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Advanced Features of Ablative Resurface In Dermabrasion

Dermabrasion is one of the oldest known methods of ablative resurfacing, popularized by physicians in early Egypt who used sandpaper for the treatments of acne scarring.

Albative Resurfacing: - Ablative skin surgery is a procedure of wounding of the skin to the level of the dermis to help new skin growth. Dermabrasion is an age-old practice that has been well described, studied, and applied since ancient times. Whether it is used to reverse the signs of aging or to treat cutaneous lesions, or as treatment for acne scarring, ablative skin resurfacing has been an essential part of the practice of cosmetic surgery and dermatology. Ablative skin surgery is the process of wounding of the skin to the level of the dermis to promote new skin growth and replenishment.

Modern History of Dermabrasion: - The modern history of Dermabrasion can be traced back to Kromeyer who is credited with the using rasps or burrs with rotation in the early 1900s for the first time. Carbon dioxide snow or ether spray as a refrigerant to freeze the skin prior to the procedures. This new technique has also replaced the manual wire brush method used in the past, with a powered diamond fraise.
Dermabrasion is used to physically remove the epidermis and dermis in a controlled fashion making every effort not to make the wound too deep.
Dermabrasion for removing Acne Scars: - As a procedure, dermabrasion was widely used in the past to treat (and remove) tattoos, but now a day dermabrasion has found its niche primarily for the treatment of acne scars. Dermabrasion is also widely used for facial rhytids and various other conditions and is considered superior than other techniques for the treatment of facial acne scarring.

Dermabrasion Procedure for Acne Scar Treatment

Dermabrasion as an ablative surgery procedure is used for physically removing the epidermis and dermis of the skin in a controlled fashion using a fine wire brush or a diamond fraise. This technique is also widely used for removing facial rhytids and for treating various other skin conditions. Dermabrasion considered one of the best acne scar treatment out of the large number of acne scar treatment options available with cosmetic surgery.

Acne Scar Treatment - Dermabrasion Treatment Tools: - Most dermabrasion instruments for dermabrasion procedure or acne scar treatment use a wire brush or diamond fraise for producing the wound or for acne scar treatment. The instruments vary in quality, coarseness, and shape. A powered low to high rpm hand held motor is employed for driving the wire brush or diamond fraise. A spray refrigerant is used for preparing the skin immediately before.

Acne Scar Treatment-Dermabrasion Procedure: - Dermabrasion treatment as an skin refreshning or acne scar treatment procedure should be performed in an operating room using strict exposure and safety precautions. Because of the risk of exposure to blood-borne pathogens through the microdroplets of blood and tissue aerosolized during the procedure, all operating rooms needs to be cleansed thoroughly and sterilized before and after dermabrasion procedures.

Preparing the skin immediately before the procedure: - Before the acne scar treatment is performed the skin is pretreated with an ice pack for 20 to 30 minutes immediately before the dermabrasion. The skin is sprayed with a liquid refrigerant. Several short blasts of the spray in a small area are well tolerated. The area to be dermabraded is manually stabilized by the surgeon and the assistant together according to the normal contour of the patient’s tissue. For the optimum results with dermabrasion for acne scar treatments, it is essential for the skin to be firm.

Anesthesia: - The use of anesthesia for the dermabrasion procedure as an acne scar treatment or othewise varies from surgeon to surgeon as well as from procedure to procedure, like the procedure performed for acne scar treatment can be a little different than removing facial rhytids.
Anesthetic considerations include the size of the area to be dermabraded (eg, the central cheek versus the full face), the depth of the acne scars and required dermabrasion, the patient’s pain tolerance, and the patient’s overall health.

But many cosmetic surgeons of today prefer using anesthesiologists or nurse anesthetists to provide adequate anesthesia – either general or IV sedation.

Care with the dermabrasion procedure: - Care needs to be taken with the diamond fraises or wire brushes as well. These should be moved in steady, firm, back and forth strokes using even pressure throughout. Wire-brush end pieces are moved unidirectionally. The depth of the dermabrasion can be controlled depending on the depth of the acne scar to be removed.
Dermabrasion remains a useful facial skin resurfacing and scar revision technique, particularly when performed by a trained and skilled surgeon. Most dermatologic surgeons argue that pure dermabrasion is a useful modality in skilled surgical hands and should be considered when appropriate.

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replied April 24th, 2007
Thanks For Informative Posting.
Thanks Tom for such a nice and informative posting. I have also face acne scars problems on my cheeks. But I still have to make up my mind to go for dermabrasion. Could you please through some light on the rest factors of dermabrasion procedure.
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replied May 8th, 2007
Good Article

I think this blog is so impressive upon dermabrasion procedure and acne scars laser treatment.
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