The scar in this scene is actually a real scar from an open heart surgery that Natasha Lyonne underwent in 2012.

That being said, Lyonne’s portrayal of a recovering heroin addict could not be more genuine. As a previous addict herself, she delivers a powerful performance of a lifestyle that she knows all too well.

Video here: Natasha talks about her role on OITNB and her struggle with addiction.