SUBCISION · FAT GRAFTING · TCA CROSS

Acne Scar Treatment in Bangalore

Permanent, root-cause revision of stubborn rolling, boxcar and ice-pick acne scars by Dr. Amrika Seshadri (MS, MCh). One multimodal session that releases the tethers, grafts your own fat to stop re-tethering, and resurfaces the pits — treating the abnormal skin contour itself, not just the colour.

Dr. Amrika Seshadri, MS, MCh|KMC Reg. No. 96313|ASI Life Member|IAAPS Member
Duration45 – 60 Mins
AnesthesiaLocal Tumescent
Downtime5 – 7 Days (Social)
Hospital StayDaycare (Outpatient)
Acne scar treatment Bangalore subcision Dr Amrika
In short

Why haven't lasers or facials fixed my deep acne scars?

Because lasers, facials and microneedling only work on the surface — they cannot reach the thick fibrous bands that tether deep rolling and boxcar acne scars down to the underlying tissue. At Dr. Amrika's Aesthetics on Sarjapura Main Road, deep scars are treated with the Dr. Mark B. Taylor multimodal method in a single sitting: subcision releases the tethering bands so the skin lifts, your own purified micro-fat and nano-fat are grafted into the released space so the scar cannot re-tether, and focal TCA CROSS peels smooth the sharp edges of ice-pick and boxcar scars. It is done under local tumescent anaesthesia, most people need only one or two sessions, and social downtime is about five to seven days. Indicative pricing is ₹38,000 to ₹68,000 (depending on severity), with packages available, confirmed at your consultation.

Reviewed by Dr. Amrika Seshadri (MS, MCh) · Last updated 17 September 2026

The Surgical Standard

Why choose Dr. Amrika for Acne Scar Treatment

Every surgery is conducted personally by Dr. Amrika (MS, MCh Plastic Surgery). Never delegated to assistants or medical generalists.

01

Surgeon-Led Multimodal Paradigm

A single patient usually has a mix of ice-pick, boxcar and rolling scars, so one laser or one facial can't fix it. Dr. Amrika treats all of them together in one sitting — subcision, fat grafting and focal resurfacing — following the Dr. Mark B. Taylor multimodal method, executed with plastic-surgery precision.

02

Root-Cause Release, Not Surface-Only

Deep rolling scars are physically tethered to the underlying fascia by thick fibrous bands. Lasers and microneedling can't reach those anchors. Using surgical subcision (with the Taylor Liberator through a tiny hidden entry), she cleanly divides the bands so the skin lifts back to its natural contour.

03

Autologous Fat Grafting to Stop Re-Tethering

Releasing a scar leaves an empty pocket that the body will refill with fresh scar, pulling the divot back down. Dr. Amrika grafts your own purified micro-fat and nano-fat into that space as a living spacer — and its stem cells keep remodelling the tissue for months.

04

Safe on Indian Skin, Honest Outcomes

Melanin-rich skin is protected by working deep beneath the surface and using controlled focal peels (TCA CROSS) only inside the pits. And you will never be sold 'glass skin' or a 100% result — just transparent pricing, realistic expectations and genuine improvement.

Clinical Methodology

The Multimodal Acne Scar Protocol

A meticulous, multi-layer surgical protocol prioritizing structural aesthetics, minimal tissue trauma, and hidden incisions.

Phase 01

High-Definition Scar Mapping

Under dynamic, angled lighting, every shadow, tether and tissue deficit is mapped and the scars are classified into ice-pick, boxcar and rolling types so each is matched to the right tool.

Phase 02

Tumescent Hydro-Dissection Anaesthesia

A diluted local anaesthetic solution numbs the area completely while hydro-dissecting a safe plane between the dermis and fat, separating vessels from scar bands for a comfortable, virtually bloodless, bruise-light procedure.

Phase 03

Subcision — Releasing the Tethers

Through a single tiny entry hidden near the sideburn, the Taylor Liberator snares and divides the deep fibrous bands anchoring rolling scars, immediately lifting the depressed skin — while sparing the deep facial ligaments.

Phase 04

Fat Grafting + Focal TCA CROSS

Purified micro-fat and nano-fat are micro-injected to block re-tethering and add living volume, while high-concentration TCA CROSS is applied inside ice-pick and boxcar pits to trigger collagen. Micro-entry ports are closed with ultra-fine sutures.

Clinical Case Library

Documented cases: what this procedure involves.

Cases from Dr. Amrika’s own practice, published for patient education with each patient’s signed, anonymised consent. Identifying features are cropped or masked.

Individual results vary — these images are illustrative, not a guarantee of outcome. Shared with patient consent.

