Markham, Ontario · Physician-performed

Acne and Acne Scarring Treatment in Markham

Treat active acne and improve the appearance of acne scars with personalized therapies that reduce inflammation, stimulate collagen, and resurface the skin. Our customized treatment plans help restore smoother texture, clearer skin, and renewed confidence.

Price

from $350

Appointment

60 minutes

Performed by

Dr. Mazzuca, MD

Location

Markham, ON

Book a Consultation   Book Acne & Acne Scarring directly

Quick answer

Acne and acne scar treatment at Dr. Monique Mazzuca Aesthetics in Markham starts at $350 per session, with each 60-minute appointment performed personally by a licensed physician (MD, CCFP) at 200 Cachet Woods Court, Suite 309. Dr. Mazzuca first brings active breakouts under control, then improves scars with collagen-stimulating and resurfacing treatments such as microneedling, peels, Morpheus8, IPL or PRP, chosen for your scar type and skin tone. Active acne often improves over 6 to 12 weeks; scars usually need a series of treatments over several months, with gradual, partial improvement rather than erasure. Downtime ranges from none to several days depending on the treatment. New patients start with a $50 consultation.

Acne and acne scars: two different problems

Acne is an inflammatory condition of the hair follicles and oil glands. It is extremely common in teenagers, but many adults, particularly women in their twenties, thirties and forties, continue to have breakouts or develop acne for the first time. Acne scars are what can be left behind when deep or long-lasting inflammation damages the collagen in the skin. They are related, but they are treated differently, and treating scars while acne is still active tends to waste time and money, because new breakouts keep creating new damage.

That is why acne care at this clinic is a plan rather than a single procedure. Dr. Mazzuca assesses which problem you have, or how much of each, and then sequences treatment: calm the active acne first, then rebuild the skin. Her own description of the service is personalized therapies that reduce inflammation, stimulate collagen and resurface the skin.

How acne and scar treatment works

Active acne is driven by four overlapping factors: excess oil, pores that clog with dead skin cells, a bacterium that lives on the skin (C. acnes), and the body's inflammatory response. Hormones, genetics, some medications, and products that block pores can all play a part. Effective treatment targets several of these at once, which is why a combination approach usually works better than any single product.

Acne scars form when inflammation breaks down collagen in the deeper skin. Most acne scars are atrophic, meaning tissue is lost and the skin dips below the surface. Less often, the skin overproduces collagen and forms raised (hypertrophic or keloid) scars, which are more common on the jaw, chest and back. Scar treatments work by injuring the skin in a controlled way, mechanically, chemically, with heat or with light, to trigger the skin's natural repair process and lay down new collagen. Each method reaches a different depth, so the type of scar determines which tool fits.

Acne and scar treatment in Markham: what it treats

Concern	What it looks like	How it usually responds
Active acne	Blackheads, whiteheads, red bumps, pustules, deeper painful cysts	Medical skincare, in-clinic peels, and prescription treatment where appropriate
Red or brown post-acne marks	Flat pink, red or brown spots where breakouts healed	Not true scars; often fade with time, sun protection, peels or IPL
Rolling scars	Broad, soft dips that give the skin a wavy look	Respond well to collagen stimulation such as microneedling or Morpheus8
Boxcar scars	Round or oval depressions with sharper edges	Shallower ones improve with resurfacing; deeper ones may need several approaches
Ice-pick scars	Narrow, deep pits	The hardest to treat; often need targeted techniques in addition to resurfacing
Raised scars	Firm, raised scars, usually on the jaw, chest or back	Managed differently from depressed scars; Dr. Mazzuca will discuss options

Most people have a mix of scar types, and the texture of the skin around them matters too. Acne scarring affects people of every background, and in Markham many patients have medium to deeper skin tones, where post-inflammatory darkening is common and treatment choice needs extra care.

Building your treatment plan

After examining your skin, Dr. Mazzuca builds a plan that usually moves through three phases:

1. Control active acne. A simplified, evidence-based skincare routine, with in-clinic treatments such as a BioRePeel chemical peel to clear congestion and calm inflammation. Where appropriate, Dr. Mazzuca can discuss prescription options, which may include topical treatments or, for more stubborn or hormonal acne, oral medication. Some patients, for example those with severe or cystic acne, may be best served by coordinated care with their family doctor or a dermatologist.
2. Fade marks and even tone. Once breakouts are quiet, peels and, on suitable skin, Lumecca IPL can help with lingering redness and discolouration.
3. Rebuild scarred skin. A series of collagen-stimulating treatments chosen for your scar type and skin tone, such as SkinPen microneedling, Morpheus8 RF microneedling, and PRP applied to the skin to support healing. In selected cases, a carefully placed dermal filler can lift a broad, soft scar.

