Self harm scars are a deeply personal and often painful reminder of a difficult past. For many individuals who have experienced self-harm, these scars remain long after the emotional wounds begin to heal. Whether they are fresh or years old, self harm scars can affect one’s confidence, relationships, and mental well-being.
In this comprehensive guide, we’ll explore everything you need to know about self harm scars—from understanding why they form to how they can be treated or concealed. You’ll also find valuable insights into the emotional aspects of living with scars and how to embrace healing both physically and mentally. Whether you’re on your own recovery journey or supporting someone else, this article is written with empathy, education, and support at its core.
What You’ll Learn:
- What causes self harm scars and how they form
- The difference between new and old scars
- Proven medical and natural treatments to fade scars
- Makeup, clothing, and tattoo options for covering them
- How to cope with the emotional effects of self harm scars
- Where to find support, therapy, and encouragement
According to research published in The Lancet Psychiatry, approximately 17% of adolescents and 5% of adults engage in non-suicidal self-injury (NSSI) at some point. Many of them are left with permanent or long-lasting scars that can carry stigma or trigger emotional distress. By understanding self harm scars better, we open a door to compassion, care, and ultimately—healing.
“Scars show us where we’ve been, they do not dictate where we are going.” — Anonymous
Now, let’s dive deeper into what self harm scars are and why they form.
What Are Self Harm Scars?
Self harm scars are the visible marks left on the skin after episodes of self-inflicted injury—most commonly through cutting, burning, scratching, or other forms of non-suicidal self-injury (NSSI). These scars are more than just physical reminders; they often carry deep emotional meaning tied to past trauma, pain, or mental health struggles.
Why Do Self Harm Scars Form?
When the skin is wounded, the body immediately initiates a healing process. The depth, size, and location of the injury determine whether a self harm wound heals cleanly or leaves a scar. In the case of self-harm, repeated damage to the same areas, lack of proper wound care, or infections can increase the chances of noticeable scarring.
Here’s how the healing process works:
| Healing Phase | Description |
|---|---|
| Hemostasis | Blood clotting occurs to stop bleeding. |
| Inflammation | White blood cells clean the wound and protect from infection. |
| Proliferation | New tissue and blood vessels form; collagen is produced. |
| Remodeling | Collagen is reorganized, and the wound contracts; this stage forms a scar. |
The result is a self harm scar, which may appear flat, raised, sunken, darkened, or lighter than your natural skin tone.
Types of Self Harm Scars
There are several kinds of scars, and the type that forms depends on factors like the method of self-harm, depth of injury, and skin type:
- Flat scars: These are the most common and may fade over time but rarely disappear completely.
- Hypertrophic scars: Thick, raised scars caused by excessive collagen during healing.
- Keloid scars: More severe raised scars that extend beyond the original wound, often more common in people with darker skin.
- Atrophic scars: Sunken or pitted scars (though less common in self-harm cases, they may occur after infection).
- Discolored scars: May be red, pink, brown, or white depending on pigmentation and healing.
Fresh vs. Old Self Harm Scars
Fresh self harm scars tend to be red or pink and may still be healing. They’re often more responsive to treatment, especially within the first 6–12 months. Older scars (over a year old) are typically white or faded, harder to treat, and may require more intensive therapies such as laser treatment or microneedling.
Understanding the biology and types of self harm scars is the first step toward choosing the right treatment, concealment method, or emotional healing path. In the next section, we’ll explore medical and natural treatment options to help fade or reduce the appearance of these scars.
How to Treat Self Harm Scars (Medically and Naturally)
Treating self harm scars can be a deeply personal journey. Some people seek to fade or remove their scars for emotional healing, aesthetic reasons, or to feel more confident in public. Others may choose to keep them as part of their story and growth. Regardless of the goal, it’s important to understand the available options and how they work.
Effective treatment depends on several factors:
- Age and depth of the scar
- Skin type and tone
- Whether the scar is raised, flat, or discolored
- Consistency and duration of treatment
Let’s explore both medical procedures and natural remedies for treating self harm scars.
Medical Treatments for Self Harm Scars
Medical treatments are often the most effective for reducing prominent or old self harm scars. These options should be discussed with a dermatologist, especially for those with sensitive or darker skin tones where hyperpigmentation or hypopigmentation is a risk.
