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Benifit of the surgical | Benifits of dermabrasion

Benifits of dermabrasion

Benifit of the surgical and the procedure itself does not hurt because the area is anesthetized.  Once the anesthetic wears off, however moderate discomfort will be experienced which can be managed with painkillers.  Aspirin should not be used because it may encourage bleeding.

What care should be taken after dermabrasion?

It is important the patient receives detailed instructions for the post-operative period.  These basic steps are outlined in the table on the Steps in Facial Surgery in Chapter 8.  Some precautionary measures specific to the dermabrasions are necessary in Benifit of the surgical

If swelling and inflammation occur, cortisone may be prescribed.  The skin’s healing process must be monitored as infection may lead to scarring.

Once the scabs are off, the face is usually very red.  As long as the abraded area is dry, makeup may be used, though cautiously.  Avoidance of direct or strong sunlight, as well as the use of sun hats and broad spectrum sunscreens, is absolutely necessary for 6 months after a dermabrasion since irregular pigmentation from sun exposure may lead to skin mottling.  Sunscreens should be worn thereafter to protect the rejuvenated skin.

When can normal activities be resumed?

Facial Surgery and during the first week after a deep dermabrasion the patient will be physically and cosmetically disabled because of the discomfort and swelling of the wound.  When the scab forms within a week, most of the discomfort will have subsided.  Patients generally feel comfortable returning to work and their normal social activities once the scabs fall off within 2 or 3 weeks, although the skin is quite red initially. 

This process is shorter with superficial dermabrasions and normal activities can usually be resumed after one week.

Can a dermabrasion be combined with other techniques?

Dermabrasion is often performed along with chemical peeling.  The eyelid area, for example, may be peeled chemically, whereas the thicker areas of skin may be dermabraded.  This blends the edges of the dermabrasion into the thinner skin of the eyes, thereby avoiding obvious dermacations.  Collagen implants may be used after dermabrasion to elevate deeper depressions.  Prior to a dermabrasion, a punch-transplant technique may be used on deep ‘ice-pick’ scars.  Facial Surgery and the dermabrasion will smooth out the irregularities of the punch-transplant. 

What complications can occur?

Facial Surgery and complications may occur after mechanical dermabrasions including the usual reactions such as allergies to medications or infection.  The most common complications in order of frequency are as follows:

Scarring due to: 

Excessive freezing of the skin prior to the dermabrasion.Inadvertent gouging of deeper tissue, leaving a trough in the skin.Accidental damage to the skin due to mishaps with the machinery.A predisposition for excessive scarring in certain locations on the face.  Darker skinned individuals are more prone to this.

Infection.

Altered pigmentation: 

A loss of color in the skin (hypopigmentation) rather than an increase is more likely to occur after dermabrasion.  This is because pigment cells in the skin’s top layer may either be destroyed during the cold applications prior to dermabrasion of removed during the procedure.

If the dermabrasion is deep, pigment cells around the hair sheaths will also e affected.  Skin irritation on the other hand, may cause stimulation of pigment cells resulting in the production of m ore melanin and a darker color to the abraded area (hyperpigmentation).  Individuals with dark skin are more prone to a mottled or uneven complexion after dermabrasion.  This is particularly true if they are exposed to too much ultraviolet light in the post-operative period.

Skin color changes present cosmetic problems, particularly for men.  Women feel comfortable using cover-up makeup but this might seem too ‘feminine’ for some men.

Milia:  Tiny oil-gland cysts may appear during the healing period because the oil glands cannot drain properly.  The gland breaks under the skin and the body’s defences cause a small wall to form around it resulting in milia.  They will usually disappear spontaneously.  They also could be obliterated quickly with gentle, electro-desiccation, laser therapy or a small incision may be used to open the skin over the tiny white cyst.

Other potential problems:  The trauma of dermabrasion may aggravate underlying disorders such as acne, lupus erythematosus, or cold sore infections.  A poor result, persistent redness, or the development or telangiectasia are also potential problems.

 

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