Scar treatment typically involves a series of sessions spaced four to six weeks apart, and the plan is adjusted as your skin responds. If your scars need a technique not offered at the clinic, Dr. Mazzuca will tell you.

How much acne and scar treatment costs in Markham

Acne and acne scar treatment with Dr. Mazzuca starts at from $350 per session, booked as a 60-minute appointment. Because most scar plans involve a series, it helps to think in terms of a course: as an illustration only, three sessions at the starting price would be from $1,050. Your actual plan, including which treatments are used and how many sessions are recommended, is confirmed with you before treatment begins.

New patients begin with the $50 Comprehensive Aesthetic Consultation, or a $20 virtual consultation if you are outside the area. Cosmetic treatment of acne scars is not covered by OHIP. Prescription medications for active acne may be partly covered by provincial or private drug plans, depending on your coverage.

Who it is for, and who should wait

This service suits adults with ongoing breakouts that have not settled with over-the-counter products, people whose acne has calmed but left marks or scars, and anyone who wants a physician to work out what is driving their skin before spending money on treatments. It is suitable for a wide range of skin tones, provided the treatments are chosen and set with pigment risk in mind.

Dr. Mazzuca will review your history, and some treatments may be postponed or changed if you:

• are pregnant, planning pregnancy or breastfeeding, since several acne medications and some in-clinic treatments are avoided at these times;
• have taken isotretinoin (Accutane) recently, usually within the past six months, before resurfacing or microneedling;
• have an active cold sore, skin infection, open wound or eczema flare in the area;
• have a history of keloid or raised scarring;
• have a bleeding disorder, take blood thinners, or have a condition that affects healing;
• have a recent sunburn or tan, which raises the risk of pigment change after many treatments.

Active, inflamed acne is itself a reason to delay microneedling-based scar treatments, because needles can spread bacteria. Treating the acne first is part of the plan, not a delay.

What the appointment is like

1. Assessment. Dr. Mazzuca reviews your acne history, past treatments, medications, menstrual and hormonal history where relevant, and your skincare, then examines your skin in good light to classify scar types.
2. Plan. She explains what each concern is, which treatments are likely to help, how many sessions to expect, and realistic outcomes.
3. Preparation. The skin is cleansed. For microneedling or Morpheus8, a topical numbing cream is applied for 20 to 30 minutes first. Peels usually need no numbing.
4. Treatment. The chosen treatment is performed by Dr. Mazzuca personally. Sensations vary from warmth and tingling with a peel to a vibrating, scratchy feeling with microneedling.
5. Aftercare. A calming product and sunscreen are applied, and you receive written instructions specific to the treatment you had.

Results: when you see them and how long they last

Active acne typically starts to improve within four to eight weeks of a consistent routine and treatment, with fuller improvement often taking around three months. Some topical treatments can cause a short period of dryness or purging at the start.

Scar improvement is slower. New collagen forms over weeks to months, so changes are usually visible from four to six weeks after a treatment and continue to build for several months after the final session. Most patients see a gradual, meaningful softening of texture and depth rather than complete removal. Results vary considerably with scar type, skin type and the number of treatments.

Collagen that has been rebuilt in a scar tends to be long-lasting, but the skin continues to age, and new acne can create new scars. Keeping acne controlled and protecting the skin from the sun are what protect your investment. Some patients choose occasional maintenance treatments.

Downtime, side effects and risks

Downtime depends on the treatment. A peel usually means mild redness and possible light flaking for a few days. SkinPen microneedling typically causes one to three days of sunburn-like redness. Morpheus8 can mean several days of redness, swelling and small grid marks. IPL can make brown spots darken and flake for about a week.

Common, temporary effects across these treatments include redness, swelling, dryness, tenderness and a short-lived breakout. Less common risks include bruising, cold-sore reactivation in people who are prone, infection, and post-inflammatory hyperpigmentation, which is more likely in deeper skin tones and with sun exposure during healing. Rarely, treatments that use heat or acids can cause burns, lighter patches or new scarring. Prescription acne medications have their own side effects, which Dr. Mazzuca reviews with you before prescribing.

