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PubMed1997

The flashlamp-pumped dye laser and dermabrasion in psoriasis--further studies on the reversed Köbner phenomenon.

Eleven patients with chronic plaque psoriasis were treated with the flashlamp-pumped pulsed dye laser and 6 of the same patients were at the same time treated by dermabrasion. Complete remissions were observed in 3 patients following laser-treatment and in 5 of 6 after dermabrasion. The observation periods were from 4 to 9 months. Our data suggest that the mechanism of the reversed Köbner phenomenon, which is thought to be responsible for the results of dermabrasion, is partly due to destruction of the dermal papillary vasculature. Partial responses were seen in 6 laser-treated and in one patient treated by dermabrasion. Two patients showed no response to laser treatment. These clinically unsatisfactory results can be explained by the great variety in thickness of plaques and in variability of penetration of the laser light. Measurements of absorption and scattering properties of plaques scheduled for laser treatment could probably allow improvements in the technique by optimizing laser beam diameter and pulse duration as well as wavelength and energy levels. The use of the dye laser is far less traumatic to the patient than dermabrasion.

Adult↗
PubMed1994

Dermabrasion: clinical uses in otolaryngology.

Dermabrasion has been a mainstay for the treatment of significant acne scarring. Recently, however, there has been a trend toward expanding the use of dermabrasion to include many other reconstructive procedures. Dermabrasion has become a valuable tool for the facial plastic and reconstructive surgeon. This article presents a thorough review of the expanded indications for dermabrasion in the head and neck region. In addition, the contraindictions, anatomic considerations, equipment, technique, postoperative course, and potential complications of facial dermabrasion are discussed.

Acne Vulgaris↗
PubMed1992

Perioral dermabrasion: clinical and experimental studies.

From 1985 through 1989, 54 patients with wrinkles around the lips and in the chin area were treated by dermabrasion. Significant improvement, lasting longer than three years, was achieved using both types of abrading tool: the wire brush and the diamond fraise. The side effects of dermabrasion were permanent but very slight bleaching in 66% of the patients and formation of milia in less than 20%. The surgical technique is described in detail. Dermabrading tools were tested at different speeds on excess cheek skin at facelift. Histological examination showed that the diamond fraise left a smooth abraded surface and the wire brush left an uneven surface. EMLA cream, usually used for skin surface analgesia, was tested as an adjunct to anesthesia in dermabrasion. EMLA's analgesic performance alone was insufficient in the sensitive perioral region, but it elevated pain threshold and decreased the required amount of local anesthetic solution. Five types of dressing were used and the speed of epithelialization and postoperative comfort were compared. At present Vigilon is the most suitable dressing for dermabrasion. The main advantage of dermabrasion over the chemical peel is the absence of severe depigmentation.

Adult↗
PubMed1991

Comparative study of dermabrasion, phenol peel, and acetic acid peel.

Six areas of the face and forehead of a 36-year-old white female presenting with a benign congenital blue nevus of the skin were treated by dermabrasion, bichloracetic acid, and the classic phenol peel. Comparative results at six months showed each of these methods to be approximately equal in the depth of penetration and in the quality of skin on healing. However, in these small test sites, dermabrasion appeared to remove pigment slightly more efficiently. Therefore, her forehead and cheeks were treated with dermabrasion and subsequently with chemical peel. An attempt was made to touch up the dermabraded areas with acetic acid. Full thickness burns occurred, which resulted in thick scarring that required many months to finally heal. We conclude that at least in the treatment of pigmented lesions, the modalities of phenol, acetic acid, and dermabrasion are approximately equal.

Adult↗
PubMed2003

Successful treatment of a hypochromic scar with manual dermabrasion: case report.

BACKGROUND: Manual dermabrasion is a simple and safe cosmetic procedure that is used to improve unsightly cutaneous disorders. OBJECTIVE: To describe an 11-year-old white female patient who was successfully treated with manual dermabrasion for a hypochromic scar on the left forearm. RESULTS: The hypochromic wound healed without scar and with good cosmetic appearance. CONCLUSION: Although similar to conventional dermabrasion in terms of cosmetic results, manual dermabrasion presents a less expensive and safe alternative.

