Cosmetic Dermatology

Cosmetic Dermatology

Microdermabrasion / Dermabraison

Microdermabrasion

Microdermabrasion uses medical grade crystals, which are blown onto the skin to remove the dead, outermost layer of the skin.  The skin exfoliation process reveals new, living skin cells that are soft, smooth and receptive to nutrients.  


What skin conditions does it treat?

Microdermabrasion is often used alone or in combination with other treatments to reduce the appearance of:
  • Mild acne lesions
  • Fine wrinkles
  • Hyperpigmentation 
  • Superficial age spots
  • Blackheads
  • Whiteheads
  • Dry or patchy skin 


Before: 

  • No active infections or cold sores should be present at time of procedure
After:
  • As with all resurfacing, avoid unnecessary sun exposure
  • Stop using Tretinoin (Retin-A) or retinol products for a day or two, otherwise irritation may result.


Dermabrasion

Unlike "micro"dermabrasion, full- depth dermabrasion treats more significant issues like acne and chickenpox scarring.  The procedure has been used for decades and is highly operator dependent.  Dr. Sharata has been performing dermabrasion for the the last 20 years.

How is dermabrasion performed?

The procedure is performed on an outpatient basis under local anesthesia. Briefly, the skin is numbed and the superficial layers peeled away by manual or machine sanding. This helps to even out the superficial skin irregularities and tightens the underlying foundation of the skin (dermis). After 1-2 weeks, the crusted skin heals, leaving a smoother, pink and more youthful skin. A medium-depth chemical peel is frequently performed on the eyelids at the same time.

What are the risks of dermabrasion?

The risks are similar to other procedures (such as chemical peels, laser abrasion or “resurfacing”) where controlled skin wounding and healing occur. Excessive scarring, uneven pigmentation, infections (including widespread cold sores) and excessive swelling are rare, but may occur. These side effects are minimized by the use of medications, sunscreens and bleaching creams. 


How long does the procedure take?

Depending on the targeted area, the procedure may take longer for some and may be faster for other patients. When the dermabrasion procedure is for the entire face, it can take up to two hours. Less time is required if only individual scars are abraded.

As you may be sedated prior to your procedure, we require you to have transportation home from our clinic.

Before:

  • Patients should not wear any makeup or moisturizers
  • Men are requested to have a close shave
  • Most patients will receive oral or sublingual (under tongue) Valium prior to the procedure
  • Patients should wait a minimum of six months following the use of Accutane before undergoing a dermabrasion procedure as the drug has an unpredictable effect on skin healing and scar formation.
  • Prior to the procedure we request, that patients fill their prescriptions for anti-herpes medication (even if they have never had a cold sore), pain- killers and antibiotic ointment. The anti-herpes medication should be started the night prior to the procedure.

After:

  • At the conclusion of the procedure, the face is cleansed and a thick coating of Bacitracin ointment is applied. This ointment should remain in place for several hours.
  • Wash the healing skin 4–6 times daily with mild soap (such as Cetaphil) and water and reapply the Bacitracin ointment.
  • If scabs or crusts form, allow them to fall off naturally. It is very important not to pick at them.
  • Pain pills should be used liberally during the first few days to minimize discomfort.
  • It is also important that the patient complete the course of anti-herpes pills.
  • You must protect your skin from the sun following dermabrasion. Avoid mid-day sun (11:00 a.m. to 3:00 p.m.) and wear sunscreen.
  • Keep your follow up appointments and call Dr. Sharata if you experience excessive pain or facial discoloration.