Is Dermabrasion Right For Your Skin?
Dermal abrasion, or surgical planing 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 begins, 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.
In addition to general anesthesia, the use of a topical spray
anesthetic for stabilizing and stiffening the skin may be desirable.
The depth of planning can be readily gauged and the anesthetized
area is momentarily bloodless. The superficial layers of skin are
removed by an abrasive machine, usually known as the Dermabrader, or
the sandpapering.
During and after planning, copious saline irrigations remove
debris and allow for inspection.
Is It Right For Everybody's Skin?
Even if dermabrasion is one of the best surgeries needed to clear
the skin from scars from acne and other skin problems, there are
still some factors that need to be considered before jumping into
conclusions. These factors are very important to take into
considerations because not all skin type is created equal. Hence,
the effects may vary.
Here are some of the factors that need to be considered before
applying dermabrasion.
1. The skin colour
People who have dark skins tend to have permanent discoloration
or blotchiness after the surgery. Therefore, it would be better not
to opt of dermabrasion if the skin falls under this category.
2. The skin's condition
There are people who are born with sensitive skins. This means
that their skins will immediately experience allergic reactions to
some chemicals or treatments that the skin cannot endure.
In this manner, people who have sensitive skins should not resort
to dermabrasions.
3. People who have acne that are on its active stage are not
allowed for dermabrasion.
If the person has acne that is currently on its active stage, it
is best not to try dermabrasion. This is because there is the danger
of infection due to the freshness of the open skin. Ruptured or open
skin will be easily penetrated by bacteria that cause infection.
This is also applicable for people who have burnt skin or those
that have previously undergo chemical peel.
4. Be wary of people who perform dermabrasion.
Dermabrasion is actually a safe surgical treatment. However, it
requires expertise and familiarity on the process in order to
perform it properly.
Hence, dermabrasion should not be executed by people who still
lack some of the required skills in the execution of the
process.
5. There are skins that have the tendency to develop keloids or
excessive benign growth of skin tissues.
This simply means that for people who usually develop a scar or
keloid whenever their skin is damaged, chances are, they would
develop the same thing when they undergo dermabrasion.
However, there are some treatments that can remove the scars and
keloids, it would still be better to avoid such trouble of getting
into another medication. Hence, for people who have skins that fall
under this category, it is best not to try dermabrasion.
All of these things are boiled down to the fact that dermabrasion
is not appropriate for everybody. Like the other treatments
available in the medical field, it should also be analyzed with
utmost care before jumping into decisions.
After all, it is the person's skin that will be put at risk and
not just their money, so, careful consideration is extremely
important. |