Surgical Treatment of Facial Skin Irregularities
Whenever the skin has been broken from an infection such as acne or chicken pox, there always will be scars. The appearance of scars depends upon their size, shape and location in addition to factors such as age, heredity, and general physical condition of the skin.
Dermabrasion is a technique to make scarred skin smoother by “sanding” irregularities so that scars blend better with surrounding skin. It is an especially effective way to minimize the rough scars or pits caused by acne or chicken pox.
The procedure usually is performed in Detroit, MI with a rotary abrasive instrument that actually thins normal skin, making the sharp shoulders of facials more saucerized and reducing the shadows that draw attention to them.
The procedure’s goal, it should be noted, is improvement – not removal – of scar tissue, which cannot be totally removed. Also, it generally is true that scars that are wide and shallow respond better to dermabrasion than those that are more narrow and deep.
Deciding On An Operation
Anyone interested in facial dermabrasion should consult a competent facial plastic surgeon in Detroit, Michigan. During the initial visit, the surgeon makes a thorough evaluation of the facial features to determine whether surgery is indicated. The surgeon then will discuss any questions and concerns related to the surgery.
In addition to the skill of the surgeon, the patient’s realistic expectations about the results of the surgery and his general emotional state are important considerations. Mental attitude is as important as the ability to heal in evaluating candidates for facial plastic surgery.
Once surgery is agreed upon, pre-operative photographs are taken to help the surgeon plan the operation. These photographs usually are compared with similar ones taken sometime after surgery and serve as a permanent before-and-after record of the results.
Keeping The Patient Comfortable
A general anesthetic or local anesthetic with freezing sprays can be used to numb the areas that are to be dermabraded. The surgeon will discuss which anesthetic technique is recommended for the patient’s condition.
The Immediate After-Effects
After the superficial layers of the skin are removed through dermabrasion, swelling of the dermabraded areas occurs but clears quickly. The face usually is red and swollen, and a straw-colored fluid will ooze from the skin. This is natural. Within 24 hours, the fluid forms a hardened gel crust, causing the dermabraded area to assume an appearance not unlike that of a skinned knee. By the fourth or fifth day, the skin becomes itchy, cracks, and starts to peel off. For the next six months, sun exposure should be avoided as this may lead to areas of brown patches.
The Results To Expect
Two weeks after surgery, patients may expect to look “socially acceptable.” Although the redness may take up to six months to fade, it easily can be camouflaged after two weeks.
Further treatment may be necessary to make the skin more evenly level. For instance, some facial plastic surgeons use tiny injections of collagen to raise depressions closer to the normal skin level.
The risks are minimal. There are inherent risks in any surgical undertaking, however, and these should be discussed thoroughly with your facial plastic surgeon.
People with dark skin should be dermabraded with caution as pigmentation changes may be significant.
What is the difference between dermabrasion and microdermabrasion?
There is almost no comparison between these two procedures. Microdermabrasion is more of a spa treatment to offer a very mild improvement in skin texture. Dermabrasion generally refers to a surgeon performed procedure that is excellent for acne scars or deep wrinkles. However, the recovery time is obviously greater for dermabrasion. Since laser resurfacing came about dermabrasion has become old school. Laser resurfacing has less down time and more results. Laser resurfacing can be repeated as much as the patient likes (as long as there is enough healing time between sessions) whereas Dermabrasion thins the skin so the procedure can only be repeated a few times.