Child↗
PubMed1985

Pigmentation after dermabrasion: an avoidable complication.

A 20-year retrospective study of patients undergoing dermabrasion is reported. All patients included in this study met the strict criteria of a minimum of a 6-month follow-up examination, abstention from exposure to sun, and photographic documentation. Fifty-nine percent were seen at 1 year or more, and 41 percent were seen at 5 years or more. Unfavorable pigmentation as a result of dermabrasion was encountered in only eight patients. In seven, this receded with the passage of time. The eighth was lost to follow-up. Hypopigmentation was noted in three patients: two blacks and one Caucasian. Persistent redness occurred in three Caucasian patients. Recurring pigmentation with exposure to sun, continuing years after the procedure, was reported in two black patients and two Caucasian patients. Hispanic patients appear to be more aware of subtle pigmentary and textural changes. Adverse pigmentation does not appear to be an inevitable consequence of dermabrasion in patients who abstain from exposure to sun in the initial postoperative period. Dermabrasion is viewed as a valuable surgical procedure for improvement of acne and other scar deformities.

Adolescent↗
PubMedDate not supplied

Chemabrasion, a combined technique of chemical-peeling and dermabrasion.

Chemabrasion was coined to designate a simple, single procedure in which a deep, full-face chemical peeling is followed immediately by dermabrasion. The procedure detailed differs from other techniques in which chemical peeling and dermabrasion are practised together. Certain advantages over chemical peeling and dermabrasion used singly or together in different areas of the face are pointed out. In an early observation of results after a one-year follow-up, it is the author's opinion that the combined procedure yields the benefits of chemical peeling and dermabrasion without increasing the complications of either.

Chemexfoliation↗
PubMed1994

Dermabrasion using tumescent anesthesia.

BACKGROUND: Dermabrasion is a very useful and versatile technique. However, it suffers from side effects and difficulties that limit its popularity among operating dermatologic surgeons and the public. OBJECTIVE: To show that it is possible to eliminate the need for chlorofluorocarbons, improve the standard dermabrasion technique, decrease the healing time, improve its side effect profile, and reduce risks to the operating surgeon. METHODS: Tumescent fluid containing dilute Xylocaine, bicarbonate, and epinephrine in saline was infiltrated before coarse wire brush dermabrasion. Eutectic mixture of local anesthetic (EMLA) was also used topically. The first 14 patients dermabraded by this method are reported on here. Their healing, progress, side effects, and results are described. A patient questionnaire was completed by 12 of the patients who describe the procedure and results from the patient's viewpoint. RESULTS: The procedure was found to be effective in producing anesthesia, eliminating the use of freezing the skin, and limiting the necessity for sedatives, narcotics, and other anesthesia. It gives a firm surface to dermabrade against, makes the procedure more rapid and technically easier, and produces less splatter and therefore less risk for the surgeon. The results subjectively and objectively would appear to be at least as good as standard techniques. The healing in this small sample would appear to be faster both to reepithelialization and to reestablishment of normal color. There was only one case of transient hyperpigmentation lasting less than 1 week. Otherwise there were no cases of pigmentary or scarring side effects. CONCLUSION: Tumescent dermabrasion is safe, effective, and has many benefits over traditional methods.

Acne Vulgaris↗
PubMed1997

Saturated phenol as a local anesthetic for manual dermabrasion.

BACKGROUND: Dermabrasion is a painful procedure that requires the use of anesthetics, which, in their application, adds to the patient's pain. OBJECTIVE: To describe the use of saturated phenol as a transient local anesthetic for manual dermabrasion. METHODS: Manual dermabrasion of small areas (4 cm2) was performed in 12 patients using saturated 88% phenol as a local anesthetic. RESULTS: Cosmetic results were good or excellent in 11 patients. Pain was minimal in eight patients, moderate in three, and absent in one. CONCLUSION: Saturated phenol is an effective and safe anesthetic alternative for manual dermabrasion of small areas.

