Boxcar, rolling, ice-pick. Microneedling works on all three — but the protocol matters more than the device.
The three acne scar types
Rolling scars — wave-like depressions, soft edges. Respond best to microneedling. Most patients see meaningful improvement in 4 to 6 sessions.
Boxcar scars — sharp-edged depressions like chickenpox marks. Respond well to microneedling but slower than rolling — plan 6 to 8 sessions.
Ice-pick scars — narrow, deep punctures. Microneedling alone is limited. Best results combine Morpheus 8 RF microneedling at depth with TCA CROSS chemical reconstruction for deepest scars.
Our standard scar protocol
Six sessions of SkinPen with exosomes spaced 4 to 6 weeks apart. Exosomes amplify collagen response and accelerate healing. We typically see 30 to 60% scar improvement across the course depending on scar depth and skin type.
When we add Morpheus 8
For deeper scars or full-face textural irregularity, we layer Morpheus 8 RF microneedling sessions between SkinPen visits. Morpheus reaches collagen layers up to 8mm deep — beyond what standard microneedling can touch. Pricier but transformative for the right candidate.
Realistic expectations
Microneedling improves scars; it doesn’t erase them. A 60% improvement in textural depth is a successful course. Patients expecting “perfectly smooth” results should be screened out at consultation — we’re honest about what’s achievable. For deeper scars, surgical revision may be necessary alongside microneedling.
What to do alongside in-office work
Daily sunscreen — SPF 50 every morning. Sun exposure on healing scar tissue causes pigment darkening that’s hard to reverse. SkinCeuticals CE Ferulic or Phloretin CF in the morning, retinoid at night (started 2 weeks before/after sessions), and consistency. Skipped sessions reset the clock.
Book your free consultation
Speak with a licensed Bar Beauty injector or laser tech. We’ll review your goals, walk through options, and give you a clear plan — zero pressure.
46 Fort York Blvd, Toronto · 416-923-1200 · Open 7 days
Written by the Bar Beauty Medical clinical team. We’re a medical aesthetics clinic at 46 Fort York Blvd, Toronto. All treatments are performed by licensed nurses, doctors, or laser technicians. Information here is general; for advice specific to your skin and goals, book a free consultation.