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Facial Plast Surg 2014; 30(01): 035-039
DOI: 10.1055/s-0033-1363759
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dermabrasion

Jesse Ellis Smith
1   Department of Facial Plastic and Reconstructive Surgery, UT Southwestern Medical Center at Dallas, Fort Worth, Texas
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Publication History

Publication Date:
31 January 2014 (online)

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Abstract

For many patients, sun damage, trauma, prior cutaneous carcinomas, and aging have created a less than optimal skin appearance. There are currently multiple forms of ablative therapy to correct such concerns. Dermabrasion is a form of resurfacing that mechanically alters the skin at the level of the dermis, to promote collagen remodeling and re-epithelialization. Facial skin has a rich vascular and adnexal network, allowing the rapid healing of controlled damage because blood, macronutrients, and oxygen are readily available. Sebaceous glands and hair follicles are important in the regeneration process of the dermis. Dermabrasion can be taken down layer by layer to remove the proper level of skin, so that the desired effect is obtained. By completely removing the epidermis and penetrating into the reticular and papillary dermis, controlled damage is obtained and remodeling of the skin's structural proteins, into a more organized manner, occurs during the healing process. This abrasion technique leads to clinically significant improvements in skin structure, quality, and appearance.

Keywords

dermabrasion - ablative resurfacing - scar revision - scar - rhytides
 

  • References

  • 1 Alkhawam L, Alam M. Dermabrasion and microdermabrasion. Facial Plast Surg 2009; 25 (5) 301-310
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Bradley DT, Park SS. Scar revision via resurfacing. Facial Plast Surg 2001; 17 (4) 253-262
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Jahoda CA, Reynolds AJ. Hair follicle dermal sheath cells: unsung participants in wound healing. Lancet 2001; 358 (9291) 1445-1448
    CrossrefPubMedGoogle Scholar
  • 4 Gold MH. Dermabrasion in dermatology. Am J Clin Dermatol 2003; 4 (7) 467-471
    CrossrefPubMedGoogle Scholar
  • 5 Campbell RM, Harmon CB. Dermabrasion in our practice. J Drugs Dermatol 2008; 7 (2) 124-128
    PubMedGoogle Scholar
  • 6 Rubenstein R, Roenigk Jr HH, Stegman SJ, Hanke CW. Atypical keloids after dermabrasion of patients taking isotretinoin. J Am Acad Dermatol 1986; 15 (2 Pt 1) 280-285
    CrossrefPubMedGoogle Scholar
  • 7 Perkins SW, Sklarew EC. Prevention of facial herpetic infections after chemical peel and dermabrasion: new treatment strategies in the prophylaxis of patients undergoing procedures of the perioral area. Plast Reconstr Surg 1996; 98 (3) 427-433 , discussion 434–435
    CrossrefPubMedGoogle Scholar
  • 8 Yarborough Jr JM. Ablation of facial scars by programmed dermabrasion. J Dermatol Surg Oncol 1988; 14 (3) 292-294
    CrossrefPubMedGoogle Scholar
  • 9 Brenner MJ, Perro CA. Recontouring, resurfacing, and scar revision in skin cancer reconstruction. Facial Plast Surg Clin North Am 2009; 17 (3) 469-487 , e3
    CrossrefPubMedGoogle Scholar
  • 10 Katz BE, Oca AG. A controlled study of the effectiveness of spot dermabrasion ('scarabrasion') on the appearance of surgical scars. J Am Acad Dermatol 1991; 24 (3) 462-466
