Dermabrasion
The Procedure
The Dermabrasion procedure involves a motor-driven burr that is
used on the skin to remove superficial skin through a process that
is similar to sanding. The removal of superficial skin allows
healthier skin cells to surface and the results are a smoother
texture and tighter skin.
Acne Scars
Acne scars are very similar to wrinkles in the sense that they
are visible because they are lower or deeper than surrounding skin.
Light casts shadows into acne scars, making them even more visible.
The visibility of the acne scars can be diminished by bringing the
scars to the same level as surrounding skin. Their visibility will
diminish because shadows will be less obvious. This can be
accomplished by lowering the surrounding skin through Dermabrasion
or laser resurfacing.
Effectiveness of Dermabrasion
Dermabrasion can be effective in improving wrinkles and acne
scars, but it is not a miracle cure and it will not eliminate
wrinkles and acne scars 100%. Each treatment will improve acne
scarring by 20-40%. Therefore, multiple treatments may be
required to achieve your desired result. Some acne scars may not be
removed, even following multiple treatments.
Advantages
The biggest advantage to Dermabrasion is that it requires no skin
preparation prior to the procedure.
Disadvantages
Although Dermabrasion can improve wrinkles, it is not nearly as
effective as a deep chemical peel. Several Dermabrasion treatments
may be required to reach desired results.
Another risk of Dermabrasion is that there is a chance for your
skin to turn permanently paler. Dermabrasion poses a higher risk of
pale skin than laser.
Cost
The cost for full face Dermabrasion is $4,000. If you have acne scars and
want only your cheeks treated, expect to pay about $3,000. If you
want only your lips treated, expect to pay about $1,500.
What to Expect
Anesthesia: General or sedation.
Location of operation: Office or hospital.
Length of surgery: 15-60 minutes.
Length of stay: Outpatient (home same day).
Discomfort: Moderate. Anticipate 3-7 days of prescription
pain medication.
Swelling: Will last for 7-14 days.
Dressings: You will be instructed to wash your face daily
and reapply ointment until your skin has healed. Expect 7-10 days.
After your skin heals, it will appear sunburned. It will return
to its natural color in 4-6 weeks.
Presentable in public: You will be presentable with makeup
in 7-10 days.
Work: You may feel capable of returning within 3 days, but your
appearance will be the limiting factor.
Exercise: May be resumed within a week.
Sun protection: SPF 15 or higher for 3-6 months.
Final result: Will be seen in 4-6 weeks.
Expected Duration of Results
The lasting effects of Dermabrasion vary. There have been cases
where Dermabrasion has had a lasting effect on acne scars.
Dynamic wrinkles, because they are caused by ongoing muscle
activity, will redevelop within one to five years.
Satisfaction
Satisfaction following Dermabrasion is variable depending on the
severity of the problem. The deeper the wrinkles and acne scars, the
less likely Dermabrasion will yield a satisfactory result, and the
more likely that multiple treatments will be required.
Those who expect more from Dermabrasion than it can deliver and
those who expect that deep wrinkles or acne scars will be removed
following a few treatments will be disappointed.
Concluding thoughts on Dermabrasion
Dermabrasion has been used for decades to smooth skin and to
reduce wrinkles and acne scars. Like most treatments for skin
problems, multiple sessions of Dermabrasion may be necessary to
achieve your desired results.
Since the advent of
laser
technology, many plastic surgeons have turned to lasers to achieve
the same goals they once attained through Dermabrasion.

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