MedWorm: Dermabrasion

A Randomized Controlled Trial of Fractional Laser Therapy and Dermabrasion for Scar Resurfacing

Dermatologic Surgery — Mon, 23 Jan 2012 05:00:00 +0100

ConclusionFractionated CO2 laser therapy should be considered a safe alternative for surgical scar resurfacing on the face. The safety profile exceeds that of dermabrasion, and it has a quicker clinical recovery and equivalent cosmetic efficacy. (Source: Dermatologic Surgery)

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Reduction of thickened flap using fractional carbon dioxide laser

Lasers in Surgery and Medicine — Thu, 20 Oct 2011 03:42:26 +0100

ConclusionTo our knowledge, this is the first case in the literature demonstrating successful reduction of a bulky flap using a fractional ablative laser. Lasers Surg. Med. 43:873‐874, 2011. © 2011 Wiley Periodicals, Inc. (Source: Lasers in Surgery and Medicine)

[Treatment of burn sequelae in children.]

Annales de Chirurgie Plastique et Esthetique — Thu, 08 Sep 2011 04:00:00 +0100

Authors: Poiret G, Guerreschi P, Maillet M, de Broucker V, Gottrand L, Pellerin P, Duquennoy-Martinot V Abstract Burn sequelae in children are conveyed in the form of retraction, deformity and growth problems together with dyschromia and trophic disorders. All the plastic surgical procedures can be used to correct them: full thickness or split thickness skin grafts, Z plasty and its derivatives (trident plasty, IC flaps), expansion, flaps, artificial skin, and dermabrasion. In most cases, these procedures will be combined. The aim of surgical treatment coordinated with rehabilitation is to restore the function, correct the deformities induced, improve the morphological aspect and permit normal growth. Good knowledge of the paediatric environment is, however, required to cope with t...

[Modern face lift surgery].

Der Chirurg — Thu, 01 Sep 2011 04:00:00 +0100

This article provides an overview of the history of the procedure to the present state of the art concept of pairing biplanar and bivectorial face-neck lifts with autologous fat transfer and dermabrasion. PMID: 21904971 [PubMed - in process] (Source: Der Chirurg)

Facial melanoses: Indian perspective

Indian Journal of Dermatology, Venereology and Leprology — Fri, 19 Aug 2011 23:00:00 +0100

Neena Khanna, Seemab RasoolIndian Journal of Dermatology, Venereology, and Leprology 2011 77(5):552-564Facial melanoses (FM) are a common presentation in Indian patients, causing cosmetic disfigurement with considerable psychological impact. Some of the well defined causes of FM include melasma, Riehl's melanosis, Lichen planus pigmentosus, erythema dyschromicum perstans (EDP), erythrosis, and poikiloderma of Civatte. But there is considerable overlap in features amongst the clinical entities. Etiology in most of the causes is unknown, but some factors such as UV radiation in melasma, exposure to chemicals in EDP, exposure to allergens in Riehl's melanosis are implicated. Diagnosis is generally based on clinical features. The treatment of FM includes removal of aggravating fa...

Evaluation of the Effect of Fractional Laser with Radiofrequency and Fractionated Radiofrequency on the Improvement of Acne Scars

Dermatologic Surgery — Wed, 10 Aug 2011 23:00:00 +0100

CONCLUSION This technology may be a useful, nonablative resurfacing treatment for acne scarring. Scarring, texture, and pigmentation improved significantly according to investigator‐rated assessment parameters. Although patient satisfaction scores did not improve, overall improvement scores did.The study was supported by Syneron. (Source: Dermatologic Surgery)

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Effect of a preceding laser dermabrasion on the outcome of combined therapy of narrow band ultraviolet B and potent topical steroid for treating non segmental vitiligo in resistant localisations.

The British Journal of Dermatology — Mon, 08 Aug 2011 23:00:00 +0100

The objective of the study was to access in vitiligo patients, the interest of a laser dermabrasion in addition to the association of topical steroids and UVB in difficult to treat areas. Materials and Methods: Monocentric prospective randomized trial including non segmental vitiligo with at least 2 symmetrical lesions located on bony prominences and/or extremities. An erbium laser assisted dermabrasion was first performed on one side (randomly assigned). After 48h, hydrocortisone 17-butyrate cream applied daily 3 weeks/4 and narrowband UVB 2 sessions/weeks were done on both sides for 12 weeks. The evaluation was performed on standardized pictures by two physicians blinded to the type of treatment received. The criterion of success was a repigmentation of at least 50%, 1 month after the...

