted under the skin through a small incision. The purpose of this minimally invasive procedure is to sever the fibrous septae—tight connective tissue bands that tether the skin to the underlying structures—responsible for the dimpled appearance characteristic of cellulite. By releasing these fibrous adhesions, the skin is allowed to elevate and smooth out, significantly improving the appearance of orange peel-like texture. The procedure is performed under local anesthesia and typically takes 30–60 minutes, depending on the extent and number of areas being treated. Mild bruising or tenderness may occur in the treated areas, which subsides within a few days.
The application of the treatment is personalized according to the degree of cellulite and the specific needs of the skin in order to improve the affected area, and typically ranges from 1 to 3 sessions.
The results of the treatment become visible as early as the second day. (It should be noted that, in some cases, due to swelling in the area, the initial appearance may not accurately reflect the final outcome.) However, the final result is typically observed approximately 4 to 6 months after the treatment, and its effects can last up to two years. For optimal results, the subcision treatment may be combined with the application of hyaluronic acid and radiofrequency (RF) therapy.
Patients who should not undergo subcision therapy include:
- Patients with dermatological conditions or active infections in the treatment area
- Patients with immunodeficiencies
- Cancer patients
- Pregnant women
- Patients with coagulation disorders
Subcision is a minimally invasive procedure that requires no recovery time. The individual can immediately return to their daily activities. The main side effect that may occur is bruising. However, localized swelling, mild pain, and redness in the treated area may also be observed.
Intense physical activity should be avoided for one week following the treatment.