100% Upfront Transparency

Acne Scar Treatment Investment & Inclusions

We believe healthcare pricing should be transparent. No hidden consumable line-items, no surprise theatre add-ons, and no aggregator markups.

₹38,000 – ₹68,000 (Based on Severity, Packages Available)

The range reflects clinical severity, how extensive and fibrotic the scarring is, and the surface area treated (cheeks versus full face). Indicative pricing only — your exact quote is personalised to your clinical assessment and confirmed at your consultation.

  • Surgeon fee (administered personally by Dr. Amrika Seshadri)
  • Surgical subcision to release tethered fibrous bands
  • Autologous micro-fat and nano-fat harvest and grafting
  • Targeted TCA CROSS focal resurfacing for ice-pick and boxcar pits (if indicated)
  • Post-procedure products, skincare guidance and follow-up reviews
Post-Operative Trajectory

Recovery timeline & aftercare

Knowing what to expect at every milestone gives you complete peace of mind. Dr. Amrika directly oversees all follow-ups.

Days 1 – 3

Acute Inflammatory Phase

Expected swelling and light bruising from the subcision and fat grafting. Cleanse gently and apply the prescribed ointments; avoid any pressure on the treated zones so the new fat can settle.

Days 4 – 7

Epithelialisation

Superficial peeling from the focal resurfacing begins — do not pick the flakes, and keep absolute UV protection on. Most people are back at a desk job in about 4–5 days, with a light mineral cover-up once the surface has sealed.

Weeks 2 – 4

Neo-Vascularisation

Swelling subsides and the transplanted fat cells establish their own blood supply. Skin texture already starts to look visibly smoother. Any transient numbness across the cheeks eases as the tissue heals.

Months 2 – 6

Collagen Remodelling

Deep dermal fibroblast activity peaks and the skin keeps self-correcting, revealing long-lasting, refined contours. Maintaining a stable weight keeps the grafted volume — and your result — even.

Doctor Answers

Frequently asked questions

Straightforward, medically accurate answers directly from Dr. Amrika Seshadri.

Why haven't lasers or facials fixed my deep acne scars?+

Because they only work on the surface. Lasers, facials and microneedling treat the upper layers, but they cannot reach or cut the thick fibrous bands that anchor deep rolling and boxcar acne scars down to the facial fascia. Treating a tethered scar with a laser alone is like flattening a tent without releasing the guy-ropes — surgical subcision is needed to free the skin before any surface resurfacing can work.

How does fat grafting stop acne scars from coming back?+

When a fibrous band is cut during subcision it leaves a raw space underneath, and without a barrier the body simply lays down new scar and re-tethers the divot within weeks. Injecting your own micro-fat and nano-fat fills that space as a natural cushion that blocks re-tethering, and the regenerative stem cells in your fat keep remodelling the damaged tissue for months afterward.

Is the procedure painful? Will I be put to sleep?+

No general anaesthesia is needed — it is done under local tumescent anaesthesia, so you stay fully awake, comfortable and safe. A diluted numbing solution is infiltrated gently across the facial planes, and once it takes you feel no sharp sensation during the subcision or fat harvesting.

How many sessions of acne scar treatment will I need?+

Because this multimodal approach treats every scar type in one sitting, many patients see dramatic improvement in just 1 to 2 sessions — versus the 6 to 10 rounds that standalone lasers or microneedling often need. The exact number depends on how severe and fibrotic your scarring is, which Dr. Amrika maps out at your consultation.

Is this safe on dark or melanin-rich Indian skin?+

Yes, in experienced hands. Melanin-rich skin is prone to post-inflammatory hyperpigmentation if surface lasers or deep global peels are used incorrectly, so Dr. Amrika focuses the work deep beneath the surface via subcision and fat grafting, and uses highly controlled focal peels (TCA CROSS) only inside the scar pits — keeping the surrounding healthy skin protected.

How much does acne scar treatment cost in Bangalore?+

Indicative pricing is ₹38,000 to ₹68,000 (depending on severity), with packages available, and it varies with how extensive and fibrotic the scarring is and the surface area treated (cheeks versus full face). Your exact all-inclusive quote is confirmed at your consultation. Active acne should be settled first before deep scar revision begins.

Surgeon Explainer

Watch Dr. Amrika explain this procedure

Direct surgical and anatomical guidance from Dr. Amrika Seshadri (MS, MCh Plastic Surgery).

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From Dr. Amrika’s blog

Read before your consultation

Written by Dr. Amrika herself, for patients weighing this procedure.

Personalized Surgical Assessment

Talk to the surgeon, not a call centre.

Speak directly with Dr. Amrika Seshadri (MS, MCh). Discuss your clinical goals in a private, unhurried consultation at Sarjapur Road.

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