In dermabrasion, the doctor scrapes away the outermost layer of skin
with a swirling wire brush. In dermaplaning, the surgeon uses a handheld
instrument called a dermatome, a motorized blade that skims off the outer layer
of skin around the
acne scars.
Dermabrasion and dermaplaning are usually done with
local anesthesia combined with a
sedative, although
general anesthesia can be used. Sometimes doctors use
a numbing spray, such as Freon, along with or instead of local anesthesia.
Often these procedures are done in stages, treating only one part of the face
at a time.
Dermabrasion is done by a specially trained health professional,
usually a dermatologic or plastic surgeon.
After dermabrasion or dermaplaning, you need to put cold compresses
on the treated area a few times a day for about a week. You may want to put
bandages on your face at night for comfort.
Right after dermabrasion your skin will be raw and will ooze a clear
fluid. In the next few days, the oozing liquid will stop and a crust will form
on the skin. About a week after the dermabrasion, the treated skin looks shiny,
red, and smooth. This shiny redness may last for a few weeks.
These procedures can discolor your skin. For this reason, people
often choose other treatments for their acne scars. You may avoid discoloring
your skin by staying out of the sun. Use hats and sunscreen whenever you are
outside.
For more information on this surgery, see the topic
Dermabrasion.