Effect of a preceding laser dermabrasion on the outcome of combined therapy with narrowband ultraviolet B and potent topical steroids for treating nonsegmental vitiligo in resistant localizations

British Journal of Dermatology — Mon, 08 Aug 2011 04:00:00 +0100

Conclusions Laser dermabrasion significantly improves the repigmentation rate in vitiligo lesions. Despite a high rate of repigmentation in such difficult‐to‐treat areas the high rate of side‐effects and the poor tolerance strongly limit its use in current practice. (Source: British Journal of Dermatology)

Effect of a preceding laser dermabrasion on the outcome of combined therapy of narrow band ultraviolet B and potent topical steroid for treating non segmental vitiligo in resistant localisations

British Journal of Dermatology — Sun, 07 Aug 2011 23:00:00 +0100

The objective of the study was to access in vitiligo patients, the interest of a laser dermabrasion in addition to the association of topical steroids and UVB in difficult to treat areas.Materials and Methods: Monocentric prospective randomized trial including non segmental vitiligo with at least 2 symmetrical lesions located on bony prominences and/or extremities. An erbium laser assisted dermabrasion was first performed on one side (randomly assigned). After 48h, hydrocortisone 17‐butyrate cream applied daily 3 weeks/4 and narrowband UVB 2 sessions/weeks were done on both sides for 12 weeks. The evaluation was performed on standardized pictures by two physicians blinded to the type of treatment received. The criterion of success was a repigmentation of at least 50%, 1 month after th...

Enhancement of Facial Scars With Dermabrasion

Facial Plastic Surgery Clinics of North America — Sun, 31 Jul 2011 23:00:00 +0100

This article describes the physiology of wound healing, discusses considerations and techniques for dermabrasion, and presents case studies and figures for a series of patients who underwent dermabrasion after surgeries for facial trauma. (Source: Facial Plastic Surgery Clinics of North America)

Refractory Hailey-Hailey disease successfully treated with sandpaper dermabrasion.

Skinmed — Fri, 01 Jul 2011 04:00:00 +0100

Authors: LeBlanc KG, Wharton JB, Sheehan DJ Abstract A 53-year-old woman presented with a 20-year history of pruritic dermatitis on the groin, axillae, inframammary folds, posterior aspect of the neck, and popliteal fossae. She was referred to our clinic by an outside facility after results from a punch biopsy diagnosed Hailey-Hailey disease (HHD). The patient had previously attempted treatment with many traditional noninvasive options with no success. Topical treatment modalities included corticosteroids, immunomodulators, antifungals, retinoids, and antibiotic preparations. Intralesional corticosteroids, as well as botulinum toxin and carbon dioxide laser, were also unsuccessful. Failed systemic treatment modalities included antibiotics, antihistamines, prednisone, azathioprine, ...

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Cosmetic Medicine and Surgery: A Shift in Perspective

Clinics in Plastic Surgery — Thu, 30 Jun 2011 23:00:00 +0100

In the articles in this publication, the technologies that provide medical and surgical solutions for cosmetic indications are explored, including barbed sutures, neurotoxins, cosmeceuticals, sclerotherapy, dermabrasion, fillers, lasers, and other energy sources, including face and body contouring devices, that provide solutions that respond to a consumer demand for less aggressive solutions to the aging face and body contour deformities. (Source: Clinics in Plastic Surgery)

The Interface of Cosmetic Medicine and Surgery: Working from the Inside and the Outside

Clinics in Plastic Surgery — Thu, 30 Jun 2011 23:00:00 +0100

This article reviews some of the principles involved in these procedures. Plastic surgeons need to be equally familiar with surgical and nonsurgical approaches to cosmetic medicine to provide a complete set of therapeutic options to their patients. (Source: Clinics in Plastic Surgery)

