Know All About Dermabrasion


What Is The Best Treatment For Acne, Pimples and Scars?

You are prone to a number of skin related problems including excessive sun damage, acne, precancerous skin patches or lasting scars/marks from previous surgeries throughout your lifetime. You can also develop age spots, uneven skin tones and fine wrinkles due to ageing. These issues affect not only your appearance and self esteem, but also your overall health.
Have you ever got a tattoo made that you now want to remove? Then you would want to read further and find a solution to your problems. 

Dermabrasion can remove skin problems like marks, sun damage and acne for you.

What Is Dermabrasion?

Dermabrasion, also known as dermaplaning involves removing superficial or damaged layers of the skin (right down to the collagen layer) and surface irregularities. It also includes refinishing the top layer of the skin through a method of controlled surgical scraping to give a smooth appearance to the skin.

Who Are The Ideal Candidates For Dermabrasion?

Ideal candidates would be:

People who have not used isotretinoin as a treatment for acne in the last 6 to 12 months.

They should not have recently had facial surgery like facelift or eyelid surgery.

They must not have any skin diseases or disorder as this makes it difficult to treat or interferes with the healing process.

They must also not have a history of hypertrophic scarring.

People with HIV or Hepatitis are not ideal candidates as their blood can get aerosolized during the procedure and put the doctor and medical staff in risk of contracting the diseases.

People with rhinophyma who wish to get rid of the swelling and redness from their noses.

What Are The Different Types Of Dermabrasion?

There are three kinds of dermabrasion -

  • Diamond Dermabrasion - In this type, a diamond tip wand is used to polish the skin and remove dead cells. This method is more precise and does not leave unwanted tiny particles in the nose or mouth.

  • Microdermabrasion - Aluminium oxide crystals from special wands are used to correct skin irregularities and on people with hyperpigmentation. It is the safest skin resurfacing method. Microdermabrasion price ranges between $100-$300 in medical destinations.

  • Laser Dermabrasion - This technique involves passing concentrated beams of light through layers of skin, thereby removing irregularities, acnes and blemishes. It is also known as lasabrasion, laser vaporization and laser peel.


What To Do Before Dermabrasion Procedure?

  • Due to the variety of options that a patient has when it comes to skin resurfacing, choose a doctor you trust and are comfortable with, and discuss with him if dermabrasion is the solution for you.

  • Do not use Accutane for six months before the procedure as this has caused scarring in several cases, thereby hampering any further treatments on the area of skin.

  • Ensure that anti-viral medicine is administered to you before undergoing the procedure as an infection later can be quite severe, especially in the face.

  • Arrange for proper accommodation and transportation from the hospital after the procedure. 

  • It is also imperative that you request the assistance and company of a trusted member in the initial days of the recovery time.


What Is The Post Operative Care For Dermabrasion?

  • After the procedure, the treated areas and wounds are dressed and covered with a kind of mesh garment for five days. The ointment has to be reapplied every day to keep the skin moist. The treated areas are then allowed to be exposed to open air. This method helps in fast recovery.

  • The patient may feel discomfort for which he is generally given pain medication, anti-swelling medication and antibiotics. Antiviral drugs for after care may also be prescribed during this time.

  • Avoid exposure of treated areas to the sun during the different stages of healing after dermabrasion. It is also advisable to use sunscreen after you completely heal.

  • Clean the treated areas to prevent infections and remove the crusting.

  • Make follow up visits to your doctor to ensure that your recovery is on the right track and identify any signs of complications that could potentially arise. 

What Is The Diet For A Dermabrasion Procedure?

Eat soft and easily chewable foods. After dermabrasion, the patient feels extreme discomfort and pain in the face which may make it hard for him to eat.

Nutrient rich meals with vegetables and fruits can help speed up the healing process.

Drink plenty of fluids. It is always good to stay hydrated.

Do not consume alcohol in the two days following the procedure as it is known to slow down the healing process.

Stick to the medication prescribed to you and follow it strictly.

Do not take aspirin or ibuprofen for until one week after the surgery as it makes the blood thin, leading to excessive bleeding.

What Are The Realistic expectations From Dermabrasion?

  • Dermabrasion has many benefits, some of which are:

    • Removal of blemishes 

    • Younger looking skin 

    • Removal of age spots on the face, neck and arms 

    • Diminished acne scars on cheek, chin and forehead 

  • These changes can however, lead to some temporary side effects, such as redness on the affected area, infection or scarring. Although these are temporary, you should have a thorough conversation with your surgeon on the prospects of these side effects, with regard to your skin type and medical history. 

  • Other realistic expectations to keep about this surgery are risks of further acne and enlarged pores. 

