Skip to content
Home/Treatments/Scar Treatment
Skin Health

Scar Treatment

Smoother skin, restored confidence.

Performed bySophie Gatward, NP

Atrophic acne scars form when collagen bands tether the skin downward. Manual scar release (subcision) carefully breaks these bands so the skin can lift and new collagen can form.

Scar treatment is often combined with PRP or biostimulators for the best possible improvement.

Ideal for

  • Rolling acne scars
  • Boxcar scars
  • Tethered or depressed scars

What to expect

  1. Consultation & scar assessment: Sophie Gatward, NP, examines your scars, reviews your health history and medications, and talks honestly about how much improvement is realistic. Active acne is usually brought under control before scar treatment begins.
  2. Treatment day: After the skin is cleansed and numbed, a needle is carefully moved beneath each scar to release the bands pulling it down. The appointment usually takes 30–60 minutes.
  3. Right after: Swelling, tenderness and bruising are normal, so the area may look worse before it looks better.
  4. Following weeks: Bruising and swelling usually settle within about a week. As new collagen forms, scars can continue to soften gradually over 1–3 months.
  5. Series & combined care: Most people need a series of sessions for meaningful softening. Scar treatment is often combined with PRP or biostimulators, and Sophie will explain what fits your scars.

Aftercare tips

  • Follow the personalized instructions you receive at your appointment — they take priority over these general tips.
  • Keep the treated area clean, and avoid touching, picking or squeezing it while it heals.
  • A cool compress wrapped in a clean cloth, used gently for short periods, can help with swelling in the first day or two.
  • Skip strenuous exercise, saunas and hot tubs for the first day or two.
  • Protect the area from the sun while it heals, and wear a broad-spectrum sunscreen every day to help prevent dark marks.
  • Ask the clinic before restarting retinoids, exfoliating acids or other active skincare on the treated area.

Possible side effects

  • Bruising and swelling, which are expected and usually settle within about a week.
  • Tenderness or soreness in the treated area for several days.
  • Small lumps or firm areas under the skin as it heals, which usually soften over the following weeks — let the clinic know if a lump doesn't go away.
  • Temporary darker marks in the treated area, which are more likely with deeper skin tones and sun exposure and usually fade over time.
  • Rare but serious: infection. Increasing pain, redness, warmth, swelling or discharge after the first few days, or a fever, needs prompt medical attention.
If something doesn’t feel right after your treatment, call the clinic at 416-604-0040. For severe symptoms — such as trouble breathing, vision changes, or skin turning white, grey or dusky — call 911 or go to the nearest emergency department.

Frequently asked questions

How many treatments will I need?

Most people need a series. Your plan depends on scar type and depth.

Will my scars disappear completely?

The goal is meaningful softening. Results vary, and your expectations will be discussed honestly at consultation.

Does subcision hurt?

The area is numbed first, so most people feel pressure or a tugging sensation rather than sharp pain. It's normal for the skin to feel sore and tender for a few days afterwards.

Is scar treatment suitable for all skin tones?

Subcision works beneath the skin rather than on its surface, so it can be an option for many skin tones. Temporary darker marks can happen as the skin heals, especially with sun exposure, so daily sun protection is important.

Which acne scars can be treated?

Subcision is designed for depressed scars that are tethered, or pulled down, from below — such as rolling and boxcar scars. Very narrow, deep ice pick scars usually need a different approach, so each scar type is assessed at your consultation.

Who is not a good candidate for scar treatment?

Scar treatment may not be suitable during pregnancy or breastfeeding, if you tend to form raised (keloid) scars, or if you have an infection in the area. Some medical conditions and medications, including blood thinners and certain acne medications, are also reviewed at your consultation.

Individual results vary. All treatments require an in-person consultation and medical assessment to confirm they're right for you. Content on this page is for general information and is not medical advice.

You may also like

Related treatments

Skin Health

Skin Rejuvenation

Improve tone, texture and the overall appearance of your skin.

Learn more
Skin Health

Cystic Acne Treatment

Intralesional injection to quickly reduce swelling, redness and pain.

Learn more

Ready to begin?

Start with a personalized consultation with Sophie — we'll talk through your goals and build a plan that's right for you.

Call Book now
Text us Call Book now