Dermabrasion

Clinics in Plastic Surgery — Thu, 30 Jun 2011 23:00:00 +0100

This review presents skin anatomy, dermabraders, indications for dermabrasion and microdermabrasion, and dermabrasion techniques for the face, along with potential complications. Dermabrasion is a minimally invasive technique used for skin resurfacing. Its applications include treatment of rhytids, abnormal scarring, and premalignant lesions. The risks of complications are low and include pigment changes, hypertrophic scarring, and infection. Despite the introduction of newer therapies, such as lasers and chemical peels, dermabrasion remains an effective tool for physicians to combat the effects of aging without the downtime required for surgery. (Source: Clinics in Plastic Surgery)

Segmental multilayered argon plasma coagulation: effective therapy option for perianal and scrotal Hailey–Hailey disease

Colorectal Disease — Fri, 10 Jun 2011 16:44:45 +0100

Conclusions Argon plasma coagulation is effective and safe for perianal and scrotal HHD. The benefits include the accessibility to difficult anatomic sites and good control of ablation. The risk of anal stenosis is minimized by the segmental two‐step procedure. The rapid re‐epithelialization occurs from structures not affected by the disease and allows rapid mobilization of patients. (Source: Colorectal Disease)

Treatment of a large congenital melanocytic nevus with dermabrasion and autologous cell suspension (ReCELL®): A case report

Journal of Plastic, Reconstructive and Aesthetic Surgery — Fri, 10 Jun 2011 04:00:00 +0100

We present an illustrated case of a healthy, term, 4 week-old male neonate with a large CMN on his face. The lesion was dermabraded, and non-cultured epithelial autograft harvested from the right post-auricular area was applied.Dressings were no longer required by the 8th post-operative day, and excellent skin pigmentation and texture was achieved by 5 months post-op. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

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Primary localized cutaneous nodular amyloidosis successfully treated with cyclophosphamide

Australasian Journal of Dermatology — Sun, 29 May 2011 23:00:00 +0100

We present a case of a middle‐aged woman with PLCNA associated with CREST (calcinosis, Raynaud phenomenon, oesophageal motility disorders, sclerodactyly and telangiectasia) syndrome and Sjögren's syndrome responding to cyclophosphamide with no new amyloid deposits and resolution of skin ulceration after many years of resistance to drug therapy. It is important to monitor these patients for progression into systemic amyloidosis. (Source: Australasian Journal of Dermatology)

Use of split thickness plantar skin grafts in the treatment of hyperpigmented skin-grafted fingers and palms in previously burned patients

Burns : Journal of the International Society for Burn Injuries — Fri, 22 Apr 2011 15:42:55 +0100

Abstract: Palmar and finger burns are often seen in children, and are usually as a result of contact burns. Some patients with deep hand burns are treated with full-thickness or split-thickness skin grafts. Skin graft is commonly used for hand reconstruction. However, the grafted skin would be more pigmented than the adjacent skin and different from skin texture.19 patients who showed hyperpigmentation after skin graft of finger and palm were treated. They all were injured by hand burns. We performed mechanical dermabrasion of the hyperpigmentation scar and application of a split thickness skin harvested from medial aspect of plantar of foot. Patients were asked about their level of satisfaction with the procedure and scar appearance was assessed using a five-point Likert scale. Also scar ...

Reversing the aging stromal phenotype prevents carcinoma initiation.

Aging — Wed, 20 Apr 2011 23:00:00 +0100

Authors: Lewis DA, Travers JB, Machado C, Somani AK, Spandau DF The accumulation of senescent stromal cells in aging tissue changes the local microenvironment from normal to a state similar to chronic inflammation. This inflammatory microenvironment can stimulate the proliferation of epithelial cells containing DNA mutations which can ultimately lead to cancer. Using geriatric skin as a model, we demonstrated that senescent fibroblasts also alter how epithelial keratinocytes respond to genotoxic stress, due to the silencing of IGF-1 expression in geriatric fibroblasts. These data indicate that in addition to promoting epithelial tumor growth, senescent fibroblasts also can promote carcinogenic initiation. We hypothesized that commonly used therapeutic stromal wounding therapies can red...