Laser Therapy
Laser resurfacing uses focused light to target scar tissue, encouraging collagen growth and improving texture.
- Fractional laser (e.g., Fraxel) is effective for deeper scars
- CO2 laser removes outer skin layers for severe cases
- Multiple sessions may be required
- Average cost: $200–$2,000 per session
Microneedling
Microneedling involves tiny needles that create micro-injuries to stimulate collagen and improve skin texture.
- Minimally invasive
- Can be combined with serums (like hyaluronic acid or PRP)
- Helps with flat and slightly raised scars
- Recovery is fast; redness fades in a few days
Chemical Peels
A chemical solution exfoliates the skin and promotes regeneration.
- Glycolic acid, salicylic acid, or TCA (trichloroacetic acid)
- Best for discoloration and superficial scarring
- Not ideal for very deep or raised scars
Steroid Injections
These are injected into raised or keloid scars to soften and flatten them.
- Effective for hypertrophic/keloid scars
- Usually administered monthly
- May take several months for visible results
Silicone Gel Sheets & Ointments
These form a protective layer that hydrates and flattens scars over time.
- Used for both fresh and old scars
- Non-invasive and widely available
- Must be worn consistently (12–24 hours/day) for weeks/months
Prescription Creams
Topical creams prescribed by dermatologists may include:
- Tretinoin (Retin-A): boosts cell turnover and fades pigmentation
- Hydroquinone: for dark scars (should be used cautiously)
- Corticosteroid creams: reduce inflammation and thickness
Natural Remedies for Self Harm Scars
For those preferring a non-medical approach or looking to supplement professional treatment, natural remedies may offer gradual improvements—especially for newer scars.
Popular Natural Options
- Vitamin E Oil – Known for its antioxidant properties, though results vary
- Aloe Vera Gel – Soothes inflammation and moisturizes skin
- Coconut Oil – Helps reduce redness and improve texture
- Rosehip Oil – Contains fatty acids and vitamin A to promote healing
- Honey – A natural humectant that aids tissue regeneration
Massage Therapy
Gently massaging scars for a few minutes daily improves circulation, breaks down collagen bundles, and can soften raised scars over time.
Sun Protection Is Essential
Scars exposed to UV rays may darken and become more noticeable. Apply SPF 30+ daily on exposed scars—even on cloudy days.
Can Self Harm Scars Be Completely Removed?
This is one of the most common questions people ask—and the honest answer is: not always.
While self harm scars can be significantly faded, especially with consistent treatment, complete removal is rare. Scars are the body’s natural result of wound healing, and even the best treatments may only restore the skin partially to its original state.
Factors That Affect Results:
- Scar age: newer scars respond better
- Skin tone: some treatments may cause pigmentation issues
- Location: areas like the forearm heal slower
- Lifestyle: smoking, poor diet, and sun exposure can impair healing
Important Note: Always consult a licensed dermatologist before starting treatments—especially if you have a history of sensitive skin, eczema, or darker pigmentation.
Covering and Concealing Self Harm Scars
While some individuals choose to treat or accept their self harm scars, others may wish to temporarily conceal them for personal, professional, or emotional reasons. Whether you’re preparing for a job interview, a social event, or just want to feel more comfortable in your own skin, there are several effective ways to hide scars in a safe and empowering manner.
This section covers makeup techniques, clothing hacks, and tattooing over self harm scars—providing options for both short-term and long-term concealment.
Best Makeup for Covering Self Harm Scars
Camouflaging scars with makeup can offer an instant confidence boost and is a flexible, non-permanent solution. The goal is to neutralize discoloration, even out the skin tone, and blend the area seamlessly with the rest of your skin.
Step-by-Step Guide for Covering Scars with Makeup
- Clean and Moisturize the Area
Hydrated skin holds makeup better and reduces texture visibility. - Apply a Primer
Use a silicone-based primer to smooth over any uneven skin. - Color Correct (Optional)
- Use green corrector for red or inflamed scars
- Use peach or orange for purple or bluish scars on light skin
- Use deep orange or brick for darker skin tones
- Apply Full-Coverage Concealer
Dab (don’t rub) a high-coverage concealer like Dermablend, Kat Von D Lock-It, or Tarte Shape Tape. - Use Foundation for Blending
Apply foundation over the concealed area to match the rest of your skin tone. - Set with Powder or Setting Spray
To make the coverage last all day and prevent transfer.
