Nonsuicidal self-injury (NSSI) has emerged as a significant mental health concern over the past several years. Accordingly, it is imperative that mental health professionals be able to draw upon and use approaches that meet the needs of those who report NSSI enactment. Notwithstanding the utility inherent in published recommendations for NSSI assessment and intervention, the aspect of NSSI scarring and its potential impact on those who have self-injured seems to be largely overlooked. Indeed, there is emerging evidence that people's perceptions of their NSSI scars may thwart NSSI recovery. This commentary highlights what is currently known about NSSI scarring and its potential impact on individuals who have self-injured. From here, and based on the state of evidence in this nascent area, tentative albeit practical suggestions for assessment and intervention are presented.