Type of Surgery
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Last updated: 11/24/2009
The most common complication of the procedure is the formation of keloid, a type of abnormal scar that results from excessive collagen production. Because this type of scarring tends to be associated with darker skin types, patients with this kind...
of skin should approach dermabrasion with caution. Other potential complications include abnormal pigmentation of the treated skin, persistent redness of the skin, and a localized dilation of small groups of blood vessels called telangiectasia. Finally, the formation of milia, bumps that form due to obstruction of the sweat glands, although this can be treated after healing with retinoic acid.
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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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