Pro Tip: Waterproof and sweat-proof formulas are best for long wear or hot climates.
Clothing and Accessories to Cover Self Harm Scars
If makeup isn’t your preference, strategic wardrobe choices can also help conceal self harm scars—especially on arms, thighs, or ankles.
Clothing Tips:
- Long sleeves in breathable fabrics (cotton, bamboo) are ideal for warmer seasons.
- Compression sleeves or UV protection sleeves are great for exercise or sun protection.
- Scarves, watches, and bangles can discreetly cover wrist scars.
- For thigh scars, longer skirts, tights, or layered shorts offer coverage without discomfort.
Important Consideration:
While clothing is a simple solution, make sure it doesn’t become a crutch that prevents you from feeling free or confident in your body. Concealing should be your choice—not something forced by shame or societal pressure.
Using Tattoos to Cover Self Harm Scars
Tattoos can be a meaningful and permanent way to reclaim your skin, celebrate recovery, and transform scars into art. Many people choose tattoo designs that represent healing, survival, or new beginnings.
Can You Tattoo Over Self Harm Scars?
Yes—but only under the right conditions:
| Consideration | Details |
|---|---|
| Scar Maturity | Scars must be fully healed (at least 12–18 months old). |
| Texture | Raised or keloid scars may distort tattoo ink. Flat scars are ideal. |
| Pain Sensitivity | Scar tissue can be more sensitive than regular skin. |
| Tattoo Artist Expertise | Choose someone experienced with scar cover-ups and gentle techniques. |
“Covering my scars with a lotus flower helped me move on and love my skin again.” — Tattoo recipient, survivor
Meaningful Tattoo Ideas for Self Harm Scars:
- Butterflies (transformation)
- Semicolon (mental health awareness)
- Lotus flower (resilience and rebirth)
- Inspirational quotes or affirmations
- Custom designs with symbolic meaning
Whether temporary or permanent, concealing self harm scars can be a personal act of empowerment. The next section will explore the emotional impact of self harm scars—and how to manage stigma, shame, and healing from the inside out.
Shall I proceed with: “Emotional Impact of Self Harm Scars”?
Emotional Impact of Self Harm Scars
Self harm scars aren’t just physical. They often carry emotional weight—serving as constant reminders of pain, trauma, or a mental health battle. For many, the presence of these scars can lead to feelings of shame, guilt, anxiety, or low self-worth, especially in social situations where the scars might be visible.
Understanding the emotional effects of these scars is just as important as treating them physically. Healing involves both the mind and body, and addressing the emotional layer can be a vital part of recovery.
How Self Harm Scars Affect Mental Health and Self-Esteem
Living with self harm scars can be mentally exhausting. You may feel the need to constantly hide parts of your body, fear judgment from others, or even avoid social settings entirely. These emotional burdens can impact:
- Self-confidence: Feeling unattractive or “damaged”
- Social anxiety: Worrying about people seeing your scars
- Work or school: Fearing discrimination or misunderstandings
- Relationships: Hesitating to open up or be intimate
“I hated summer. I hated short sleeves. I hated always feeling like I had something to hide. It was like I was hiding a part of my story—and my truth.” — Anonymous
These feelings are valid, and you’re not alone. Countless people are learning how to live with their self harm scars while embracing recovery, and so can you.
Talking to Others About Your Self Harm Scars
Whether you’re opening up to a friend, a partner, or a professional, talking about your self harm scars can be intimidating—but it can also be liberating.
Tips for Opening Up:
- Choose the right time and place – Private, calm settings work best.
- Decide what you want to share – You don’t owe anyone your full story.
- Practice beforehand – Writing it down or rehearsing can help.
- Set boundaries – It’s okay to say: “I’m not ready to talk about that part yet.”
- Be honest – Even a simple explanation like “They’re from a hard time in my life” is enough.
How People May React:
- Some may be surprised, emotional, or unsure of what to say.
- Others may respond with compassion and support.
