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At least 73 records · Page 4Linked to original sources
PubMed1987

[Telethermographic aspects of dermabrasion including the management of postoperative wounds].

If the skin is not cooled, dermabrasion induces local hyperthermia of 36 to 41 degrees C. This temperature goes down again after one minute and is not considered the cause of postoperative hypertrophic scarring. Yet, cooling of the skin during dermabrasion is generally recommended. In small as well as in large excoriated areas, high speed dermabrasion causes a temperature decrease (delta T) of about 2 to 3 degrees C due to the evaporation of exudate. If we assume that the vascular capillary plexus in the stratum papillare is seriously damaged, the subsequent reparation of the upper skin layers must be clinically and thermographically interpreted as wound healing (latent and proliferative period). The exothermic reaction of the early phase of wound healing is superimposed by the cooling effect due to exudation. The covering of the skin defect with the fine-meshed polyvinyl alcohol hydrogel polyester netfoil, Cutinova, seems to have a favorable influence on the wound healing process, if the covering is regularly changed every one or to days. This may be due to the temperature increase caused by the prevention of the evaporation of the exudate. Measurements of sensitivity (to pressure, temperature, and pain) showed that the cutaneous sensation almost completely recovered after about 15 days.

Bandages↗
PubMed1985

[Dermabrasion and its problems].

The technique and indication as well as resulting problems of dermabrasion are discussed in detail. Furthermore rare indications suited for dermabrasion are pointed out. It is demonstrated, that dermabrasion represents a universal surgical procedure in dermatology.

Adult↗
PubMed1998

Dermabrasion. As a complement to aesthetic surgery.

Dermabrasion remains an effective and reliable resurfacing option for perioral rhytides, acne scars, traumatic facial scars, and rhinophyma. It is inexpensive, portable, and widely available. It is well taught in most plastic surgical training programs and, therefore, does not require expensive secondary training courses. Dermabrasion requires no specialized accessory equipment and poses no fire hazard in the operating room. Extensive literature and clinical experience document its efficacy. Proper patient selection and recognition of planing depth are both essential to successful outcome. Despite the recent popularity of the carbon dioxide laser, dermabrasion should remain a fundamental working skill for all plastic surgeons.

Acne Vulgaris↗
PubMed2000

A controlled evaluation of dermabrasion versus CO2 laser resurfacing for the treatment of perioral wrinkles.

Facial skin treatments with laser resurfacing, dermabrasion, and chemical peels were responsible for a significant portion of the 2.7 million cosmetic procedures performed in 1998. Perioral wrinkles are a common problem for which plastic surgical consultation is obtained. The aim of this study was to compare and quantify the advantages and disadvantages of laser resurfacing versus dermabrasion in the treatment of perioral wrinkles. Twenty female patients provided informed consent and participated in the study. Half of the perioral area was treated with dermabrasion and half was treated with the UltraPulse CO2 laser. The two procedures were compared using high-quality photographs; a biophysical evaluation of skin color, hydration, and mechanical properties; and patient evaluation of outcomes. Photographs were evaluated by 10 board-certified plastic surgeons who were blinded to the treatment methods. The laser treatment had a significantly higher erythema score at 1 month and a small but significantly greater improvement in perioral wrinkles at 6 months. Thirteen subjects selected the laser treatment as producing the best result, despite the greater intraoperative pain for this procedure. Biomechanical measurements suggest that the laser treatment produced a skin state more similar to skin in younger patients, presumably with higher levels and/or greater organization of the collagen and elastin. Patient preference was inferred from the resurfacing method that they would recommend to a friend. Although the laser was selected as the best result in a majority of cases, patient preference was equally distributed between the two treatments. The authors think that by studying and quantifying the biophysical changes that occur as a result of CO2 laser resurfacing, greater improvements in restoring actinic damage (e.g., wrinkles) can be achieved. Patients consider more than the objective skin changes from a resurfacing technique when making a recommendation to a friend.

Adult↗
PubMed1998

An ultrastructural comparison of mechanical dermabrasion and carbon dioxide laser resurfacing in the minipig model.

OBJECTIVE: To compare the histological and ultrastructural changes in skin collagen with mechanical dermabrasion and pulsed carbon dioxide laser resurfacing in the minipig model. SETTING: Academic medical center. SUBJECTS: Yucatan minipig animal skin model. MAIN OUTCOME MEASURES: Comparison of light microscopic and ultrastructural (electron microscopic) changes in the skin following the 2 resurfacing modalities. RESULTS: No significant difference in collagen histological characteristics or ultrastructure was detected between the 2 comparison groups. CONCLUSIONS: When mechanical dermabrasion or pulsed carbon dioxide laser resurfacing is used with similar-depth injury to the dermis in this model, the histological changes seen via light microscopy and ultrastructural changes seen via electron microscopy are similar between the 2 treatment modalities.

