Dermabrasion

What is Dermabrasion?

Dermabrasion involves controlled surgical scraping to refinish the skin's top layers. The treatments soothe the sharp edges of surface irregularities, providing the skin with a smoother appearance.

Dermabrasion is often utilised to enhance the appearance of facial skin left damaged by accidents or prior surgery or smooth out fine facial wrinkles. It's also sometimes utilised to take out the precancerous growths known as keratoses. Dermaplaning is also prominently utilised to treat deep acne scars.

Dermabrasion can be performed on small portions of skin or on the entire face. This method can be utilized alone/in conjunction with other procedures like facelift, scar removal/revision, or chemical peel.

Common uses

Dermabrasion can be utilised to treat scars caused by acne or other injuries, fine wrinkles, skin damaged by effects of sun, rhinophyma and precancerous skin patches.

How to prepare?

As these treatments have sometimes been offered by inadequately trained practitioners, it's especially significant that a person finds a doctor (usually a plastic surgeon/a dermatologist) who is trained as well as experienced in the procedure. After all, Dermabrasion usually involves the most visible part of your body-your face.

In a person’s initial consultation, they should be open to discussing their expectations with his/her surgeon, and they should not hesitate to ask any questions/express any concerns they may have. A surgeon should be equally open with the patient, explaining the factors that could affect the procedure and the results-like patient's age, skin condition and previous plastic surgeries.

The surgeon will discuss a person’s medical history, conduct a routine examination, and photograph his/he face. Medical professionals should explain the procedure in detail, along with its risks and perks, the recovery period and the expenditure. Insurance typically doesn't cover cosmetic procedures; however, it may cover Dermabrasion when conducted to excise precancerous skin growths or extensive scars. 

Surgeons will give individual specific instructions on how to prepare for surgery, comprising guidelines on eating as well as drinking, and on avoiding aspirin and other medicines that impact blood clotting. A person may also be given special instructions regarding the care and treatment of his/her skin prior to surgery. If a patient smokes, he/she will probably be asked to stop for a week or two before and post-surgery, since smoking decreases blood circulation in the skin and impedes healing.

While preparing, patient should be arranged for someone to drive them home post-surgery, and to help afterward if needed.

Procedure of Dermabrasion

Dermabrasion can be performed relatively quickly. The procedure usually takes anywhere from a few minutes to an hour and a half, depending on the size of the area of skin involved. It's not uncommon for the procedure to be conducted more than once or in stages, especially when scarring is deep, or a large portion of skin is involved.

In the process of Dermabrasion, the surgeon exfoliates the outermost layer of skin with a coarse wire brush, or a burr consisting of diamond particles adhered to a motorized handle. The scraping process goes on until the surgeon reaches the level of safety that will make the scar/wrinkle less evident.

In dermaplaning, the surgeon employs a hand-held instrument termed dermatome. Looking like an electric razor, the dermatome has an oscillating blade which travels back and forth to evenly "skim" off the skin's surface layers that surround the craters or other defects of face. This skimming goes on until the lowest point of the acne scar becomes more even with the surrounding skin.

The surgeon may then treat the skin in an array of ways, comprising ointment, a wet/waxy dressing, dry treatment or a few combination of these.

Results

Refinishing treatments can offer dramatic enhancements in the surface of a person’s skin, but it will take some time before a person sees the results.

The pinkness of a person’s skin will take about three months to fade. In the meantime, people will probably want to wear nonallergenic makeup when they go out. When a person’s new skin is completely repigmented, the color should closely match the surrounding skin, making the procedure virtually undetectable.

Risks of a Dermabrasion

Dermabrasion is generally safe when they're performed by a qualified, experienced board-certified physician. The most common risk is an alteration in skin pigmentation. Permanent skin darkening may occur in a few patients due to sun exposure in the days/months following surgery. On the other hand, few patients find the treated skin remains a little lighter/blotchy in appearance.

Patients may develop tiny whiteheads post-surgery. These usually disappear on their own or with the usage of an abrasive pad or soap (the surgeon may have to take them out occasionally). Patients may also develop enlarged skin pores; these generally shrink to near normal size once the swelling has subsided.

While infection and scarring are unusual with skin-refinishing treatments, they are possible. Few individuals develop excessive scar tissue (keloid or hypertrophic scars); these are generally treated with the application or injection of steroid medicines to soothe the scar.

A patient can alleviate his/her risks by selecting a skilled plastic surgeon and closely following his/her advice.

In a nutshell, Dermabrasion refers to a procedure that utilises a wire brush or a diamond wheel with rough edges to take out and level the upper layer of skin. The treated portion heals, allowing new skin to grow in its place. It often is utilised for facial procedures. Patients should understand that Dermabrasion harms the skin and must be prepared with how they will appear immediately post treatment and during the process of healing. Post-procedure instructions must be vigilantly followed to avoid infection and ensure proper healing.

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