Dermabrasion for the treatment of a giant seborrheic keratosis.
A man presented for removal of a giant seborrheic keratosis. Dermabrasion removal of this lesion provided technical ease with good cosmetic results.
Aged↗
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Laboratory evaluation of skin refrigerants used in dermabrasion.
Six skin refrigerants were evaluated for maximum cooling temperature. The temperatures produced correlated well with the chemical components and also the gelatin freeze-thaw times. Freon 114 and Freon 114-ethyl chloride mixtures are time-tested, safe skin refrigerants. Some of the newer skin refrigerants are pure sources of Freon 12 or mixtures of Freon 12 and Freon 11. These newer, colder products have the potential to damage the skin and represent a hazard to successful dermabrasion.
Chlorofluorocarbons, Methane↗
Complications of dermabrasion resulting from excessively cold skin refrigeration.
Three patients developed complications following dermabrasion with a new potent skin refrigerant mixture. Freezing can usually be performed more rapidly with such mixtures, but the risk of complications may be greater.
Acne Vulgaris↗
Treatment for pitted acne scarring--postauricular punch grafts followed by dermabrasion.
A technique is described for treating pitted acne scarring which is not amenable to other forms of therapy. Punch grafts from postauricular skin are used to replace punch-excised facial scars. Dermabrasion of treated areas is accomplished 4 to 6 weeks after grafting. Very good results have been attained in three patients, each of whom needed more than 100 transplants.
Acne Vulgaris↗
Dermabrasion by wire brush.
While many physicians choose the fraise for all dermabrasive surgery, others prefer the faster abrasiveness and reduced friction of the brush for deep full-faced abrasions, removal of tattoos, and revision of scars. In addition to preoperative preparation and postoperative care of the patient, the author's technique for full-face abrasion with the power-driven rotary brush is described.
Anesthesia↗
Facial dermabrasion: advantages of the diamond fraise technique.
The first effective method of performing facial dermabrasion employed the use of a wire brush. The introduction of diamond fraises has, in the author's opinion, provided greater safety and more versatility than the wire brush. The diamond fraise is a more exacting instrument and with the recent introduction of the extra-coarse grit diamond fraise, the instrument is as abrasive as the standard wire brush. The diamond fraise is more easily controlled by the less experienced surgeon and because of its availability in many different shapes, widths, and grits, it provides greater versatility to the surgeon than the wire brush.
Dermabrasion↗
Treatment of multiple facial neurofibromas with dermabrasion.
Three patients with multiple facial neurofibromas were treated by dermabrasion with good cosmetic results. Wound healing was entirely normal and no complications were observed. There was no evidence of accelerated regrowth of tumors during follow-up.
Adult↗
Dressings for dermabrasion: new aspects.
Occlusive dressings reduce healing time by up to 50% over air-exposed wounds. Biobrane (Woodroof, Santa Ana, CA), a biosynthetic wound dressing which is maintenance free, shortens wound healing, and results in less erythema and milia formation, appears to be the wound dressing best suited for dermabrasion.
Biocompatible Materials↗
Surgical treatment of psoriasis: a review including a case report of dermabrasion of hypertrophic psoriatic plaques.
Psoriasis is a chronic papulosquamous disease. Koebner and reverse Koebner reactions have been described. Surgical treatments which produce a reverse Koebner reaction in psoriasis are reviewed and a case of dermabrasion of resistant, hypertrophic plaques is presented. These procedures are to be considered only when conventional therapy fails.
Aged↗
Ablation of facial scars by programmed dermabrasion.
Revisions of scars, characteristically deferred for 6 to 12 months after wounds have healed, are performed to improve function and appearance. However, none of the techniques that has evolved to modify cicatrical deformities has afforded total, permanent effacement of scars already present. Evidence is presented here that dermabrasion of both surgical and accidental scars of the face, done 4 to 8 weeks after the primary wound, usually eliminates visible residual cicatrization.
Adolescent↗
Test spots in dermabrasion and chemical peeling.
Small, inconspicuous test spots performed in advance of a planned dermabrasion or chemical peel can be an excellent adjunct to surgery. Greater predictability of efficacy, pigmentary response, healing characteristics, and side effects is achieved with this preliminary test. Comparisons can also be made between various brushes or fraises, as well as types and strengths of peeling chemicals. Patient anxiety will be alleviated and reliability enhanced with this simple procedure. The relatively few drawbacks of test spots are discussed.
