Ablation of Facial Scars by Programmed Dermabrasion

Yarborough, John M.

doi:10.1111/j.1524-4725.1988.tb03503.x

Cited by 79 publications

(29 citation statements)

References 3 publications

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“…Wire and diamond fraise dermabrasion, surgical sand paper, chemical peels, and lasers have all been used to resurface scars [5]. Although several earlier authors recommended resurfacing scars 3±9 months postoperatively [6], in 1988 Yarborough [7] demonstrated that scars dermabraded 4±8 weeks postoperatively showed more improvement than those dermabraded at longer intervals from the primary wound. In a split scar study, Katz and Oca [8] found a greater number of scars responded to dermabrasion at 8 weeks than at 4±6 weeks.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the efficacy of using a short‐pulsed erbium:YAG laser for intraoperative resurfacing of surgical wounds

Rohrer

Ugent

2002

Lasers Surg Med

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Given the time and resources necessary to perform an intraoperative resurfacing procedure on the wound edges, it may be more reasonable to withhold resurfacing procedures for those few cases that may require it postoperatively (patients with a history of poor healing, highly sebaceous areas, etc.). When good operative technique is used, most surgical wounds on the head and neck heal very well with excellent aesthetic outcomes without any additional intervention.

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Section: Discussionmentioning

confidence: 99%

Evaluating the efficacy of using a short‐pulsed erbium:YAG laser for intraoperative resurfacing of surgical wounds

Rohrer

Ugent

2002

Lasers Surg Med

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“…Yarborough 2 proposed that dermabrasion restructures and layers collagen parallel to the lines of tension to smooth contour irregularities and eliminates the epidermal component by upward and horizontal migration of epithelial cells from viable adnexal structures. Nelson et al 22 demonstrated an increase in collagen type I synthesis after superficial dermabrasion for photoaged skin.…”

Section: Methodsmentioning

confidence: 99%

“…Many authors have reported excellent results achieved with this device. [1][2][3][4][5][6] The disadvantages of the powered tool include aerosolizing of infectious particles; blood splatter; the need for protective clothing; risk of lip, eyelids, hair, or gauze being caught in the instrument; and the added cost of the power instrument. Several authors have reported manual use of abrading devices for dermabrasion, including wire brush, DF, sandpaper, Bovie scratch pads, abrasive cloth, and drywall or plaster sanding screen (SS).…”

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confidence: 99%

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Conventional Diamond Fraise vs Manual Spot Dermabrasion With Drywall Sanding Screen for Scars From Skin Cancer Surgery

et al. 2002

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“…Because the skin receives its vascular supply via the arborized papillary plexus and the deep vascular plexus at the dermal-subcutaneous tissue junction, pinpoint bleeding serves as an important landmark to indicate the depth of the papillary dermis. 9 The healing process is initiated by coagulation of the wound edge and crust formation during the first 24 hours. Locally, activation of coagulation cascade triggers complex signaling pathways including the release of chemotactic and growth factors (i.e., transforming growth factor-beta [TGF-β], fibroblast growth factor [FGF], epidermal growth factor [EGF], transforming growth factor-alpha [TGF-α], and platelet-derived growth factor [PDGF]) involved in endothelial cell and fibroblast proliferation.…”

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confidence: 99%

29 Dermabrasion and Microdermabrasion: Rationale, Application, Safety Concerns, and Complications

Truswell¹

2016

Lasers and Light, Peels and Abrasions

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The history of dermabrasion dates back to 1550 BC when Egyptian physicians used alabaster and pumice to smooth scars and skin blemishes. 1 They recognized that producing partial-thickness abrasion improved the appearance of skin. Modern era dermabrasion was pioneered in 1905 by Kromayer. 2 In 1953, Kurtin refined the dermabrasion technique with modified, powered dental equipment using topical refrigerants and a wire brush. 3 There are three main modalities for skin resurfacing: chemical peel, laser resurfacing, and mechanical dermabrasion. The contemporary trend favors the use of the laser-resurfacing technique. Many clinicians feel that laser resurfacing allows for more controlled thermal injury and more consistent outcomes with less operator-dependent variability. Whereas the newest laser technology has significantly reduced risk associated with thermal injury to surrounding tissues, in experienced hands, dermabrasion provides great manual control to the depth of destruction without spreading the thermal injury to deeper layers of the skin. MechanismThere are five layers of epidermis: stratum corneum at the surface followed by lucidum, granulosum, spinosum, and basalis. The thickness of epidermis varies depending on age of the patient and location of the skin. Average thickness of facial skin epidermis is approximately 100 µm thick, although at the eyelids it may be only 50 µm thick. 4 Four major cell types are found in the epidermis, including keratinocytes (80%), melanocytes, Langerhans cells, and Merkel cells. In the basalis layer, melanocytes generate skin pigmentation through the actions of the tyrosinase enzyme. 5 The rete ridges are projections of the epidermis into the dermis that help increase the surface area of contact between the two interfaces. In both processes of aging and scar formation, histological changes observed include loss of elastic fiber, atrophy of collagen bundles, and flattening of rete ridges. 6,7 The dermis consists of papillary and reticular layers. The papillary layer is located below the basement membrane and contains mostly loose collagen and fibrocytes. The reticular layer contains thicker, compact collagen, and the adnexal structures of the skin such as sweat glands, hair follicles, and sebaceous glands. On the hairless part of the face, such as the nose, the sebaceous unit is the predominant adnexal structure. Within the adnexal structures are the epithelial stem cells capable of differentiation and re-epithelialization. 8 The goal of dermabrasion is to mechanically remove the epidermis while preserving the adnexal structures (▶ Fig. 29.1). This is accomplished with the use of a motorized handpiece and a rotating tip composed of either a wire brush or diamond particle-coated fraise (▶ Fig. 29.2). The depth of injury is controlled by the surgeon carefully abrading the skin to the desired layer (▶ Fig. 29.2). Controlled injury to the epidermis and papillary dermis heals without scarring; however, if the injury penetrates deep into the reticular dermis where the adnexal struct...

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Ablation of Facial Scars by Programmed Dermabrasion

Cited by 79 publications

References 3 publications

Evaluating the efficacy of using a short‐pulsed erbium:YAG laser for intraoperative resurfacing of surgical wounds

Evaluating the efficacy of using a short‐pulsed erbium:YAG laser for intraoperative resurfacing of surgical wounds

Conventional Diamond Fraise vs Manual Spot Dermabrasion With Drywall Sanding Screen for Scars From Skin Cancer Surgery

29 Dermabrasion and Microdermabrasion: Rationale, Application, Safety Concerns, and Complications

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