Animals↗
PubMedDate not supplied

Xeroderma pigmentosum: resurfacing versus dermabrasion.

Three patients of Xeroderma Pigmentosum (XP) have been managed for recurrent tumours. Improvement in pigment pattern was observed at both the donor as well as the recipient sites. An attempt has been made to prevent further occurrence of tumours over the exposed parts of the body by resurfacing and also by dermabrasion. A comparative study of the two procedures is being carried out and the preliminary results are discussed. Deep dermabrasion appears to be preferable as a prophylactic procedure.

Adult↗
PubMed1990

Linear porokeratosis: successful treatment with diamond fraise dermabrasion.

A patient with linear porokeratosis was successfully treated with diamond fraise dermabrasion. Follow-up evaluation revealed an excellent cosmetic result with adequate repigmentation, no scarring, and no recurrence of lesions. Long-term follow-up will be necessary to determine whether dermabrasion treatment of linear porokeratosis provides adequate prophylaxis against the subsequent development of malignancy.

Adult↗
PubMed2000

Comparison of carbon dioxide laser, erbium:YAG laser, dermabrasion, and dermatome: a study of thermal damage, wound contraction, and wound healing in a live pig model: implications for skin resurfacing.

BACKGROUND: Advances in laser technology allow for precise tissue removal and minimal thermal damage. However, mechanisms for cosmetic improvement have not been determined. Investigators have suggested that ablation, collagen shrinkage, and new collagen deposition all contribute to the clinical outcome. OBJECTIVE: In a live farm pig, we examined gross and microscopic effects of thermal and mechanical ablation devices to characterize immediate and long-term mechanisms in skin rejuvenation. METHODS: Two CO(2) lasers, an erbium:YAG laser, a dermabrader, and a dermatome were used to treat flank skin in a farm pig. There were 14 different treatment groups based on device type and working parameters. One to five sites were treated for each group. Wound surface areas were measured before treatment, immediately after treatment, and 7, 17, 23, 30, and 60 days thereafter. Biopsies were performed immediately after irradiation and 2, 7, 17, and 60 days after treatment. RESULTS: For the CO(2) laser-induced wounds, surface area measurements showed that immediate and final wound contraction tended to increase with initial residual thermal damage (RTD) for a range of values, above which immediate contraction remained relatively constant. Although there was no immediate wound contraction with mechanical ablation devices, long-term wound contraction in the dermatome and dermabrasion sites increased with depth of ablation. The erbium:YAG laser sites healed in a manner similar to that of mechanically induced wounds. Wound contraction profiles over time were dependent on depth of RTD and depth of ablation. Sixty days postoperatively, histologic examination showed varying degrees of fibroplasia. Overall, there was greater compaction and horizontal orientation of collagen fibers in those wounds with more than 70 microm of dermal RTD. Grossly, all wounds were similar after 60 days, with the exception of the deep dermabrasion sites, at which clinical scarring was observed. CONCLUSION: Our results show that CO(2) laser resurfacing produces short- and long-term wound contraction that is greater than that induced by purely ablative methods for the same total depth of injury. The erbium laser produced wound contraction profiles similar to those produced by mechanical wounding. The data suggest that initial collagen contraction and thermal damage modulate wound healing.

Animals↗
PubMed1985

Activation of herpes simplex following dermabrasion. Report of a patient successfully treated with intravenous acyclovir and brief review of the literature.

Herpes simplex labialis developed in a patient immediately following dermabrasion. The patient was hospitalized because the infection had spread rapidly over the dermabraded face and was complicated by secondary impetiginization. Herpesvirus hominis type I and Enterobacter aerogenes were isolated from cultures. Intravenous acyclovir and oral antibiotics were administered. On this regimen, new vesicle formation ceased in 36 hours. Complete resolution of the infection occurred within 6 days, with an excellent cosmetic result. Observation at 1 month confirmed no sequelae (in particular, scarring). The "at risk" patient with a history of recurrent herpes labialis should be identified prospectively in an attempt to prevent possible reactivation; should this complication ensue, appropriate treatment should be immediately administered because a state of local immunocompromise exists. We believe our patient benefited greatly from vigorous treatment, with significant shortening of time to healing. Prophylaxis with oral acyclovir of "at risk" patients prior to dermabrasion is proposed.

Acyclovir↗
PubMed1986

Atypical keloids after dermabrasion of patients taking isotretinoin.

Six patients underwent dermabrasion while on or having recently completed isotretinoin (Accutane) therapy. All patients developed keloids in atypical locations; the keloids eventually responded to topical or intralesional steroid therapy. Retinoids have a modulatory effect on connective tissue metabolism, including suppression of collagenase, which may enhance keloid formation. Dermabrasion should be delayed in those patients taking or recently on isotretinoin therapy.

