Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 May;19(5):1179-1181.
doi: 10.1111/jocd.13117. Epub 2019 Aug 29.

Plug the needle hub during subcision for a bloodless field

T P Afra  1 , Muhammed Razmi T  1 , Narang Tarun  1 , Sunil Dogra  1
Affiliations

Plug the needle hub during subcision for a bloodless field

T P Afra et al. J Cosmet Dermatol. 2020 May.

Abstract

Background: Subcision is a simple such procedure with considerable efficacy especially in the management of the rolling type of atrophic post-acne scars. Since its introduction in 1995, the technique has undergone several modifications to enhance its results as well as to improve the ergonomics. However, 'gushing' of blood through the hub of the needle smears the surgeon's gloves and the treatment field, which is not desirable both aesthetically and hygienically.

Aim: To describe a simple technique to avoid blood spillage to the treatment field while doing subcision.

Method: While doing subcision, the open hub of the needle used was plugged with a button of sterile cotton and cyanoacrylate glue. The new technique was demonstrated on a patient with atrophic post-acne scars.

Results: There was no blood spillage through the hub of the needle.

Conclusion: This simple modification of subcision helps to attain a bloodless treatment area which also has an added advantage of better assessment of the targeted endpoints at the treatment site.

Keywords: bloodless field; cotton; cutaneous atrophic scars; cyanoacrylate glue; subcision.

PubMed Disclaimer

References

REFERENCES

    1. Orentreich DS, Orentreich N. Subcutaneous incisionless (subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg. 1995;21:543-549.
    1. Fabbrocini G, Annunziata MC, D'Arco V, et al. Acne scars: pathogenesis, classification and treatment. Dermatol Res Pract. 2010;2010:893080.
    1. Balighi K, Robati RM, Moslehi H, Robati AM. Subcision in acne scar with and without subdermal implant: a clinical trial. J Eur Acad Dermatol Venereol. 2008;22:707-711.
    1. Chandrashekar B, Nandini A. Acne scar subcision. J Cutan Aesthet Surg. 2010;3:125-126.
    1. AlGhamdi KM. A better way to hold a Nokor needle during subcision. Dermatol Surg. 2008;34:378-379.

LinkOut - more resources