What is Microdermabrasion

Dermabrasion and Microdermabrasion

Dermabrasion and Microdermabrasion

Dermabrasion, or surgical skin planing, is a procedure in which the skin is frozen and then a specialized instrument is used to "sand" the skin. This abrasive or planing action improves skin contour as a new layer of skin replaces the treated skin. The new skin generally has a smoother appearance. The procedure is performed by a dermatologic or plastic surgeon.
Microdermabrasion (also known as "power peel") is more like softened sandblasting. It involves tiny crystals that are sprayed on the skin -- and works best on superficial skin problems like fine lines, dull skin, brown spots, mild acne scars, and age spots.

When Is Dermabrasion or Microdermabrasion Used?

When dermabrasion was first developed, it was used predominantly to improve acne scars, pox marks, and scars resulting from accidents or disease. Today, it is used to treat other skin conditions, such as tattoo scars, wrinkles, age (liver) spots, and other skin lesions. Dermabrasion is not effective in treating congenital skin defects, most moles, pigmented birthmarks, or scars due to burns.
Microdermabrasion can improve or eliminate superficial skin problems. It works on all skin types and colors -- producing subtle changes, causing no skin color change or scarring. However, it is not effective for deeper problems like scars, stretch marks, keloids, or deep acne scars.
With microdermabrasion, there is less down time than with dermabrasion; skin fully recovers within 24 hours. Another benefit: Microdermabrasion is a nonsurgical procedure. Therefore, there are none of the risks associated with even minor surgery like dermabrasion, where anesthetics are used and skin bleeds. It's ideal for people who cannot afford to take time off from work or social activities for healing.

What Happens Prior to Dermabrasion and Microdermabrasion?

During the dermabrasion consultation, the surgeon describes the type of anesthesia to be used, the procedure and what results might realistically be expected. The doctor also explains the possible risks and complications that may occur. Photographs are taken before and after surgery to help evaluate the amount of improvement. Preoperative and postoperative instructions are given to the patient at this time.
With microdermabrasion, the same evaluation is done -- but with less talk about anesthetics and risks because it is a simpler procedure.

How Does Dermabrasion and Microdermabrasion Work?

Dermabrasion can be performed in the surgeon's office or in an outpatient surgical facility. Medication to relax the patient may be given prior to surgery. The affected area is thoroughly cleansed with an antiseptic cleansing agent and then your doctor will apply a special spray that freezes the skin.
A high-speed rotary instrument with an abrasive wheel or brush is used to remove the outer layers of the skin and improve any irregularities in the skin surface.
In microdermabrasion, tiny crystals are sprayed onto the skin in a gentle abrasion technique that removes the dead outer layer of skin. It is basically an exfoliation and skin rejuvenation procedure. Age spots and fine lines can be erased, creating softer, smoother skin that has a younger feel to the touch.

What Happens After Dermabrasion and Microdermabrasion?

After a dermabrasion procedure, your skin will feel as though it has been severely "brush-burned" for a few days. Your doctor can prescribe or recommend medications to help reduce any discomfort you may have, such as an over-the-counter pain reliever. Healing usually occurs within seven to ten days.
The newly formed skin, which is pink at first, gradually develops a normal color. In most cases, the pinkness largely fades by six to eight weeks. Makeup can be used as a cover-up as soon as the skin is healed.
Generally, most people can resume their normal activities in seven to 14 days after dermabrasion. Patients are instructed to avoid unnecessary direct and indirect sunlight for at least three to six months, and to use sunscreen on a regular basis when outdoors.
With microdermabrasion, skin is pink and feels dry and tight (like sunburn or windburn), for about 24 hours. Moisturizers should be applied. Some types of makeup should not be applied for at least 24 hours after the procedure.

Are There Side Effects and Complications With Dermabrasion and Microdermabrasion?

Dermabrasion side effects include:

• Uneven changes in skin color (temporary or permanent)
• Formation of a scar
• Infection
• Darkening of the skin (usually temporary but may be permanent). This is caused by sun exposure in the days and months following the procedure.

Microdermabrasion side effects include:

• Crystals may get into unprotected eyes, causing irritation.

Care After Dermabrasion and Microdermabrasion

Dermabrasion: Do not drink alcohol for 48 hours after the surgery. Do not take aspirin or any products that contain aspirin or ibuprofen for one week after the surgery. Avoid smoking, as advised by your doctor. You will have a mandatory appointment soon after your surgery and your doctor will provide more details.
Microdermabrasion: Use moisturizers and sunscreens. Avoid sun exposure for a few days immediately following the procedure.