    CrossrefPubMedGoogle Scholar
  • 11 Jared Christophel J, Elm C, Endrizzi BT, Hilger PA, Zelickson B. A randomized controlled trial of fractional laser therapy and dermabrasion for scar resurfacing. Dermatol Surg 2012; 38 (4) 595-602
    CrossrefPubMedGoogle Scholar
  • 12 Mandy S. Commentary: a randomized controlled trial of fractional laser therapy and dermabrasion for scar resurfacing. Dermatol Surg 2012; 38 (4) 603
    CrossrefPubMedGoogle Scholar
  • 13 Holmkvist KA, Rogers GS. Treatment of perioral rhytides: a comparison of dermabrasion and superpulsed carbon dioxide laser. Arch Dermatol 2000; 136 (6) 725-731
    PubMedGoogle Scholar
  • 14 Nehal KS, Levine VJ, Ross B, Ashinoff R. Comparison of high-energy pulsed carbon dioxide laser resurfacing and dermabrasion in the revision of surgical scars. Dermatol Surg 1998; 24 (6) 647-650
    CrossrefPubMedGoogle Scholar
  • 15 Alkhawam L, Alam M. Dermabrasion and microdermabrasion. Facial Plast Surg 2009; 25 (5) 301-310
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Hanke CW. The tumescent facial block: tumescent local anesthesia and nerve block anesthesia for full-face laser resurfacing. Dermatol Surg 2001; 27 (12) 1003-1005
    CrossrefPubMedGoogle Scholar
  • 17 Nelson BR, Metz RD, Majmudar G , et al. A comparison of wire brush and diamond fraise superficial dermabrasion for photoaged skin. A clinical, immunohistologic, and biochemical study. J Am Acad Dermatol 1996; 34 (2 Pt 1) 235-243
    CrossrefPubMedGoogle Scholar
  • 18 Alt TH. Facial dermabrasion: advantages of the diamond fraise technique. J Dermatol Surg Oncol 1987; 13 (6) 618-624
    CrossrefPubMedGoogle Scholar
  • 19 Koranda F. Dermabrasion. In: Thomas JR, Roller J, , eds. Cutaneous Facial Surgery. New York: Thieme; 1992
    Google Scholar
  • 20 Roy D, Sadick NS. Ablative facial resurfacing. Ophthalmol Clin North Am 2005; 18 (2) 259-270, vi vi.
    CrossrefPubMedGoogle Scholar
  • 21 Holmkvist KA, Rogers GS. Treatment of perioral rhytides: a comparison of dermabrasion and superpulsed carbon dioxide laser. Arch Dermatol 2000; 136 (6) 725-731
    PubMedGoogle Scholar
  • 22 Gillard M, Wang TS, Boyd CM, Dunn RL, Fader DJ, Johnson TM. Conventional diamond fraise vs manual spot dermabrasion with drywall sanding screen for scars from skin cancer surgery. Arch Dermatol 2002; 138 (8) 1035-1039
    CrossrefPubMedGoogle Scholar
  • 23 Nelson BR, Majmudar G, Griffiths CE , et al. Clinical improvement following dermabrasion of photoaged skin correlates with synthesis of collagen I. Arch Dermatol 1994; 130 (9) 1136-1142
    CrossrefPubMedGoogle Scholar
  • 24 Stuzin JM, Baker TJ, Gordon HL. Treatment of photoaging. Facial chemical peeling (phenol and trichloroacetic acid) and dermabrasion. Clin Plast Surg 1993; 20 (1) 9-25
    PubMedGoogle Scholar
  • 25 Benedetto AV, Griffin TD, Benedetto EA, Humeniuk HM. Dermabrasion: therapy and prophylaxis of the photoaged face. J Am Acad Dermatol 1992; 27 (3) 439-447
    CrossrefPubMedGoogle Scholar
  • 26 Winton GB, Salasche SJ. Dermabrasion of the scalp as a treatment for actinic damage. J Am Acad Dermatol 1986; 14 (4) 661-668
    CrossrefPubMedGoogle Scholar
  • 27 Surowitz JB, Shockley WW. Enhancement of facial scars with dermabrasion. Facial Plast Surg Clin North Am 2011; 19 (3) 517-525
    CrossrefPubMedGoogle Scholar