Dermabrasion Acne Scar Removal

---

Dermabrasion Acne Scar Removal: a new technique.

The cosmetic dermatologic surgeon can improve facial scars by using a variety of techniques.

In recent years, laser resurfacing has has enjoyed great popularity;Laser resurfacing has the potential to be more precise than other techniques in the treatment of some facial scars; however, there is still a role for the effective technique of dermabrasion.

A new l technique consist   using solid carbon dioxide (CO₂) to freeze the skin before dermabrasion acne scar removal treatment.

Compressed CO₂ is used to make a solid ball of dry ice.

The ice is used to freeze the skin prior to dermabrasion acne scar removal procedure. After the application of the dry ice ball to the skin for about 4 seconds, the scares are dermabraded with the large mushroom wheel. As the tissue defrosted, the operator started at the outer edge of the freeze and planed into the center. This procedure is repeated until the desired improvement is achieved.

Following the dermabrasion acne scar removal treatment, a polyethylene film is applied in the areas that were sanded. This allows the exudate to wick out and be effectively transpirted through the silicone gel sheeting which is applied over the face.

With dry ice, a good skin turgor is achieved.Use of a CO₂ dry ice block produced a firming of the skin that allowed the dermabrasion to plane down the acne valleys and ice picks.  The patients are pleased with the results and complications are minimal.

A great advantage of using a spray cryogen is that the surface irregularities are frozen in their original pathologic position allowing the dermabrasion procedure to be maximally effective.

References:

1. Kurtin A. Corrective surgical planing of the skin. Arch Dermatol Surg 1953;68:389 95. 2. Orentreich D & Orentreich N. Acne scar revision update. Dermatol Clin N Am 1987;5:359 68. 3. Burks J. Wire Brush Surgery in the Treatment of Certain Cosmetic Defects and Diseases of the Skin. Springfield, IL: Thomas Publishing, 1956. 4. Ayers S III, Wilson J-W, Cuikart R II. Dermal changes following abrasion. Arch Dermatol 1959;49:553 68. 5. Alt T. Dermabrasion: Cosmetic Surgery of the Skin. Philadelphia: Marcel Decker, 1991. 6. Fulton Je Jr. Modern dermabrasion techniques. Am J Cosmet Surg 1990;6:19 24. 7. Fulton Je Jr. Delayed wound healing induced by spray refrigerants during full-face dermabrasion. Am J Cosmet Surg 1991;8:65 9. 8. Silverton K & Fulton Je Jr. Rejuvenation of the acne-scarred face. J Am Cosmet Surg 1998;15:281 9. 9. Friedberg B. Propofol-ketamine technique. Aesthetic Plast Surg 1993;71:297 300. 10. Monheit GD. The Jessner's + TCA peel: a medium-depth chemical peel. J Dermatol Surg Oncol 1989;15:945 50. 11. Obaji ZE. The controlled depth trichloroacetic acid peel: methodology, outcome, and complication rate. Int J Aesthetic Restor Surg 1996;4:81. 12. Fulton Je Jr. Dermabrasion, chemabrasion, and laserabrasion. Historical perspectives, modern dermabrasion techniques, and future trends. Dermatol Surg 1996;22:619 28. 13. Fulton Je Jr & Silverton K. Resurfacing the acne-scarred face. Dermatol Surg 1999;25:353 9. 14. Fulton Je Jr, Suarez M, Silverton K, Barnes T. Small volume fat transfer. Dermatol Surg 1998;24:1 9.

---

Click Here for Chemical peel

Click Here for Laser for scars

---

Return from "Dermabrasion Acne Scar Removal" to "Acne Dermabrasion"