Dermabrasion
help "refinish" the skin's top layers through a method of controlled
surgical scraping. The treatments soften the sharp edges of surface
irregularities, giving the skin a smoother appearance.
Dermabrasion is most often used to improve the look of facial skin
left scarred by accidents or previous surgery, or to smooth out fine
facial wrinkles, such as those around the mouth. It is also commonly
used to treat deep acne scars.
Dermabrasion can only be performed on the thicker skin around the
mouth, chin and cheeks. The skin around the eyes is delicate and therefore
not suitable for dermabrasion. Dermabrasion can be used alone, or
in conjunction with other procedures such as facelift,
blepharoplasty,
and scar removal or revision.
If you're considering surgery to refinish the skin, this website will
give you a basic understanding of the procedure when it can help,
how it's performed, and what results you can expect. It can't answer
all of your questions, since a lot depends on your individual circumstances.
If you have further questions, feel free to e-mail you enquiries or
freecall us on 18000 80001 to take advantage of our free consultation.
Considering Alternative Procedures
If you're planning "surface repairs" on your face, you may also be
considering chemical peel, an alternative method of surgically removing
the top layer of skin. Dermabrasion uses surgical instruments to remove
the affected skin layers, while chemical peel uses an acid solution.
Laser resurfacing uses CO2 laser to vaporize the top layers of the
skin. Your surgeon performs all three procedures, selecting one or
a combination of procedures to suit the individual patient and the
problem.
In general, chemical peel is used to treat fine wrinkles and sun damaged
skin whilst dermabrasion is used for deeper imperfections such as
acne scars and deep lines around the mouth. Laser resurfacing is used
for all these problems especially where they extend over the whole
face and are combined with some degree of skin laxity or sagging.
If you would like more information on chemical
peel or lasers, click on those topics.
The Best Candidates for Dermabrasion
Dermabrasion can enhance your appearance and your self-confidence,
but neither treatment will remove all scars and flaws or prevent subsequent
aging. Before you decide to have a skin-refinishing treatment, think
carefully about your expectations and discuss them with your surgeon.
Dermabrasion can be performed at any age, though older people heal
more slowly. More important factors are your skin type, colouring,
and medical history. For example, black skin, Asian skin, and other
dark complexions are not suitable for dermabrasion as they may become
permanently discolored or blotchy after a skin-refinishing treatment.
People who develop allergic rashes or other skin reactions, or who
get frequent cold sores, may experience a flare-up, it is important
that you tell your surgeon if you suffer any of these problems. If
you have freckles, they may disappear completely in the treated area.
In addition, most surgeons won't perform treatment during the active
stages of acne because of a greater risk of infection. The same may
be true if you've had radiation treatments or a bad sun burn.
All Surgery Carries Some Uncertainty
and Risk
Dermabrasion treatments are normally safe when they're performed by
a qualified, experienced plastic surgeon. The most common risk is
a change in skin pigmentation. Permanent darkening of the skin, usually
caused by exposure to the sun in the months following treatment, occurs
in some in some patients especially where they disregard our advice
to avoid the sun post-operatively. You will find that after dermabrasion
the treated skin remains a little lighter, than the non-treated sundamaged
skin.
You may develop tiny whiteheads after surgery. These usually disappear
on their own, or with the use of an abrasive pad or soap. You may
also develop enlarged skin pores; these usually shrink to near normal
size once the swelling has subsided.
While infection and scarring are rare with skin-refinishing treatments,
they are possible. Some individuals develop excessive scar tissue
(keloid or hypertrophic scars); these are usually treated with the
application or injection of steroid medications to soften the scar.
You can reduce your risks by choosing a qualified plastic surgeon
such as your surgeon, and closely following his advice.
Planning Your Surgery
Because these treatments have sometimes been offered by inadequately
trained practitioners, it's especially important that you find a plastic
surgeon who is trained and experienced in the procedure. After all,
dermabrasion involves the most visible part of your body, your face.
In your initial consultation, be open in discussing your expectations
with your surgeon, and don't hesitate to ask questions or express any
concerns you may have. He will be equally open with you, explaining
the factors that could influence the procedure and its results, such
as your age, skin condition, and skin colour.