- Remember: their reaction is not a reflection of your worth.
Body Image and Healing After Self Harm
Developing a healthy body image after self-harm takes time. Learning to accept your scars as part of your past—not your identity—is an important shift.
How to Build Body Confidence with Scars:
- Practice mirror work: Spend time appreciating your body without judgment.
- Follow body-positive creators: Normalize real skin and scar visibility.
- Wear what you love: Don’t let scars dictate your wardrobe.
- Affirmations: Say or write affirmations like:
- “My scars are proof of my strength.”
- “I survived, and I am healing.”
- “I am more than my scars.”
“Healing doesn’t mean the damage never existed. It means the damage no longer controls our lives.” — Akshay Dubey
Embracing your self harm scars emotionally is not about forgetting the past. It’s about owning your healing, choosing compassion over shame, and realizing that every scar tells a story of survival
Preventing New Self Harm Scars
If you or someone you love is currently struggling with self-injury, it’s important to focus on prevention—not only to avoid new self harm scars, but also to support deeper healing and mental well-being. While this section doesn’t replace professional care, it offers practical, compassionate guidance for finding healthier coping mechanisms and reducing the risk of further harm.
Finding Healthy Coping Mechanisms
Many people use self-harm as a way to release emotional pain, numb feelings, or regain control. The urge doesn’t come from weakness—it often stems from untreated trauma, anxiety, depression, or overwhelming stress.
Replacing the habit of self-harming with alternative coping strategies takes time, but with consistency, it’s possible to retrain your brain’s response to emotional distress.
Healthier Coping Alternatives:
| Emotion Triggered | Try This Instead |
|---|---|
| Anger / Frustration | Scream into a pillow, punch a cushion, intense cardio |
| Numbness / Disconnection | Hold ice cubes, snap a rubber band on wrist (gently) |
| Anxiety / Overthinking | Deep breathing, coloring, yoga, grounding techniques |
| Depression / Emptiness | Journal your thoughts, cuddle a pet, call a friend |
| Urge to Harm | Draw on your skin with red marker (visual substitute) |
Apps That Can Help:
- Calm Harm – Designed specifically to help resist self-harm urges
- Rootd – Anxiety and panic attack support
- Daylio – Mood tracking with journaling
- MyPossibleSelf – Guided mental health modules
“When I learned to pause, breathe, and do something different—even for 5 minutes—it gave me just enough space to not hurt myself. That’s how I began to heal.” — Survivor testimony
When to Seek Professional Help
No matter how strong or resourceful you are, self-injury is a sign of deeper emotional pain—and you don’t have to face it alone. Working with a mental health professional can help you understand the root causes and build long-term emotional regulation tools.
Effective Therapy Options:
- Dialectical Behavior Therapy (DBT)
Especially designed for people with self-harm behaviors. It teaches mindfulness, emotional regulation, and distress tolerance. - Cognitive Behavioral Therapy (CBT)
Helps identify and challenge harmful thoughts that lead to self-injury. - Trauma-Informed Therapy
For those with PTSD, childhood abuse, or unresolved trauma.
How to Find Help:
- Ask your general doctor for a referral
- Use therapist directories like Psychology Today or BetterHelp
- Reach out to local helplines or mental health NGOs (see support section below)
Important: You are not a burden for asking for help. Getting support is a courageous, life-saving decision.
Preventing new self harm scars starts with small choices—choosing to delay the urge, express the pain differently, or reach out. Even when it feels hard, every act of self-kindness builds strength over time.
FAQs About Self Harm Scars
Are self harm scars permanent?
In many cases, yes, self harm scars can be permanent. While some fade significantly over time, especially with treatment, most scars don’t disappear completely. Fresh scars (within 6–12 months) often respond better to treatments like silicone sheets, laser therapy, or prescription creams. However, older scars tend to be more resistant and may remain visible in some form for life.
Consistent scar care, sun protection, and hydration can all improve healing outcomes.
Can I get surgery for self harm scars?
Yes, surgical options exist for treating deep or severe self harm scars, particularly hypertrophic or keloid types. These include:
- Scar revision surgery: A surgeon cuts out the scar and closes the skin more neatly.
- Skin grafting: Rarely used for self harm scars, but an option for extensive scarring.
