What is skin resurfacing?
Aging, sun damage, and acne keep the skin from looking
youthful, smooth, and healthy. Skin resurfacing removes the
top layer of the skin. New, healthier and smoother looking
skin replaces the skin that was removed. There are several
ways in which the skin's layers are removed. These include
dermabrasion, microbrasion, chemical peels, and laser
resurfacing.
How is it done?
Dermabrasion is a surgical procedure that affects deep
layers of the skin. Dermabrasion uses a rotating brush to
remove the top layers of the skin. It may be used to remove
acne scars, sun spots, wrinkles, liver spots, freckles,
tattoos, pigmentation, and some scars and skin lesions.
After the procedure, the treated skin forms a crust.
Although unsightly and uncomfortable, this is only
temporary.
Microbrasion uses very tiny crystals to polish the skin and
a vacuum technique to remove them. No anesthetic is required
and there are virtually no side effects. Microbrasion gives
the skin an overall fresh, healthy looking glow. Mild and
temporary redness occurs after treatment. Five or 6
treatments every 1 or 2 weeks yield the best results.
Chemical peels are used to treat fine lines under the eyes
and around the mouth. This procedure can reduce or eliminate
wrinkles caused by aging, hereditary factors, and sun
damage. Severe wrinkles, sags, and bulges do not respond
well to chemical peeling. Chemical peels use a special kind
of acid to strip off the top layer of skin.
The reaction following a chemical peel is similar to a
sunburn. The type of chemical peel determines the type of
skin reaction. Superficial peels cause redness that is
followed by scaling for 3 to 7 days. Medium-depth and deep
peeling usually produce swelling and water blisters that may
break, crust, turn brown, and peel off in 7 to 14 days. You
may need pain medicine before or after a deep peel
procedure.
Laser resurfacing uses a precise beam of laser light to
remove layers of the skin. It can be combined with other
cosmetic procedures. It is also effective on sun related
skin changes, facial scars, and blemishes. Laser resurfacing
is performed under local anesthesia. This procedure allows
more control for the physician on how deep to go into the
skin. The first few days after surgery, the face may be pink
or red and thinly crusted. The skin takes 5 to 7 days to
heal. Make-up can be worn after 7 to 14 days. It may take up
to 6 months for all the pink or redness to go away.
What should I do before having the procedure?
It is important that you have realistic expectations and
clearly understand what the procedure can do for you. There
are risks and complications that can occur with any of these
procedures. Most procedures are performed in an outpatient
setting. Before agreeing to a procedure, find out as much as
possible about the best procedure for you, the risks
involved, and the healthcare provider you may be
considering. Always select a board certified dermatologist
or plastic surgeon with training and experience in the
procedure you want done. Many dermatologists and plastic
surgeons perform all three procedures -- dermabrasion,
chemical peels, and laser resurfacing. Which of these
procedures is best for you depends on several factors. Your
provider can discuss them with you.
Health insurance does not usually cover cosmetic surgery
such as skin resurfacing. Call your health plan to find out
about your benefits.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File SRG5010F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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