Dermabrasion
What is dermabrasion?
Dermabrasion is a mechanical skin resurfacing procedure in which the outer layers of the skin are carefully removed using rotating abrasive tips attached to a special motorized device. The goal of the procedure is to smooth irregularities of the skin and reduce the appearance of scars.
What are the advantages of dermabrasion compared with other resurfacing procedures?
Dermabrasion allows the surgeon to reach the desired depth of the skin in a controlled manner. For this reason, it is often preferred over other techniques in the treatment of deep acne scars, the reduction of certain types of scars, and the improvement of vertical wrinkles around the lips (commonly known as “smoker’s lines”).
How is dermabrasion performed?
Dermabrasion is usually performed under local anesthesia. To minimize noticeable redness during the healing period, dermabrasion is often applied not only to the specific scar or problem area but to the entire aesthetic unit of the face that includes the problem area. For example, if there is a small scar on the cheek, dermabrasion is usually applied to the entire cheek on that side, gradually becoming more superficial toward the surrounding areas. For optimal healing and a more uniform appearance, additional resurfacing procedures such as trichloroacetic acid (TCA) peeling or laser skin resurfacing may be applied to other areas of the face. This helps prevent color differences, achieve a more homogeneous skin texture, and reduce localized redness.
How long does dermabrasion take?
The procedure typically takes about 15–20 minutes depending on the size of the treated area. Patients can usually return home the same day. After the procedure, a thick moisturizing cream is applied to the treated area to prevent crust formation. The area should be gently washed with clean water three to four times daily, and the moisturizer should be reapplied each time until the resurfaced skin has fully regenerated.
When can I return to work?
Depending on the depth of the procedure, patients can usually return to work once epithelialization of the skin is complete, typically after about 7–10 days. Redness in the treated area may gradually decrease over several months, and concealer may be used during the early healing period if necessary.
What should I pay attention to after the procedure?
In individuals with darker skin tones, dermabrasion may lead to permanent pigment changes or discoloration. In such cases, alternative treatments may be preferred. After the procedure, patients should protect their skin from sun exposure for at least six months and use sunscreen regularly.