- Punch excision: Effective for deep or pitted scars.
However, surgery may not fully erase the scars and sometimes leads to new scars forming. Always weigh the emotional and physical risks with a licensed professional.
How long do self harm scars take to fade?
Healing timelines vary. Here’s a general estimate:
| Scar Type | Expected Fading Timeline |
|---|---|
| Minor superficial | 3–6 months with proper care |
| Deeper flat scars | 6–18 months; may never fade completely |
| Raised/keloid scars | May take years or require medical intervention |
Consistency is key. Use treatments like silicone gel, vitamin E, SPF, or microneedling regularly for better outcomes.
Can I donate blood if I have self harm scars?
Yes, you can. Self harm scars do not disqualify you from donating blood unless:
- You’ve engaged in self-harm very recently (within the last few months)
- Your wounds are open, infected, or still healing
- There’s concern about underlying medical conditions or medications
If in doubt, contact your local blood donation center. They’re trained to handle such concerns with sensitivity and confidentiality.
Will doctors or nurses judge me for having self harm scars?
In professional medical settings, healthcare providers are trained to be nonjudgmental and compassionate. Their goal is to help you, not to shame or criticize. That said, not all experiences are perfect, so if you ever feel disrespected, you have the right to request another provider or file a formal concern.
“When I finally told my doctor about my scars, she thanked me for trusting her. It felt like a turning point in my healing.” — Patient testimonial
Is it okay to feel ashamed of my self harm scars?
Yes, and no. It’s completely normal to feel ashamed, especially when society often stigmatizes visible signs of mental health struggles. But remember: shame is not a reflection of your value—it’s a feeling, not a fact.
Healing involves moving from shame to self-acceptance. Every scar on your body tells a story of survival, of fighting through pain, and of choosing life. You’re allowed to be proud of that.
Real Stories and Encouragement
In a world that often hides emotional struggles behind filters and perfection, self harm scars can feel like an exposed secret. But the truth is, many people—across all ages, backgrounds, and walks of life—live with these scars. And more importantly, many have found peace, purpose, and power in their healing.
This section shares real voices, affirming quotes, and powerful reminders that you are not alone—and your scars do not define you.
Stories of Healing and Self-Acceptance
Emma, 26 – From Shame to Advocacy
“For years I wore long sleeves, even in the summer. I was terrified someone would ask questions. But therapy helped me see my scars not as a source of shame—but as a symbol of everything I overcame. I now volunteer for a mental health nonprofit, and I proudly show my scars when I speak. They’re part of my truth.”
Rafi, 19 – Tattoos Over Trauma
“I used to hate looking at my arms. It reminded me of how alone I felt in high school. Last year, I got a tattoo of a phoenix rising from the ashes to cover some of my scars. It reminds me daily that I can start over—every single day if I have to.”
Lena, 33 – Living Proudly with Visible Scars
“I don’t hide my scars anymore. I stopped needing the world to ‘understand’ and started focusing on how I feel. My scars are part of me, just like freckles or stretch marks. If someone has a problem with them, they’re not my people.”
Quotes to Inspire and Empower
“You are not your scars. You are the light that survived the darkness.”
— Unknown
“Scars tell the story of where you’ve been. They don’t have to determine where you’re going.”
— Nakeia Homer
“Healing doesn’t mean the damage never existed. It means it no longer controls you.”
— Akshay Dubey
Journaling Prompts for Self-Compassion
Sometimes, writing things down helps us process what words can’t say out loud. Try these prompts to build a better relationship with your body and your story:
- What would I say to my scars if they could hear me?
- What is one thing I’ve done recently that shows I’m growing?
- How can I show kindness to myself today?
- Who do I want to become, beyond my past?
Healing is not linear. Some days you’ll feel strong and open, other days vulnerable or triggered. That’s okay. What matters is that you keep choosing life, even when it’s hard. You deserve peace, joy, love—and healing, no matter what your past holds.
Self Harm Scar Resources and Support
Whether you’re in active recovery or still struggling with urges, you are not alone. Thousands of people live with self harm scars and the emotional weight that comes with them. Reaching out for support is not a sign of weakness—it’s an act of immense strength and courage.
