Dermabrasion

Abstract

This article provides an overview of the resurfacing technique of dermabrasion. Preoperative consultation, perioperative medications, postoperative management, common complications, and reasonable outcome expectations are all described in detail. A description of proper technique, intraoperative equipment, and an approach to full-face procedures is also described.

Periauricular wrinkles removed with voltaic arc dermabrasion (Atmospheric Plasma technique)

“…Dermabrasion with plasma is a tried and tested method for treating rhytids, particularly those in the perioral region, and in selected anatomic areas, it is as effective as any other method . Rhytids, dyschromia, and scarring are typically treated by ablative resurfacing . VAD or atmospheric plasma treatment is a plasma‐based technology.…”

“…25,26 Rhytids, dyschromia, and scarring are typically treated by ablative resurfacing. [27][28][29][30][31][32][33] indeed, electrosurgery is based on high radiofrequency (RF) energy that generates heat (400-600°C) that abruptly vaporizes intracellular and extracellular fluids, 35,36 causing superficial tissue desiccation, 37,38 and extending in depth into the tissue, the diffusion in depth is not controllable. The electrosurgical equipment does not take into consideration the different tissue conductivity.…”

Conservative thickness layers in Mohs micrographic surgery

“…Patients with rhinophyma or extremely sebaceous noses are great candidates for post‐CTL dermabrasion, as flaps on this skin often leave unsightly depressed scars and have potential for dehiscence . The combination of CTL and dermabrasion in these select patients maximizes tissue sparing while potentially decreasing times of reconstruction and providing acceptable esthetic outcomes . The CTL technique is especially helpful in nasal locations such as the soft triangle (Fig.…”

Scar Revision Review

“…Some recommend antiviral prophylaxis (eg, acyclovir sodium, 400 mg by mouth, 3 times daily, or valacyclovir hydrochloride, 500 mg by mouth, twice daily) against herpetic infections on all patients, regardless if they have a history. 99 The rationale for providing prophylaxis during the re-epithelialization process is that the herpes virus requires viable epidermal cells to establish infection, which puts the patient at greatest risk for an outbreak 7 to 10 days after surgery. Prophylaxis should also be provided 0 to 2 days preoperatively.…”