Multimodal Management of Atrophic Acne Scarring in the Aging Face

Aesthetic Plastic Surgery — Thu, 14 Apr 2011 05:50:22 +0100

This article briefly reviews the evolution of individual approaches to treating atrophic acne scarring, followed by case examples illustrating results that can be achieved using a multimodal approach. Representative cases from patients in their 30s, 40s, and 50s are presented. In the author’s clinical practice, multimodal approaches incorporating fractionated laser, injectable poly-l-lactic acid, and sub-SMAS face-lift procedures have achieved optimal aesthetic outcomes, high patient satisfaction, and durability of aesthetic effect over time. Content Type Journal ArticlePages 1-8DOI 10.1007/s00266-011-9715-yAuthors T. Gerald O’Daniel, Division of Plastic Surgery, University of Louisville School of Medicine, Louisville, KY, USA Journal Aesthetic Plastic SurgeryOnline I...

Reconstructive Perspectives of Cutaneous Defects Involving the Nasal Tip: A Retrospective Review [Original Article]

Archives of Facial Plastic Surgery — Mon, 21 Mar 2011 00:00:00 +0100

Conclusion The included algorithm offers a systematic approach for managing cutaneous defects involving the nasal tip and derives our preferred technique with high reliability. (Source: Archives of Facial Plastic Surgery)

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Alar Base Reduction: The Boomerang-Shaped Excision

Facial Plastic Surgery — Mon, 14 Mar 2011 00:00:00 +0100

Facial plast Surg 2011; 27: 225-234DOI: 10.1055/s-0030-1271302ABSTRACTA boomerang-shaped alar base excision is described to narrow the nasal base and correct the excessive alar flare. The boomerang excision combined the external alar wedge resection with an internal vestibular floor excision. The internal excision was inclined 30 to 45 degrees laterally to form the inner limb of the boomerang. The study included 46 patients presenting with wide nasal base and excessive alar flaring. All cases were followed for a mean period of 18 months (range, 8 to 36 months). The laterally oriented vestibular floor excision allowed for maximum preservation of the natural curvature of the alar rim where it meets the nostril floor and upon its closure resulted in a considerable medialization of alar lobule...

Melanocytes and Keratinocytes Transfer Using Sandpaper Technique Combined with Dermabrasion for Stable Vitiligo

Dermatologic Surgery — Tue, 01 Feb 2011 00:00:00 +0100

CONCLUSIONS Transfer of melanocytes and keratinocytes with the sandpaper method is feasible, safe, and effective as treatment for stable vitiligo, although simple dermabrasion is as effective in the long term.The authors have indicated no significant interest with commercial supporters. (Source: Dermatologic Surgery)

Current Chemical Peels and Other Resurfacing Techniques

Facial Plastic Surgery — Tue, 18 Jan 2011 00:00:00 +0100

Facial plast Surg 2011; 27: 035-049DOI: 10.1055/s-0030-1270422ABSTRACTThe currently available methods for resurfacing will be addressed in this article, which has been divided into three areas of focus: chemical peels, lasers, and dermabrasion. Emphasis will be placed on chemical peels, a technique with a long history that provides a very reliable method of resurfacing and that every facial plastic surgeon should be familiar with.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)

Facial Acne Scarring: Ten Years of Treatment With the Carbon Dioxide Laser [Commentary]

Archives of Facial Plastic Surgery — Mon, 17 Jan 2011 00:00:00 +0100

(Source: Archives of Facial Plastic Surgery)

Top-Accessed Article: Glycolic Acid Peels in the Treatment of Melasma [The Best of the Best]

Archives of Dermatology — Mon, 20 Dec 2010 00:00:00 +0100

(Source: Archives of Dermatology)

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Short-pulsed laser treatment achieves tattoo removal success

Modern Medicine — Sat, 27 Nov 2010 06:25:37 +0100

Tattoos are increasingly prevalent in Western society. One survey found that 24 percent of respondents had tattoos. While options for tattoo removal include excision, dermabrasion and CO2 laser vaporization, selective short-pulsed laser treatment is the preferred modality. (Source: Modern Medicine)

