Skip to main content

Subcision®

  • Chapter
  • First Online:
Book cover Update in Cosmetic Dermatology

Abstract

Depressed lesions of cellulite are due to the presence of fibrous septa that pull the skin surface down. Subcision® is a surgical technique used for the treatment of cutaneous depressions, including cellulite depressed lesions and liposuction depressed sequelae. The first mechanism is the section of the fibrous dermal and subcutaneous septa, in order to release their traction applied to the skin. The second is due to the subsequent hematoma formation, followed by secondary connective tissue deposition, which fills the depressions of cellulite. A third action mechanism improves the skin irregularities of the affected areas is due to the redistribution of the traction forces exerted by the fibrous septa and the tension forces exerted by the fat to the skin surface. Therefore, Subcision® is a simple, low cost and very efficacious technique for the treatment of cellulite and other depressions of the skin surface

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Barie PS (2002) Surgical site infections: epidemiology and prevention. Surg Infect (Larchmt) 3(Suppl 1):S9–S21

    Article  Google Scholar 

  2. Draelos ZD (1997) Cellulite. Etiology and purposed treatment. Dermatol Surg 23:1177–1181

    Article  PubMed  CAS  Google Scholar 

  3. Hexsel DM (2001) Body repair. In: Parish LC, Brenner S, Ramos e Silva M (eds) Women’s dermatology: from infancy to maturity. Parthenon Publishing, New York, pp 586–595

    Google Scholar 

  4. Hexsel D (2009) Cellulite. In: Baumann L (ed) Cosmetic dermatology: principles and practice. McGraw-Hill Companies, New York

    Google Scholar 

  5. Hexsel DM, Mazzuco R (1997) Subcision: Uma alternativa cirúrgica para a lipodistrofia ginoide (“celulite”) e outras alterações do relevo corporal. An Bras Dermatol 72:27–32

    Google Scholar 

  6. Hexsel DM, Mazzuco R (2000) Subcision: a treatment for cellulite. Int J Dermatol 39(7):539–544

    Article  PubMed  CAS  Google Scholar 

  7. Hexsel DM, Abreu M, Rodrigues TC, Soirefmann M et al (2009) Side-by-side comparison of areas with and without cellulite depressions using magnetic resonance imaging. Dermatol Surg 35(10):1471–1477

    Article  PubMed  CAS  Google Scholar 

  8. Hexsel D, Dal’Forno T, Soirefmann M, Hexsel C (2010) Reduction of cellulite with subcision. In: Murad A, Pongprutthipan M (eds) Body rejuvenation. Taylor and Francis, New York, pp 167–172

    Chapter  Google Scholar 

  9. Hexsel D, Hexsel CL, Dal’Forno TO (2009) A validated photonumeric cellulite severity scale. J Eur Acad Dermatol Venereol 23:523–528

    Article  PubMed  CAS  Google Scholar 

  10. Hexsel D, Mazzuco R, Dal’Forno T, Hexsel CL (2004) Simple technique provides option for treating scars and other skin depressions. J Cosmet Dermatol 17(1):35–41

    Google Scholar 

  11. Hexsel D, Mazzuco R, Soirefmann M (2010) Subcision. In: Goldman M, Hexsel D (eds) Cellulite: pathophysiology and treatment, 2nd edn. Informa Health Care, London, pp 174–179

    Chapter  Google Scholar 

  12. McCalmont TH, Leshin B (1996) Preoperative evaluation of the cutaneous surgery patient. In: Lask GP, Moy RL (eds) Principles and techniques of cutaneous surgery. McGraw-Hill, New York, pp 101–112

    Google Scholar 

  13. Namias A, Kaplan B (1998) Tumescent anesthesia for dermatologic surgery, cosmetic and noncosmetic procedures. Dermatol Surg 24(7):755–758

    Article  PubMed  CAS  Google Scholar 

  14. Niemi G (2005) Advantages and disadvantages of adrenaline in regional anaesthesia. Best Pract Res Clin Anaesthesiol 19(2):229–245

    Article  PubMed  CAS  Google Scholar 

  15. Nordström H, Stånge K (2005) Plasma lidocaine levels and risks after liposuction with tumescent anaesthesia. Acta Anaesthesiol Scand 49(10):1487–1490

    Article  PubMed  Google Scholar 

  16. Nürnberger F, Müller G (1978) So-called cellulite: an invented disease. J Dermatol Surg Oncol 4(3):221–229

    PubMed  Google Scholar 

  17. Orentreich DS, Orentreich N (1995) Subcutaneous incisionless (subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg 21(6):543–549

    Article  PubMed  CAS  Google Scholar 

  18. Ostad A, Kageyama N, Moy RL (1996) Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for liposuction. Dermatol Surg 22(11):921–927

    Article  PubMed  CAS  Google Scholar 

  19. Rossi ABR, Vergnanini AL (2000) Cellulite: a review. J Eur Acad Dermatol Venerol 14:251–262

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mariana Soirefmann M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Soirefmann, M., Mazzuco, R. (2013). Subcision® . In: Tosti, A., Hexsel, D. (eds) Update in Cosmetic Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34029-1_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-34029-1_4

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-34028-4

  • Online ISBN: 978-3-642-34029-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics