The combined treatment of chemical peeling and dermabrasion of the face been widely accepted since its introduction in 1972 by Dupont and Horton. 1 Trichloroacetic acid (TCA) has been used extensively by dermatologists and plastic surgeons for many years. A 10-25 percent solution is used for light peeling; it is safe as its systemic toxicity is less than that of phenol. This peeling is equivalent to a mild sun burn with mild skin erythema for 2-3 days and light exfoliation at 3-5 days and can be repeated 1 week later but it barely penetrates beyond the epidermis. For this reason, a combination of TCA with other treatments such as dermabrasion has been proposed as an effective treatment for acne scars and as a way to potentiate the effect of TCA to achieve a deeper peel. 2 Manual dermasanding is a procedure of skin abrasion using sterile sand paper. 3,4 It removes the epidermis to the mid reticular dermis along with the outer portion of the skin adnexia. Re-epithelialization takes place from the residual portion of the adnexia. 5 It has several advantages over classical dermabrasion as it is simpler and less costly, more readily accessible, and safer with no blood splatter or aerolized particles that can infect the staff. 6,7