Dermabrasion

It is the removal of superficial layers of skin with a rapidly revolving abrasive tool. An exfoliating technique that uses a rotating instrument to remove the outer layers of the skin that is damaged, typically on the face. The skin that grows back is usually smoother.

This treatment is popular with people who wish to improve the appearance of their skin. Some of the conditions it can treat include fine lines, sun damage, acne scars, and uneven texture. Additionally, to provide a more youthful appearance, dermabrasion can also help treat: acne scars, age spots, fine wrinkles, precancerous skin, rhinophyma, or redness and thick skin on the nose, scars from surgery or injury, sun damage, and uneven skin tone.

The treatment must be done by a certified and experienced doctor. A variety of devices including a wire brush, diamond wheel or fraise, sterilized sandpaper, salt crystals, or other mechanisms may be used depending on every individual and treatment type. It is usually done in a health center or outpatient facility. In some cases, might be admitted to a hospital for whom needs extensive work.

During dermabrasion, the doctor numbs your skin with anesthetics or the option of taking a sedative or general anesthesia, depending on the treatment extent.

Right after the procedure, the doctor will cover the treated area with a moist dressing. 

Note: Dermabrasion should not be confused with microdermabrasion which is a newer and non-surgical cosmetic procedure performed by non-physician personnel and without sedation.

Before your treatment, a review of your medical history should be conducted. Be prepared to answer questions about medical history and any medications you’re taking as well as over-the-counter medications and nutritional supplements.

Physical examination. Your doctor will inspect your skin and the area to be treated, for example, the tone and thickness of the skin. Your doctor will also recommend stopping smoking for a few weeks before and after your treatment. It is also best to avoid sun exposure for approximately two months before dermabrasion and during healing and to use sunscreen daily once healed.

On the day of your procedure, wash your face. Do not apply any makeup or facial creams. Wear clothes that cover your head because you’ll have a facial dressing after your procedure.

After dermabrasion, expect the new skin to be sensitive and red. The swelling will begin to decrease within a few days to a week.

It might take up to about three months for your skin tone to return back to normal.
If your skin tone is blotchy after healing, ask your doctor about prescription hydroquinone — a bleaching agent — that could help even it out.

Keep in mind that dermabrasion results might not be permanent. Aging and new sun damage also can reverse the results of dermabrasion.

Some risks include:

• Bleeding, infection, and allergic reaction to anesthesia.
• Acne breakouts
• Changes in skin tone
• Enlarged pores, usually temporary
• Loss of freckles
• Redness
  
• Rash
• Swelling.

Though rare, some people may develop excessive scarring, or keloids, after the treatment. In these cases, some steroid medications can help soften the scars.
Always follow your doctor’s advice and attend follow-up appointments as recommended.