Taylor Liberator (Deep Layer) Subcision

Beverly Hills & Los Angeles

Deep-layer subcision typically uses a special surgical tool called the Taylor Liberator. The Taylor Liberator is a long, blunt instrument with notches at the end which facilitate the breaking of fibrous bands that tether acne scars down. To perform deep-layer subincision, a small incision is first made near the hairline to insert the Taylor Liberator into the deepest layers of the dermis (the superficial subcutaneous plane). As the tool is moved back and forth, the deepest and robust scars are transected. Deep layer subcision using the Taylor Liberator is a highly effective technique that allows for complete untethering of fibrotic bands and long term results when performed correctly.

Because acne scars can vary in depth, deep-layer subcision using the Taylor Liberator  is generally most appropriate when patients have scars that are tethered to the deeper layers below the skin. Patients with boxcar scars or rolling scars typically benefit the most from deep-layer subcision.

Swelling generally dissipates within the first 24 hours. After 48 hours, the face can be washed normally, and patients can generally return to work with little bruising. Because deep layer subcision with the Taylor Liberator is a more invasive technique, sensory disturbance may be observed. Any disturbances usually completely resolve within three months of the procedure.