Adolescent↗
PubMed2001

Dermabrasion.

Dermabrasion is a time-tested and cost-effective resurfacing technique for scars, wrinkles, and photodamage with a track record of moderate efficacy and well-known safety profile. The risk of bloodborne pathogens to the operator is far greater with dermabrasion than other resurfacing techniques. The learning curve is significantly longer with dermabrasion than laser resurfacing or chemical peels. In expert hands, dermabrasion can achieve results comparable with laser resurfacing. When performed by an infrequent user of the procedure, however, the results achieved can be expected to be far less predictable than laser resurfacing.

Cicatrix↗
PubMed2002

Removal of traumatic and decorative tattoos by dermabrasion.

Dermabrasion generally produces excellent results in the removal of congenital or acquired nonesthetic skin changes. Results obtained by use of dermabrasion in the removal of foreign bodies penetrating the skin by accident (undesired tattoo) and variously motivated voluntary tattoos (decorative skin ornaments) are presented. Unless surgically removed, such tattoos remain in the skin for life. Superficial traumatic tattoos can be removed immediately after the accident, whereas decorative tattoos can be successfully removed by repeat surface dermabrasion. In case of granuloma formation in traumatic tattoos, dermabrasion will not produce satisfactory results.

Adult↗
PubMed1985

[Histology of dermabrasion in giant nevi].

Three female infants suffering from nevocytic giant nevi (GNi) of lumbosacral location were treated by means of high-r.p.m. dermabrasion. In the follow-up period up to 26 months, the GNi completely healed, and there were no recurrences. Before and immediately following dermabrasion as well as after complete healing without any irritation, we took biopsies from the affected areas for histological examination. By way of dermabrasion, we removed the pigmented nevus cell-tissue with its focal arrangement in the upper corium. In the depth of the dermis, however, reaching down to the subcutaneous tissue, there were widespread nevus cells left together with single hair follicles and sweat glands. In the course of healing, we observed the formation of a scar camouflaging the remaining nevus, but sharply demarcated from it, and showing no junctional activity. The clinical healing of the three nevocytic GNi went without junctional activity which usually indicates possible cancerization as mode of development associated with these malformations in the dermo-epidermal border line. Thus dermabrasion might reduce the risk for melanoma. There is still left some risk coming from the remaining nevus cell formations in the depth of the dermis or the proliferating cutaneous appendages that may induce junctional activity.

Cicatrix↗
PubMed1995

Dermabrasive scar revision. Immunohistochemical and ultrastructural evaluation.

BACKGROUND: Dermabrasion of facial scars 4-8 weeks after injury frequently completely eliminates visible evidence of scar formation. However, efforts to define the cellular and structural mechanisms by which this phenomenon occurs have been limited in their success. OBJECTIVE: We investigated wound healing after dermabrasive scar revision. METHODS: The surgical scars of seven patients were abraded 6-8 weeks after injury. Comparative electron microscopic and immunohistochemical studies were performed on punch biopsy specimens taken before and after the dermabrasion. Ultrastructural changes in the basement membrane components and dermal structures were evaluated. Monoclonal antibody staining techniques were used to observe the presence, location, and temporal expression of tenascin, epiligrin, cadherins, and integrin subunits. RESULTS: We observed: 1) an increase in collagen bundle density and size with a tendency toward unidirectional orientation of fibers parallel to the epidermal surface, 2) an upregulation of tenascin expression throughout the papillary dermis, and 3) expression of alpha-6/beta-4 integrin subunit on the keratinocytes throughout the stratum spinosum. CONCLUSIONS: The mechanisms by which dermabrasive scar revision alters the events of primary cicatrix formation include modification of extracellular ligand expression, thereby influencing epithelial cell-cell interaction, and reorganization of connective tissue.

Antigens, Surface↗
PubMed2003

Multicentric malignant melanoma in a giant melanocytic congenital nevus 20 years after dermabrasion in adulthood.

