Our Treatment Methods
At Cascade, we deliver individualised, multi-method treatment plans. Each method has its own role in improving scar tissue, but when used together, they create a significantly enhanced response compared with any single approach alone.
Multi-trepanic Collagen Actuation (MCA)
Multi-trepanic Collagen Actuation (MCA), also known as inkless needling, has been gaining popularity over the last 5 years. It is still not well utilized by therapists in New Zealand, but is an extremely effective way of creating a controlled micro-trauma to the skin and scar tissue to re-ignite the body's own healing mechanisms to proliferate.
A very fine needling machine is used to create controlled microchannels in the skin, which stimulate the body’s natural healing response and encourage collagen remodelling. During this method, Advanced Medical-grade Serums are applied to support the skin’s response. We only use components that are naturally recognised by the body, without introducing anything foreign (i.e. no coloured pigments or artificial nasties).
Photobiomodulation (PBM)
Photobiomodulation is the use of specific wavelengths of red and near-infrared light to target cells within the skin and underlying tissue,. These wavelengths penetrate beneath the surface to stimulate cellular energy production, supporting collagen synthesis, improving circulation, and helping regulate inflammation. This creates an environment where tissue can repair more efficiently—supporting healthier healing, improved skin quality, and better scar outcomes.
Our medical-grade machines harness the healing benefits of red and near infrared light, to prepare the skin’s cells for action and support their response to our treatments. The scientific research in favour of PBM for accelerated wound healing is extensive, in particular demonstrating its ability to stimulate fibroblast activity, increase collagen production, modulate inflammation, and enhance cellular energy —supporting faster, more organised tissue repair and improved scar outcomes.
Negative Pressure Therapy
Negative Pressure Therapy, also known as Cupping, has been used for over 2,000 years, with origins in ancient Egyptian, Chinese, and Middle Eastern medicine. Traditionally applied to assist the body’s natural healing processes, negative pressure therapy works by gently lifting the skin and underlying tissue rather than compressing it.
In the context of scar care, this negative pressure can help improve tissue mobility, encourage fluid exchange, and reduce adhesions between layers that have become restricted during healing. The result is a more supple, responsive scar that moves more freely within the body — supporting both functional improvement and visible change over time.
This method is specifically used for complex, old or deep-set scars, to reduce stagnation of blood flow to the scar and nearby tissue.
Osteopathy & Myofascial TechniQues
To assist in the management of deep or complex scars
Holly brings over 15 years of clinical experience in Osteopathy, with advanced training in the assessment and treatment of joints, muscles, fascia, tendons, and ligaments. This foundation provides a highly specialised and considered approach to scar care — recognising not just the scar itself, but its relationship with the surrounding tissue systems. Her work focuses on how scar tissue integrates, adapts, and at times disrupts normal movement and function within the body.
Osteopathic and myofascial techniques are applied with precision and intent. While often gentle in application, they are designed to create meaningful change within the tissue. Treatment may involve subtle lifting, stretching, and guided movement of the skin and underlying connective layers, working to improve mobility, pliability, and overall tissue behaviour.
Each treatment is individually assessed and progressed over time, with close attention to how the scar responds. This allows for a structured, adaptive approach — specific to your presentation, rather than a one-size-fits-all method.
Please note: Osteopathic techniques are applied within the context of scar treatment only. Holly is a fully registered Osteopath and holds a current practising certificate with the Osteopathic Council of New Zealand.
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