Acne Vulgaris↗
PubMed1986

Tretinoin in the preoperative and postoperative management of dermabrasion.

Full-face or half-face dermabrasions for acne scarring were performed in 123 patients, 88 of whom received pretreatment for at least 2 weeks with 0.05% tretinoin cream. In the group that received tretinoin, healing, as evidenced by reepithelialization, was complete by 7 days; most of these patients completely healed in 5 days. All patients who did not receive tretinoin healed by 11 days, but none healed sooner than 7 days. No milia or postinflammatory hyperpigmentation was experienced by patients treated with tretinoin when the drug was resumed within 1 week after dermabrasion. In the group that received no tretinoin, milia and postinflammatory hyperpigmentation occurred in 28% of patients postoperatively.

Acne Vulgaris↗
PubMed1997

The efficacy of dermabrasion in the treatment of nodular amyloidosis.

Nodular amyloidosis is a rare entity that predominantly affects females in the sixth and seventh decades. Frequent cutaneous sites of involvement are the extremities, trunk, and genitalia. Numerous cosmetic procedures have been employed to treat the lesions of nodular amyloidosis. Dermabrasion, which was performed on the lesions of nodular amyloidosis on the chin after surgical debulking, proved successful in the treatment of localized nodular amyloidosis. Follow-up at 26 months showed no clinical evidence of recurrence. Dermabrasion offers another acceptable modality for cosmetic treatment of nodular amyloidosis.

Amyloidosis↗
PubMed1998

Repigmentation of leucodermic defects in piebaldism by dermabrasion and thin split-thickness skin grafting in combination with minigrafting.

The depigmented skin areas in piebaldism are unresponsive to medical or light treatment. In 12 adult patients (eight women and four men), a method using dermabrasion and thin split-skin grafts was applied initially. Residual leucodermic areas were subsequently treated using a minigrafting method. Additional irradiation with ultraviolet A (10 J/cm2) was performed to enhance melanocyte migration. This combined surgical therapy led to 95-100% repigmentation of the leucodermic defects. A perfect colour match with the surrounding non-lesional skin was achieved in all cases. Complications were minor and easy to correct. Dermabrasion and split-skin grafting followed by minigrafting should be considered as the first choice of therapy in piebaldism.

Adult↗
PubMed1998

Early dermabrasion of deep dermal burns with sandpaper. Case reports.

Deep dermal burns are initially difficult to evaluate, and they sometimes heal spontaneously. We present our experience of dermabrasion with sandpaper in four patients. It is a useful alternative to early excision of the scar. Skin grafts are not always required and the aesthetic results are excellent. Dermabrasion should be considered routinely for all deep dermal burns and particularly for facial burns and those caused by scalds.

Adult↗
PubMed1979

A new technique of dermabrasion.

Dermabrasion is an accepted method for improving the appearance of facial scars. It allows the epidermis to regenerate as a smooth surface after the defective dermis and epidermis have been removed. Several methods and instruments are currently being employed for dermabrasion. Sandpaper wrapped around a motor-driven cylinder is effective in broad, flat areas but is difficult to use around the eyes and nose. A wire-mesh brush of multiple short, curved, stainless steel wires driven by a motor is useful; but the skin is easily abraded too deeply, it is hazardous to use the device near the eyes, and gauze sponges are easily enmeshed in the rapidly whirling brush. Consequently, we have modified the use of this wire-mesh brush. It is as effective and more safely used by hand, without the motor.

Cicatrix↗
PubMed1992

The use of a contained breathing apparatus to isolate the operator and assistant for aerosolizing procedures including dermabrasion and laser surgery.

Dermabrasion and carbon dioxide laser surgery aerosolize patient blood and tissue particles. The operating physician and assistants may therefore have intimate inhalational and mucous membrane contact with patients' body fluids. Herein is described the use of an isolated ventilation system to protect physicians and assistants from blood and tissue products aerosolized during the course of dermabrasion and carbon dioxide laser surgery.

Aerosols↗
PubMed2001

Treatment of facial angiofibromas of tuberous sclerosis by shave excision and dermabrasion in a dark-skinned patient.

Tuberous sclerosis is an inherited disease expressed clinically by the triad of mental retardation, seizures, and tuberous lesions. Facial angiofibromas, a common manifestation of tuberous sclerosis, can cause considerable cosmetic disfigurement, emotional distress, obstruction of vision, and hemorrhage. Treatment by shave excision, as the first step to remove the larger nodules, followed by dermabrasion, to smooth and sculpt the final surface, has been recommended as the most effective form of therapy. However, this method of treatment raises the question of risk for development of hypopigmentation in susceptible patients. The authors present their treatment of angiofibromas with shave excision and dermabrasion in a dark-skinned patient.

Adult↗