BACKGROUND: Dermabrasion is one approach to the treatment of treating giant melanocytic congenital nevi. Treatment is recommended to reduce the risk of spontaneous malignant transformation of giant nevi into malignant melanomas that usually occur in childhood. OBJECTIVE: To describe the development of a multicentric malignant melanoma in a giant melanocytic congenital nevus after dermabrasion. METHODS: We report about a 46-year-old male patient who developed a multicentric malignant melanoma in a giant melanocytic congenital nevus. The nevus was located on his left shoulder extending to his neck and chest. Previously, dermabrasion of the nevus was performed twice at the ages of 26 and 28. RESULTS: To our knowledge, this is the first report of malignant transformation of a giant nevus into a multicentric malignant melanoma diagnosed 20 years after the procedure of dermabrasion. CONCLUSION: We conclude that a close follow-up of such patients is mandatory.

Cell Transformation, Neoplastic↗
PubMed1977

Comparative histological study of mini pig skin after chemical peel and dermabrasion.

Although individual studies of the histological changes after chemical peel and dermabrasion have been reported, there has not been a comparative study of these modalities in the same animal mode. Using the mini pig, whose skin most closely resembles human skin, a study was performed of histological changes 24 hours to 16 weeks after dermabrasion and chemical peel. A considerable increase in thickness of the new collagen layer was noted after chemical peel in contrast to that seen in skin after dermabrasion. The skin surface after chemical peel appeared smoother after 16 weeks, suggesting that chemical peel may be a more effective modality for treatment of the fine wrinkles of aging skin.

Animals↗
PubMedDate not supplied

Histologic study of dermabrasion and chemical peel in an animal model after pretreatment with Retin-A.

The purpose of this study was to evaluate the histologic changes that occur after dermabrasion and chemical peel in an animal model that has been pretreated with topical Retin-A. Since human skin and guinea pig skin are very similar in architecture, pretreatment of the latter with Retin-A may reflect what would occur in human skin. Twelve nude Hartley white guinea pigs were used in our study. Six were pretreated with topical Retin-A and six were controls. Each guinea pig underwent chemical peel and dermabrasion. The wounded areas were watched for clinical progression of healing and biopsied. Both clinical observation and histology revealed that those animals pretreated with Retin-A healed much quicker than the control animals. This was found to be statistically significant with p = 0.05. This study implies that if patients are treated with Retin-A before undergoing chemical peel or dermabrasion, they will likely observe accelerated healing.

Animals↗
PubMedDate not supplied

Dermabrasion: a curative treatment for melasma.

Melasma is fairly common in Asian patients with a dark skin tone. It has long been known for its recalcitrance to any form of treatment. The objective of this article is to propose mechanical dermabrasion as a curative treatment for this entity. Five hundred and thirty-three patients with melasma were treated by mechanical dermabrasion using a rotatory diamond fraise. Four hundred and ten patients were available for long-term follow-up (mean follow-up time 5 years, range 1-9 years). Out of 410 patients, 398 (97%) achieved persistent clearance of melasma; in the remaining cases, there was partial recurrence after initial clearance. The common temporary sequelae were postoperative erythema or hyperpigmentation, pruritus, and milia formation. Two patients developed hypertrophic scars, one on the upper lip and one on the jawline, and one patient had permanent hypopigmentation on the forehead. In conclusion, mechanical dermabrasion is a relatively safe and highly effective means for curing melasma.

Adult↗
PubMedDate not supplied

Tissue paper for hemostasis of spot dermabrasion.

Dermabrasion remains one of the effective ways to treat scars and facial wrinkles. Spot dermabrasion is for a localized limited area. Bleeding and oozing from the abraded wound are cumbersome during the operation. Small pieces of tissue paper were used for the intraoperative hemostasis. The efficiency and safety of the tissue paper as a temporary dressing for hemostasis was discussed and presented. It is simple, cost-effective, and easy to use for hemostasis from spot dermabrasion.

Adult↗