Choosing the right treatment and settings for your skin tone is the most important way to reduce these risks, and it is one of the main reasons scar treatment is best planned by a physician.

Aftercare and home care

• First 24 hours: gentle cleanser, moisturizer and sunscreen only. No makeup after microneedling-based treatments, and no exercise, saunas or swimming.
• First few days: avoid retinoids, exfoliating acids, scrubs, waxing and threading until Dr. Mazzuca advises.
• Hands off: do not pick, squeeze or peel. Picking at spots and flaking skin is one of the most common causes of marks and scars.
• Sun protection: broad-spectrum SPF 30 or higher every day, reapplied outdoors. This protects against post-inflammatory darkening.
• Between sessions: stay consistent with the home routine Dr. Mazzuca sets, choose non-comedogenic products, and wash pillowcases and phone screens regularly.
• Contact the clinic about blistering, increasing pain, spreading redness or any sign of infection.

Comparing acne scar treatments

	BioRePeel	SkinPen	Morpheus8	Lumecca IPL
Main role	Active acne, congestion, marks, tone	Rolling and shallow boxcar scars, texture	Deeper scars, texture, some tightening	Red marks, redness, brown spots
How it works	Chemical exfoliation and stimulation	Mechanical micro-channels	Microneedling plus radiofrequency heat	Light energy
Typical downtime	Minimal	1 to 3 days	Several days	About a week of flaking spots
Deeper skin tones	Good with care	Excellent	Good with adjusted settings	Caution; not for tanned or deeper skin in many cases

Many patients do best with a combination, for example peels to control breakouts, then a series of microneedling with PRP for scars. Dr. Mazzuca also uses Forma and other tools in broader skin plans, and will explain why she recommends one approach over another for your skin.

Why patients choose a physician

At this clinic the person assessing you and the person treating you are the same person, and that person is a licensed physician. Dr. Mazzuca is an MD with CCFP certification in family medicine and additional training in cosmetic medicine, facial anatomy, women's health, and longevity medicine. Treatment is not delegated.

Her stated approach is to emphasise "subtle, elegant results that refresh rather than transform, using the least invasive treatments necessary to achieve safe, natural, and lasting outcomes."

Acne is a medical condition as well as a cosmetic concern. A physician can distinguish acne from look-alike conditions such as rosacea or folliculitis, consider hormonal and medication causes, prescribe where appropriate, and plan scar treatment around your skin tone to limit the risk of pigment change. If you need care from a dermatologist, Dr. Mazzuca will say so.

Booking, pricing and what happens next

Step	What it involves	Cost
1. Consultation	Facial and skin assessment, discussion of goals, customized plan	$50 (30 min)
2. Virtual option	Video consult if you are outside the Markham area	$20 (15 min)
3. Acne & Acne Scarring	Treatment performed by Dr. Mazzuca	from $350 (60 minutes)

All appointments are booked online through the clinic's booking system, where current availability and pricing are shown before you confirm.

Serving Markham and the Greater Toronto Area

The clinic is located at 200 Cachet Woods Court, Suite 309 in the Cachet Woods area of Markham, near Woodbine Avenue and Major Mackenzie Drive, with parking on site. Patients travel from Unionville, Richmond Hill, Vaughan, Aurora, Stouffville, Thornhill, North York, Scarborough and the wider GTA. If you are outside the area, a virtual consultation is available before you commit to an in-person visit.

Frequently asked questions

Sources and further reading

• American Academy of Dermatology: patient information on acne and acne scar treatment
• Canadian Dermatology Association: public information on acne and skin health
• College of Physicians and Surgeons of Ontario, public register, for verification of Dr. Mazzuca's registration.

Every treatment on this page is booked through Dr. Mazzuca's secure online system. New patients begin with a consultation; returning patients can book the treatment directly.

Written and medically reviewed by Dr. Monique Mazzuca, MD, CCFP. Last reviewed 2026-08-07.

This page is general information, not medical advice, and it is not a substitute for an in-person assessment. Results vary between patients, and every treatment carries risks that are reviewed with you before you consent. Suitability is determined by Dr. Mazzuca at your consultation.

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