Electrobrasion—An Alternative to Dermabrasion

Dermatologic Surgery — Tue, 31 Aug 2010 23:00:00 +0100

The authors have indicated no significant interest with commercial supporters (Source: Dermatologic Surgery)

A case report of a chemical burn due to the misuse of glacial acetic acid

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 16 Aug 2010 00:00:00 +0100

Summary: As young and elastic skin is what everyone dreams of, various measures have been implemented including chemical, laser resurfacing and dermabrasion to improve the condition of ageing skin. However, the high cost of these procedures prevents the poor from having access to treatment.Glacial acetic acid is widely used as a substitute for chemical peeling because it is readily easily available and affordable. However, its use can result in a number of serious complications. A 28-year-old female patient was admitted to our hospital with deep second-degree chemical burns on her face caused by the application of a mixture of glacial acetic acid and flour for chemical peeling. During a 6-month follow-up, hypertrophic scarring developed on the both nasolabial folds despite scar management....

HOW WE DO IT: Evaluation of Hydrogen Peroxide as an Intraprocedural Hemostatic Agent in Manual Dermabrasion

Dermatologic Surgery — Sat, 31 Jul 2010 23:00:00 +0100

(Source: Dermatologic Surgery)

Traditional Cambodian Medicine

Journal of Complementary and Integrative Medicine — Mon, 12 Jul 2010 08:34:09 +0100

In 2006 and 2007, the authors visited Siem Reap, Cambodia for eight weeks. To understand the spectrum of Cambodian healthcare, we investigated traditional medical practices and herbal medicines in addition to Western medical practice. Our hosts were English-speaking physicians and translators. At the provincial hospital medicine/surgical wards, government satellite clinics, pharmacies, and street vendors, we inquired about and observed Cambodian traditional medical practices. We supplement these observations with literature review. Traditional Cambodian medical practices are widely used. They share with Chinese medicine three explanatory models of disease: supernaturalistic theory, naturalistic theory, and maintenance of âhot/coldâ (âyin/yangâ) balance. Four forms of th...

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Combined AlloDerm® and thin skin grafting for the treatment of postburn dyspigmented scar contracture of the upper extremity

Journal of Plastic, Reconstructive and Aesthetic Surgery — Fri, 04 Jun 2010 00:00:00 +0100

Summary: Postburn dyspigmented scar contractures of the upper extremity often require aesthetic improvement. The ideal reconstruction of this deformity remains a challenge because the various available skin grafts and flaps result in skin colour mismatches, prominent marginal scars and donor morbidity. Postburn scar contractures and dyspigmented areas of the upper extremity can be improved by a combination of dermabrasion and Alloderm® graft over scar-releasing defect. Their raw surfaces are subsequently re-surfaced with thin split-thickness skin graft (0.005–0007 inches thick).Twenty-seven patients with wide dyspigmented scar contractures of the upper extremity underwent the combined techniques described by us. The median patient age at burn incidents was 3 years and at operation was 2...

A New "Spin" on Dermabrasion

Dermatologic Surgery — Sun, 09 May 2010 23:00:00 +0100

(Source: Dermatologic Surgery)

A New “Spin” on Dermabrasion

Dermatologic Surgery — Fri, 30 Apr 2010 23:00:00 +0100

(Source: Dermatologic Surgery)

Dermabrasion for Acne Scars During Treatment with Oral Isotretinoin

Dermatologic Surgery — Wed, 17 Feb 2010 00:00:00 +0100

Oral isotretinoin is the criterion standard treatment for severe inflammatory acne associated with scar development. Atypical or exaggerated cicatrization related to oral isotretinoin was reported throughout the 1980s and 1990s. Dermabrasion for atrophic acne scar revision is not recommended 6 to 12 months from the end of oral isotretinoin treatment. To evaluate wound healing after localized dermabrasion in patients receiving oral isotretinoin. Interventional, prospective study involving seven patients taking oral isotretinoin to treat acne and with atrophic acne scars on the face. Manual dermabrasion was performed on all patients in an area of approximately 1 cm2, and a 6-month reepithelization follow-up by clinical evaluation was conducted. All patients presented normal cicatrization evo...

