Current Concepts in Dermabrasion Therapy

Abstract

Dermabrasion is a facial resurfacing technique that was developed in the 1930s. It is a simple and effective technique used to treat various skin lesions, especially on the face. Some examples of lesions treated by dermabrasion include facial rhytids, actinic keratosis, rhinophyma, tattoos, and various types of scars, including acne and postsurgical scars. It is imperative to conduct a proper history and physical examination when evaluating patient for dermabrasion to ensure that the proper surgical candidates are chosen and to avoid preventable complications. Dermabrasion is performed using a handheld device, and therefore, successful treatment of lesions is dependent on the experience of the user and the technique used. The most common complications after dermabrasion include scarring, hyperpigmentation, and infection. However, with proper wound care and technique, usual healing and reepithelialization can be observed within 1 to 2 weeks post procedure. Although one of many facial resurfacing techniques, dermabrasion should be in the repertoire of any facial cosmetic surgeon.