Your surgeon will discuss your medical history, conduct a routine
examination, and photograph your face. He will explain the procedure
in detail, along with its risks and benefits, the recovery period,
and the costs. Dermabrasion costs may be partially covered by medicare
and health insurance if it is performed to remedy scarring. Our staff
can advise if your claim is medicare eligible.
Your Surgery

Your surgeon will give you specific instructions on how to prepare
for surgery, including guidelines on eating and drinking, and on avoiding
aspirin and other medications that affect blood clotting. You may
also be given special instructions regarding the care and treatment
of your skin prior to surgery. If you smoke, you'll be asked to stop
3 weeks before and after surgery, since smoking decreases blood circulation
in the skin and impedes healing.
While you're making preparations, be sure to arrange for someone to
drive you home after your surgery, and to help you out for a day or
two if needed.
Where Your
Surgery Will Be Performed
Your treatment will be performed in an outpatient surgery centre,
or a hospital. It's usually done as a day procedure for cost containment
and convenience. However, if you're undergoing other procedures you
may require an overnight stay in hospital.
Types of Anesthesia
Your surgeon will usually prefer to use general anaesthesia, in which
case you'll sleep through the procedure. Attempts at performing the
surgery under local anesthesia and sedation are usually uncomfortable
and unsatisfactory.
The Surgery
Dermabrasion can be performed fairly quickly. The procedure usually
takes up to an hour, depending on how large an area of skin is involved.
It's not uncommon for the procedure to have to be performed more than
once, or in stages, especially when scarring is deep or a large area
of skin is involved.
In dermabrasion, your surgeon scrapes away the outermost layer of skin
with a variety of high-speed diamond burrs, attached to a motorized
handle. This instrument is designed solely to perform dermabrasion,
and is used for nothing else.
The scraping continues until the surgeon reaches the safest level
that will make the scar or wrinkle less visible. After the surgery,
your surgeon will cover the treated area with an ointment, this is
the only "dressing".
After Your
Surgery
Right after the procedure, your skin will be quite red and swollen,
and eating and talking may be difficult. You'll probably feel some
tingling, burning, or aching; any pain you feel can be controlled
with medications prescribed by your surgeon. The swelling will begin
to subside in a few days to a week.
If you remember the scrapes you got when you fell down as a child,
you'll have an idea of what to expect from this type of surgery. Just
like when you gravel rashed your knee, you will have a raw pink area
at first. Underneath the applied ointment, skin will grow upward from
the hair follicles and sweat glands over the first 7-10 days.
A new layer of tight pink skin then forms. Your face may itch as new
skin starts to grow. Your surgeon will give you detailed instructions
to care for your skin after surgery. For men, this will include delaying
shaving for a while, then using an electric razor at first. It's very
important that you understand these instructions and follow them exactly,
to ensure the best possible healing. Our highly qualified nurse aestheticians
are here to help you throughout your recovery period.
If you notice the treated area beginning to get worse instead of better
-f or example, if it becomes increasingly red, raised, and itchy after
it has started to heal it may be a sign that abnormal scars are beginning
to form. Call your surgeon as soon as possible, so that treatment can
begin early.
Getting Back
to Normal
Your new skin will be a bit swollen, sensitive, and bright pink for
several weeks. During this time, you can gradually begin resuming
your normal activities.
You can expect to be back at work in about two weeks. If you swim,
stick to indoor pools to avoid sun and wind, and keep your face out
of chlorinated water for at least four weeks. Above all, it's important
to protect your skin from the sun until the pigment has completely
returned to your skin , this may be as long as six to twelve months.
Your New Look
Refinishing treatments can offer dramatic improvements in the surface
of your skin, but it will take some time before you see the final
results.
The pinkness of your skin will take about four to twelve weeks to
fade. In the meantime, you'll probably want to wear non-allergenic
makeup when you go out. Your surgeon's staff will be happy to supply
specialist camouflage cosmetics for you, and instruct you in their
use. When your new skin is fully repigmented, the colour should closely
match the surrounding skin, making the procedure virtually undetectable.
If you have further questions, write them down and ask your surgeon
and his helpful staff at your consultation.