Current Trends in Facial Resurfacing: A Survey of American Academy of Facial Plastic and Reconstructive Surgery Members [Research Letters]

Archives of Facial Plastic Surgery — Mon, 18 Jan 2010 20:52:15 +0100

(Source: Archives of Facial Plastic Surgery)

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Do you know this syndrome?

Anais Brasileiros de Dermatologia — Tue, 12 Jan 2010 14:44:12 +0100

A síndrome de Brooke-Spiegler é uma doença autossômica dominante, caracterizada pelo aparecimento de neoplasias de anexos cutâneos, habitualmente tricoepiteliomas e cilindromas. Ocorre, em geral, na segunda e terceira décadas de vida. A histopatologia revela uma ampla gama de tumores, com diferenciação écrina, apócrina, folicular e sebácea. O tratamento pode ser feito por excisão cirúrgica, laser, crioterapia, eletrofulguração e dermabrasão. Em razão do risco de malignidade, há necessidade de um bom acompanhamento clínico e aconselhamento genético.Brooke-Spiegler syndrome is an autosomal dominant inherited disease with predisposition to cutaneous adnexal neoplasms, most commonly cylindromas and trichoepitheliomas. Its onset is in the second or third decades of life. The...

The Value of Preoperative Biopsy-Site Photography for Identifying Cutaneous Lesions

Dermatologic Surgery — Mon, 21 Dec 2009 00:00:00 +0100

Dermatologic surgeons rely on several methods to identify surgical sites (patients and their spouses, diagrams of surgical sites, gauze dermabrasion, biopsy-site scars, and referring physician identification), but it is not uncommon for several weeks to pass before surgery, allowing biopsy sites to become inconspicuous with healing. Practicing in a culture in which medical lawsuits continue to soar, it is prudent for dermatologists and dermatologic surgeons to locate surgical sites precisely using the most accurate and irrefutable means to protect themselves against costly lawsuits. To determine the value of preoperative biopsy-site photography in accurately identifying surgical sites before Mohs micrographic surgery. Two hundred seventy-one surgical sites were evaluated in the study. Pati...

Dermabrasion and Microdermabrasion

Facial Plastic Surgery — Sat, 19 Dec 2009 13:55:29 +0100

Facial plast Surg 2009; 25: 301-310DOI: 10.1055/s-0029-1243078ABSTRACTDermabrasion and microdermabrasion are facial resurfacing techniques that mechanically ablate aged or damaged skin to promote reepithelialization. Although the act of physically abrading the skin is common to both procedures, dermabrasion and microdermabrasion employ different instruments and are distinct in their technical executions. Dermabrasion completely removes the epidermis and penetrates to the level of the papillary or reticular dermis, inducing remodeling of the skin's structural proteins. Microdermabrasion only removes the uppermost layer of the epidermis, accelerating the natural process of exfoliation. Both techniques can result in clinically significant improvements in the appearance of skin and may become ...

Treatment of Facial Scarring: Lasers, Filler, and Nonoperative Techniques

Facial Plastic Surgery — Sat, 19 Dec 2009 13:55:29 +0100

Facial plast Surg 2009; 25: 311-315DOI: 10.1055/s-0029-1243079ABSTRACTMany techniques have been described to improve facial scars. In this review we address nonoperative strategies to manage facial scarring. Scar characteristics and anatomic location are discussed. The following nonoperative techniques are comprehensively examined: pulsed dye laser (PDL), subcision, fat transplantation, collagen injection, dermabrasion, steroid injection, and fillers. The PDL is advocated to flatten and decrease the volume of hypertrophic scars while improving texture and pliability. Dermabrasion is used to blend acne scars into the surrounding facial skin by subtly improving their contour. Fat transplantation, collagen, and filler injection is recommended in the treatment of acne depressed scars and traum...

