Microdermabrasion is little more than what we used to call years ago "epidermabrasion," i.e. the kind of exfoliation of surface skin cells that might be obtained from the vigorous use of a Buf Puf, Loofah or even a stiff wash cloth. While I don't personally think it is worth the expense, it can impart a nice, healthy radiance to the skin and allow makeup to go on more smoothly and evenly. To your question, even if performed so vigorously that it begins to resemble a true dermabrasion, it is extremely unlikely to have much of an effect on scars. You would do well to save your money on a series of microdermabrasion treatments and instead consult with a board certified aesthetic physician with experience and expertise in all forms of scar treatments. Best of luck to you.