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Cosmetic
Procedures
Dermabrasion
This cosmetic procedure literally sands away
damaged skin. As the wound heals, new skin appears that is smoother,
more radiant, and even in tone.
Also Called
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Dermasanding
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Mechanical resurfacing
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Surgical skin planing
Signs of Aging Treated
With advances in laser technology, dermabrasion is not used as
much today as it was in the past. Dermabrasion still offers
effective treatment for:
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Scars, primarily shallow scars resulting
from acne, chickenpox, or an accident
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Wrinkles, especially deep lines that form
above the lip
Dermabrasion also may be combined with another
cosmetic procedure. When used after laser resurfacing, dermabrasion
helps diminish the lines that distinguish the laser treated skin
from the untreated skin. Dermabrasion also can be effective in
removing a tattoo that could not be entirely removed with laser
treatment.
When See Results from Dermabrasion
Results are seen as soon as the wound heals and the new skin
appears. Many people continue to see modest improvements for several
months because the wound produced by dermabrasion causes the body to
produce new collagen — a process that your dermatologist may call
collagen remodeling. Collagen remodeling may continue for months.
Effectiveness of Dermabrasion
Dermabrasion can effectively reduce deep wrinkles, brighten the
complexion, and improve skin tone. It also effectively diminishes
shallow scars caused by acne, chickenpox, or an accident.
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This 63-year-old woman disliked the
deep lines above her lip. |
The same woman, shown 2 months
after dermabrasion. |
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(Photos used with permission of the
American Academy of Dermatology National Library of Dermatologic
Teaching Slides) |
While dermabrasion can effectively produce
these results, it is important to know that the success of any
cosmetic procedure is highly dependent on the skill of the
physician. This is especially true of dermabrasion. The American
Academy of Dermatology advises patients to do their homework and
discuss their options and expectations with their dermatologist
before undergoing any skin resurfacing treatment.
Possible Side Effects
As dermabrasion removes several layers of skin to cause a
medium-depth or deep wound, the treated area will be temporarily
red, sore, and swollen. The area also may itch as the wound
heals. Sometimes milia, small white or yellowish bumps that
resemble millet seeds, appear. All of these side effects are
temporary and will eventually go away. The redness can linger
for months.
Due to the depth of the wound, infection is possible.
While rare in skilled hands, dermabrasion can cause visible
lines to appear where the treatment ended, irregular skin
texture, permanent light or dark patches of skin, spider veins,
long-term sun sensitivity, and scarring.
How Long Results Last
With proper skin care, which includes protecting the skin
from the sun, the results can be long lasting. Some people have
retained their results for 10 years or more.
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Dermabrasion was recommended to
treat the scar that formed on this woman’s chin after an
accident that occurred 10 years earlier. |
This same woman, shown 12 years
after having dermabrasion to treat the scar. |
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(Photos used with permission of the
American Academy of Dermatology National Library of Dermatologic
Teaching Slides) |
Related Links
10 Questions to Ask Before a Cosmetic Procedure
Dermabrasion (AAD pamphlet)
References:
Monheit GD and Chastain MA. “Chemcial and Mechanical Skin
Resurfacing.” In: Bolognia JL, Jorizzo JL, Rapini RP et al,
editors. Dermatology. 2nd edition. Spain, Mosby
Elsevier; 2008. p. 2313-27.
Rivera AE. “Acne
scarring: A review and current treatment modalities.”
J Am Acad Dermatol
article in press;
DOI: 10.1016/j.jaad.2008.05.029.
Tanzi
EL and Alster TS. “Skin Resurfacing: Ablative Lasers, Chemical
Peels, and Dermabrasion.” In: Wolff K, Goldsmith LA, Katz SI et
al, editors. Fitzpatrick’s Dermatology in General Medicine.
7th edition. United States of America, McGraw Hill
Medical; 2008. p. 2370-71.
Tsao
SS, Dover JS, Arndt KA et al. “Scar Management: Keloid,
Hypertrophic, Atrophic, and Acne Scars.” In: Kaminer MS, Dover JS,
Arndt KA, editors. Atlas of Cosmetic Surgery. United States
of America, W. B. Saunders Company; 2002. p. 442-3.

All content solely
developed by the American Academy of Dermatology

Supported by an educational donation
provided by The Allergan Foundation.
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Dermabrasion and
microdermabrasion are different procedures.
Microdermabrasion sands away only the top layer of skin,
so it does not involve downtime. Dermabrasion requires 5
to 7 days of downtime. |
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