Type of Surgery
Information

Last updated: 11/24/2009
Normal results include significant improvement in the appearance of the skin's surface after healing of the skin. It should be emphasized, however, that many scars will not be completely removed and the change in appearance is to due a softening of...
the edges of the abnormality, not elimination. If a patient cannot tolerate a residual presence of the scar or other abnormality, the treatment should not be used.
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A physician describes what causes acne to develop and how it can lead to facial scars. She also describes several acne scarring treatments including collagen injections, dermal fat injections, dermabrasion, and laser skin treatments. The doctor also describes the role of skin transplant surgery and skin grafts in acne scar repair.
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Dermabrasion is a cosmetic medical procedure in which the surface of the epidermis of the skin (the stratum corneum) is removed by abrasion (sanding). It is used to remove sun-damaged skin and to remove or lessen scars and dark spots on the skin. The procedure is very painful and usually requires a general anaesthetic or twilight anaesthesia, in which the patient is still partly conscious Afterward, the skin is very red and raw-looking, and it takes several months for the skin to regrow and heal. Dermabrasion is useful for scar removal when the scar is raised above the surrounding skin, but is less effective with sunken scars.
In the past, dermabrasion was done using a small, sterilized, electric sander. In the past decade, it has become more common to use a CO2 or Erbium:YAG laser. Laser dermabrasion is much easier to control, much easier to gauge, and is practically bloodless compared to classic dermabrasion.
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