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Home > Centers of Excellence > Dermatology

Procedures

 

The Effect

Dermabrasion and dermaplaning are two clinical treatments that enable the “refinishing” of the skin’s top layers by using a method of controlled surgical scrapping.  Both the treatments soften the sharp edges of surface irregularities, giving the skin a smoother look.

Dermabrasion is most frequently employed to improve the look of facial skin left scarred by accidents or earlier surgery, or to smooth out fine facial wrinkles, such as those close to the mouth.  Occasionally, it also proves beneficial for the removal of pre-cancerous growths termed as keratoses.

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The Procedure

Your treatment may be carried out in a surgeon's office-based facility, an outpatient surgery center, or a hospital.  It is typically executed on an outpatient basis for cost containment and convenience.  Nonetheless, if extensive work is to be performed on you, you may be admitted to the hospital.  Dermabrasion and dermaplaning may possibly be carried out under local anesthesia.

The duration of time to carry out dermabrasion and dermaplaning can be rather brief.  By and large, the procedures take from a few minutes to an hour and a half, depending on how large an area of skin is engaged.  It is not rare for the procedure to be carried out on more than one occasion, or in stages, particularly when scarring is deep or a large area of skin is engaged.

In the dermabrasion process, the surgeon scrapes away the outermost layer of skin with a rough wire brush, or a burr containing diamond particles, connected to a motorized handle.  The scraping is continually done until the surgeon reaches the safest level that will make the scar or wrinkle less noticeable.

In the dermaplaning process, the surgeon makes use of a hand-held instrument called a dermatome.  Similar to an electric razor, the dermatome has an oscillating blade that moves back and forth to equally "skim" off the surface layers of skin that encircle the craters or other facial defects.  The skimming is continually done until the lowest point of the acne scar becomes more even with the adjoining skin.

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Best Candidates

Men and women of all age brackets, from young people to older adults, can profit from dermabrasion and dermaplaning.  While older people heal more gradually, further essential factors are your skin type, coloring and medical history.  For example, black skin, Asian skin and other dark complexions may turn out to be permanently discolored or blotchy after a skin-refinishing treatment.  People who acquire allergic rashes or other skin reactions, or who get recurrent fever blisters or cold sores, may experience a flare-up.  Freckles in the treated area may also disappear.

Additionally, a majority of surgeons would not perform treatment during the active stages of acne since the risk of infection is huge.  The same may be true if you have had radiation treatments, a bad skin burn, or a previous chemical peel.

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Treatments

It is particularly critical that you get hold of a doctor (generally a plastic surgeon or a dermatologist) who is qualified and knowledgeable in the procedure.  After all, dermabrasion and dermaplaning customarily entail the most obvious part of your body- your face.

In your preliminary consultation, be direct in discussing your expectations with your surgeon, and do not hesitate to inquire about any questions or articulate the concerns you may have.  Your surgeon ought to be open with you in the same manner, explaining the factors that might affect the procedure and the results such as your age, skin condition and earlier plastic surgeries.

What your surgeon will do is talk about your medical history, accomplish a routine examination and photograph your face.  The procedure will be discussed with you in detail, along with its risks and benefits, the recovery period and the costs.  Insurance usually does not cover cosmetic procedures; yet, it may cover dermabrasion or dermaplaning when executed to get rid of pre-cancerous skin growths or extensive scars.

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Side Effects

Dermabrasion and dermaplaning are typically safe when a trained, skilled board-certified physician does them.  The most frequent risk is a transformation in skin pigmentation.  Permanent darkening of the skin, generally caused by exposure to the sun in the days or months succeeding the surgery, may occur in a number of patients.  Alternatively, several patients observe the treated skin remains a little lighter or blotchy in appearance.

Tiny whiteheads may build up subsequent to surgery.  However, these often vanish on their own, or with the use of an abrasive pad or soap.  On some occasions, the surgeon might have to eliminate them.  Enlarged skin pores may develop as well.  More often than not, these minimize to near normal size as soon as the swelling has settled.

There is a likelihood of developing infection and scarring with skin-refinishing treatments, although they are extremely rare.  A number of individuals acquire extreme scar tissue (keloid or hypertrophic scars).  These are typically healed with the application or injection of steroid medications to soften the scar.

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Recovery Time

After having the procedure, your skin will be moderately red and swollen, and eating and talking may possibly be hard.  You will most likely feel some tingling, burning or aching.  Any pain you feel can be controlled with medications prescribed by your surgeon.  Expect the swelling will start to subside within a few days to a week.

Your new skin will be somewhat swollen, sensitive and bright pink for a number of weeks.  During this time, you can embark on steadily continuing your customary activities.

In roughly two weeks, you may almost certainly expect to be back at work.  Your surgeon will possibly recommend you to keep away from any activity that might instigate a bump to your face for at least two weeks.  More active sports, particularly ball sports, must be avoided for four to six weeks.  If you swim, stick to indoor pools to steer clear of the sun and wind, and keep your face out of chlorinated water for at least four weeks.  Expect at least three to four weeks before you can drink alcohol without experiencing a flush of redness.

Most of all, it is essential to guard your skin from the sun until the pigment has totally returned to your skin for as long as 6 to 12 months.

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Frequently Asked Questions

Q: What is dermabrasion?

A: While having the dermabrasion or surgical skin planning, the dermatologic surgeon freezes the patient's skin that is scarred from acne, chicken pox or other causes.  After that, the doctor mechanically eradicates or "sands" the skin to enhance the contour and attain an invigorated appearance as a new layer of remodeled skin restores the damaged skin.  The new skin commonly has a smoother and refreshed appearance.  In general, results are markedly significant and long-lasting.

Q: How does the treatment work?

A: Dermabrasion can be carried out in the dermatologic surgeon's office or in an outpatient surgical facility.  Medication to calm down the patient may be provided preceding the surgery.  The area is carefully cleansed with antiseptic cleansing agent.  The area to be "sanded" is treated with a spray that freezes the skin.  Every so often local tumescent anesthesia can be used.  A high-speed rotary instrument with an abrasive wheel or brush eliminates or abrades the upper layers of the skin and enriches irregularities in the skin surface.

Q: How should I care for my skin after getting this treatment?

A: The pinkness of your skin will take around three months to fade.  For the time being, you will most likely choose to wear non-allergenic makeup when you go out.  When your new skin is fully re-pigmented, the color ought to meticulously correspond to the surrounding skin, causing the procedure virtually invisible.

Q: What happens after the treatment?

A: For a number of days, the skin will feel as though it has been harshly "brush-burned".  Medications may be prescribed to lessen any uneasiness the patient may have.  Healing typically takes place within 7 to 10 days.

The newly formed skin, which is pink at first, progressively develops a normal appearance.  Most of the time, the pinkness has fundamentally lightened by 8 to 12 weeks.  Make-up can be applied as a cover-up once the crust is off.  In general, most people can continue their normal occupation in 7 to 10 days after dermabrasion.  Patients are advised to prevent excessive direct and indirect sunlight for 3 to 6 months after the procedure and to use a sunscreen on a regular basis when outdoors.

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