  • Getting dermabrasion might require maintenance. If the surgery leads to infections and more acne, you might have to undergo dermabrasion procedure for 5-7 perfection cycles.  

What Are The Pros And Cons Of Dermabrasion?

  • Pros

  • Cons

  • It is mainly done to remove deep-acne scars. 

  • The procedure removes scars caused by accidents or trauma.

  • Dermabrasion removes unwantes skin growths like keratoses, cysts and treats rhinophyma.

  • It also treats colour change of the skin.

  • It can treat fine lines and wrinkles.

  • Smoothens out the skin and improves appearance.

  • There will be a noticeable difference in the treated area.

  • Operation is nearly painless as the area to be treated is numbed.

  • Scarring prone to occur in bony areas and with deeper abrasions. 

  • Redness which takes around a month to fade

  • Loss of colour of skin

  • Damage to tissue during the procedure

  • Sensitivity to sunlight 

Who Should Avoid A Dermabrasion Procedure?

Some individuals are not appropriate for dermabrasion, these individuals are people who:

  • Are already undergoing other surgical/non-surgical treatments for wrinkles, such as botulinum toxin injections or surgiwire

  • Are below the age of 18 years

  • Have unrealistic expectations from the surgery 

  • Do not posses good health according to their general physician, due to which the recovery will be slow and uneven 

  • Possess a relatively dark complexion (example: Asians, Africans); scarring for these individuals is more prominent

  • Individuals who wish to treat scars, stretch marks, wrinkle and deep acne scars; the treatment doesn’t work for marks of a permanent nature

  • Have a skin condition (such as pigmentation or skin cancer) that could be aggravated by dermabrasion 


 What Are The Alternatives To Dermabrasion?

A dermabrasion procedure involves the removal of the topmost layer of the patient’s skin in order to get rid of acne, scars, uneven pigmentation and other skin related problems. There are several alternative options available to a patient for a dermabrasion procedure.

  • Microdermabrasion - This relatively milder form of surgery removes the dead cells from the skin’s surface using tiny vacuum crystals. It is a minimal procedure and requires only 30 minutes to complete. However, it is ineffective for deep scars.

  • Skin resurfacing - This is a minimally invasive procedure, that needs to be done regularly to maintain the look of the scar-free face. It removes the outer layer of the skin through a ray of light, focusses at the area of treatment. 

  • Chemical peels - These are liquid solutions, made according to the needs of the customer, to help in the growth of new cells. This is done to enable controlled shedding of the older skin. These are effective to tighten the skin. 

However, a dermabrasion surgery, despite being more time taking, provides a more permanent solution, especially for extreme conditions.


Will Dermabrasion Lead To Scarring?

Healing takes about a week to ten days after which the patient is left with a new pink skin. The new skin gradually resumes its natural colour in around two months when the pink fades. Dermabrasion improves the appearance of the skin by almost 50% which means that there will be residual scars and abnormalities that cannot be removed. 


What Are The Temporary Side Effects Of Dermabrasion?

Side effects of dermabrasion include: 

  • Scarring 
    You can tackle this risk by restraining movement of the face as excessive movement can cause the scar to open up and will then become permanent. You can also apply appropriate medicine on the scars and ask your surgeon about the need of using incision taping devices during the surgery.

  • Irritation around the affected area 
    Icing or using cold compresses is the best way to reduce irritation. Aside from that, take the prescribed medicine that the doctor has given you for such instances or get in touch with your doctor to get the appropriate medication.

If you experience complications such as :

  • Change in skin colour

  • Excess sensitivity to the sun 

You should call up your doctor and give him a brief account of the condition. In many instances, these after effects are reduced by prescribed medication. A number of hospitals abroad provide postoperative treatment services after the procedure to help you gain an optimum recovery. 


How To Choose A Surgeon For Dermabrasion?

Dermabrasion is a fairly simple procedure. It does not require the medical practitioner performing on you to have excessive expertise, unlike other cosmetic procedures such as brow lift or arm lift surgery. However, the surgeon needs to have minimum qualification and experience in performing cosmetic procedure to avoid any complications. 

Make sure your surgeon and the hospital he/she is associated with, is internationally renowned. You can ensure this by looking at their credentials (example, JCI accreditation for the hospitals and the ISAPS certification for the surgeon). 

You can also have a conversation with the surgeon through any online portal like through a medical tourism facilitator. It will help you build a rapport with the surgeon and get an insight into his/her know-how of the procedure. Ask questions such as:

  • What is the preoperative and postoperative care

  • Am I the ideal candidate? 

  • What are the possible complications of the surgery? 

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