Dermal abrasion, or surgical planning of the skin, is done in selected patients with facial disfigurements from scars resulting from acne, trauma, tattoo, nevi, freckles, and chickenpox or smallpox.
The procedure involves the removal of the epidermis and some superficial dermis while reserving enough of the dermis to allow re-epithelialization of the dermabraded areas. Results are best in the face, because it is rich in intra-dermal epithelial elements.
Surgical planning or dermabrasion is performed either manually with coarse abrasive paper, or mechanically with an abrader or a rapidly rotating wire brush.
Patient Instruction and Preparation
The primary reason for undergoing dermabrasion is to improve the appearance.
Before the process will begin, the surgeon explains to the patient what he can expect from dermabrasion.
The patient should also be informed about the nature of the postoperative dressing, the discomforts he may experience, and how long it will take before his tissues will look normal again.
Normally, the extent of the surface to be planed will determine whether the procedure takes place in the surgeon's office, the clinic, or the hospital. In most cases, a general anesthetic is used and the patient is hospitalized.
The skin is thoroughly cleansed for several days before the surgery. Shaving is not necessary in the female, but with the males, it is important to shave their face on the morning of the surgery.