This section offers a collection of professional resources, hotlines, support communities, and apps that can guide you on your path to healing.
Helplines and Crisis Support (By Region)
International
- Lifeline International: https://www.lifelineinternational.org
- Befrienders Worldwide: https://www.befrienders.org
Offers emotional support globally, in many languages.
🇺🇸 United States
- 988 Suicide & Crisis Lifeline: Dial 988 or visit 988lifeline.org
- Crisis Text Line: Text HOME to 741741
🇬🇧 United Kingdom
- Samaritans: Call 116 123 or visit samaritans.org
- YoungMinds Crisis Messenger: Text YM to 85258
🇨🇦 Canada
- Talk Suicide Canada: 1-833-456-4566
- Kids Help Phone: Text CONNECT to 686868
🇦🇺 Australia
- Lifeline Australia: 13 11 14
- Beyond Blue: 1300 22 4636
🇵🇰 Pakistan
- Umang Mental Health Helpline: 0311-7786264
- Rozan Counselling Helpline: 0304-111-1741
If you’re ever unsure, Google “mental health helpline + [your country]” for localized support.
Online Support Groups and Forums
Support communities offer a safe space to talk openly, share your journey, and receive encouragement from others who truly understand.
Trusted Online Communities:
- The Mighty – themighty.com: Stories and support for those with mental health struggles.
- 7 Cups – 7cups.com: Free chat with trained volunteer listeners.
- Reddit: r/selfharm & r/DecidingToBeBetter – Anonymous peer support (be cautious of triggers).
- Mental Health America Forums – mhanational.org
Therapy & Professional Help Platforms
Not everyone can access traditional therapy in-person, so here are some affordable, remote options for mental health support:
| Platform | What It Offers |
|---|---|
| BetterHelp | Licensed therapy online (paid) |
| Talkspace | Text, audio, video therapy sessions |
| TherapyRoute | Global therapist directory by country |
| Open Path Collective | Affordable therapy for low-income individuals (US-based) |
Self Help & Coping Apps
Smartphones can be powerful tools in your mental health toolkit.
| App | Features |
|---|---|
| Calm Harm | Distraction and coping tools for self-harm urges |
| MoodMission | Suggests coping strategies based on your mood |
| Insight Timer | Free guided meditations and mental health talks |
| MyPossibleSelf | Tracks emotions, offers CBT-based self-help modules |
| Daylio | Mood and habit tracker with journaling |
It’s okay if you don’t feel better overnight. Support is here for the long journey.
Healing isn’t something you have to do alone. Whether you use a hotline during a tough night or join a support group to feel less isolated, taking action is a form of healing in itself.
Final FAQ Recap – Quick Answers About Self Harm Scars
| Question | Answer |
|---|---|
| Are self harm scars permanent? | Often yes, but treatments can reduce their appearance over time. |
| What’s the best way to fade old self harm scars? | Laser therapy, microneedling, silicone gel sheets, and consistent care. |
| Can I donate blood if I have self harm scars? | Yes, unless the wounds are recent or still healing. |
| Can I tattoo over self harm scars? | Yes, if the scars are fully healed (usually 12+ months old). |
| Will doctors judge me for my scars? | No. Most are trained to respond with empathy and professionalism. |
| How can I cope emotionally with self harm scars? | Therapy, support groups, journaling, and self-compassion practices. |
| What if I’m still struggling with self-harm? | Reach out. Professional help and crisis lines are available 24/7. |
Conclusion – Your Scars Do Not Define You
Self harm scars are real, visible reminders of pain, survival, and resilience. But they do not define your worth, your future, or your ability to heal.
You are not broken.
You are not alone.
And you are absolutely capable of healing.
Whether your goal is to fade your scars, cover them, embrace them, or understand them—you’ve taken an important step just by reading this guide. It shows that you’re ready to grow beyond the pain, toward something stronger.
“Scars are not imperfections—they are symbols of endurance. Every mark is a moment you chose to keep going.”
Please remember: help is always available. People care. Healing is messy and non-linear, but it is always possible. One breath, one choice, one day at a time—you are moving forward.
💚 If You’re in Crisis:
Reach out to a trusted friend, family member, therapist, or crisis helpline.
You don’t have to fight this battle on your own.