Dermabrasion is Back as a Skin Resurfacing Tool
There has been a 70% increase in minimally invasive cosmetic procedures and a 50% increase in dermabrasions over the past decade. Dermabrasion has many applications as a skin resurfacing technique and is used to treat fine perioral rhytids and many scars, including acne scars. It is done under local anesthesia with the option of sedation. The area to be dermabraded is marked. The appropriate diamond fraise tip is chosen, the skin is held taut, and the dermabrader is moved across the surface with constant, gentle pressure. A back-and-forth motion is used for the diamond fraise tip. The borders of the treated area are feathered to prevent any noticeable transitions. The depth of skin that is dermabraded is one of the most critical factors that will determine the outcome. Punctate bleeding is visualized when entering the papillary dermis. The papillary reticular junction is the ideal endpoint of Dermabrasion and is identified by increased, confluent bleeding. Immediately following the procedure, saline-soaked gauze moistened with dilute epinephrine may be temporarily placed on the open wounds to achieve hemostasis. A moist environment is necessary to promote wound healing. Dermabrasion is a useful skin-resurfacing tool; when performed correctly, it can achieve dramatic results and can be more effective than chemical peels or lasers, with a low risk of complications in patients with darker complexions.