Chemexfoliation↗
Hydroquinone-induced localized exogenous ochronosis treated with dermabrasion and CO2 laser.
Exogenous localized ochronosis can result from the repeated use of hydroquinone-containing creams, many of which are available over the counter. We report a case that was managed by dermabrasion and CO2 laser. The incidence and proposed etiologies of hydroquinone-induced exogenous ochronosis are reviewed.
Dermabrasion↗
Use of the tumescent technique for scalp surgery, dermabrasion, and soft tissue reconstruction.
Application of the tumescent anesthetic technique in scalp surgery, dermabrasion, and soft tissue reconstruction is discussed. Vasoconstriction achieved by using tumescent anesthesia reduces bleeding even with dilute (1:320,000) epinephrine. Tumescent anesthesia also offers the advantages of decreased absorption at the site of infiltration, increased anesthetic infiltration, delayed absorption and lower peak blood plasma levels, and a longer lasting anesthetic effect.
Anesthesia, Local↗
Vitiligo: repigmentation with dermabrasion and thin split-thickness skin graft.
BACKGROUND: Vitiligo is a common benign condition of great concern. Though a large number of medical and surgical treatment methods are available, none of them is fully dependable in all the areas. OBJECTIVE: Split-thickness skin grafting (STSG) has been used for the treatment of vitiligo for over three decades, but it did not gain popularity. This presentation evaluates the degree of repigmentation achieved with this technique, its complications, and drawbacks. METHODS: A case series of 21 patients with 32 localized, stable, and refractory vitiligo patches treated institutionally by dermabrasion and thin STSG has been presented. The patients have been followed up for 1-6 years. Three patients lost to follow-up before 1 year have not been included. RESULTS: The graft take was 100% in 27 patches and 90-95% in the remaining five. One hundred percent repigmentation was achieved in 22 patches and 90-95% in 10. Time taken for satisfactory color match was 4-9 months (average, 6.3 months). The complications encountered were all minor and did not affect the results. CONCLUSION: This is a simple, outpatient procedure performed under local anesthesia resulting in an excellent color match on a long-term follow-up. This technique can be used over any part of the body, including the hair-bearing areas, without compromising the end results.
Adolescent↗
Percutaneous anaesthesia for dermabrasion.
An epicutaneously applied solution--A 2358, (Ane-Pad)--containing ketocaine has been used to bring about anaesthesia for dermabrasion in 20 cases. The time of application was 60 min and the amount of ketocaine applied varied from 0.8 to 2.5 g. In order to ensure good contact between the compresses containing the anaesthetic solution and uneven or concave skin surfaces, pressure was applied with the aid of foam plastic. Erythema and oedema were noted as unintended effects. They did not present an inconvenience during the operations or postoperatively. The operation proved to be completely painless for 15 of the patients. None of the remaining 5 patients required complementary anaesthesia, but in one case a slight sensation of pain was evident locally and in 4 cases the patients experienced an intense sensation of warmth.
1-Propanol↗
Tattoo removal by superficial dermabrasion. Five-year experience.
A 5-year clinical experience using superficial dermabrasion to remove tattoos is presented. This procedure can be done quickly in the office with low patient risk. Good pigment removal is obtained with little or no scar formation. Cases are presented which are typical of the 250 tattoos removed in the last 5 years.
Dermabrasion↗
[Rhinophyma. The value of progressive dermabrasion].
After briefly summing up the nosology of rhinophyma, the authors report their experience with the surgical correction of this nasal disease, on the basis of eight cases. They explain their reasons for giving up dermasection and preferring dermabrasion.
Dermabrasion↗
Dressings for dermabrasion: occlusive dressings and wound healing.
One of our many roles as dermatologic surgeons is to provide wounds with a biologically favorable environment in which healing can proceed most efficiently. Over the past twenty years research in superficial wound healing has accelerated the introduction of new dressing materials. Various topical agents and occlusive inert dressings, which limit tissue death and maintain hydration, enhance epithelialization. Occlusive dressings will hasten regeneration up to twice that found in air-exposed sites. This characteristic is described in patients who have undergone dermabrasion.
Biocompatible Materials↗