STUDY: Molecular Analysis of Aggressive Microdermabrasion in Photoaged Skin

Archives of Dermatology — Mon, 19 Oct 2009 19:52:13 +0100

Conclusions Microdermabrasion using a coarse diamond-studded handpiece induces a dermal remodeling cascade similar to that seen in incisional wound healing. Optimization of these molecular effects is likely the result of more aggressive treatment with a more abrasive handpiece. Trial Registration clinicaltrials.gov Identifier: NCT00111254 (Source: Archives of Dermatology)

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Molecular Analysis of Aggressive Microdermabrasion in Photoaged Skin [Study]

Archives of Dermatology — Mon, 19 Oct 2009 19:52:13 +0100

Recontouring, Resurfacing, and Scar Revision in Skin Cancer Reconstruction

Facial Plastic Surgery Clinics of North America — Fri, 31 Jul 2009 23:00:00 +0100

Residual disfigurement is a common problem for patients who have undergone skin cancer reconstruction. Restoring form and function in these patients is an artistic and technical endeavor. The efficacy of surgical scar revision, dermabrasion, chemical peels, and laser resurfacing is predicated upon the skin's innate ability to regenerate over time in response to mechanical, chemical, and thermal or ablative stresses. The patient and surgeon should be accepting of a process that is often gradual and may proceed in stages. Achieving proficiency with the secondary procedures for improving scars and local flaps may allow the motivated surgeon to mold an initially passable surgical result into an excellent one. (Source: Facial Plastic Surgery Clinics of North America)

The surgical challenge of giant circumferential congenital naevi of the extremities: a 13-year follow-up of two cases

European Journal of Plastic Surgery — Sat, 25 Jul 2009 00:25:07 +0100

We present our experience in the management of circumferential giant congenital melanocytic naevi involving the upper limb in one patient and lower limb in another one. They were managed and followed up for 13 years. The lesion regenerated following dermabrasion in the first patient and regenerated following tangential excision and split-thickness skin graft in both patients. Therefore, another approach was used, full-thickness resection of the lesions and reconstruction with dermal regeneration template (Integra™), followed by ultrathin split-thickness skin graft. The last approach resulted in no recurrence during a 3-year follow-up. The complexity of these lesions and the limitation of different surgical approaches have been highlighted. Full-thickness excision of the affec...

Acne scarring treatment using skin needling

Clinical And Experimental Dermatology — Thu, 21 May 2009 23:00:00 +0100

Conclusion. The present study confirms that skin needling has an immediate effect in improving acne rolling scars and has advantages over other procedures. (Source: Clinical And Experimental Dermatology)

Dysplastic nevus syndrome with development of multiple melanomas. A surgical concept for prophylaxis

JDDG — Fri, 24 Apr 2009 04:00:00 +0100

A 58-year-old man presented in 2001 with dysplastic nevus syndrome with at least 300 nevi and about 100 clinically highly atypical nevi. Three melanomas had been excised by a private dermatologist within the past year. We then removed two additional melanomas. Between 2002 and 2003, 117 nevi which were atypical on dermatoscopy were removed; most by horizontal (shave) excision. Adequate clinical and dermatoscopic control was not feasible due to the large number of atypical nevi. In order to reduce the number of nevus cells, we treated test sites with both dermabrasion and split-thickness excision. The latter proved to be more efficient and was used to completely excise the skin of the back, as well as parts of the arms and chest in two sessions under general anesthesia. Wound healing was un...

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CORRESPONDENCE: Localized Contact Urticaria Caused by Lidocaine/Tetracaine Peel

Archives of Dermatology — Mon, 20 Apr 2009 04:00:00 +0100

(Source: Archives of Dermatology)

Chemical peels, dermabrasion, and laser therapy.

Disease a Month — Fri, 20 Mar 2009 22:49:52 +0100

Authors: Friedman S, Lippitz J PMID: 19286056 [PubMed - in process] (Source: Disease a Month)

EDITOR'S CORRESPONDENCE: Carbon Dioxide Laser Resurfacing

Archives of Facial Plastic Surgery — Mon, 19 Jan 2009 05:00:00 +0100

(Source: Archives of Facial Plastic Surgery)

Mashed skin graft followed by PUVA therapy for stable vitiligo

Indian Journal of Dermatology, Venereology and Leprology — Fri, 16 Jan 2009 04:12:33 +0100

Conclusion: For smaller vitiligo patches this method gives cosmetically acceptable results. It is easy to perform and does not require specific laboratory setup. (Source: Indian Journal of Dermatology, Venereology and Leprology)

Effect of one session of ER:YAG laser ablation plus topical 5Fluorouracil on the outcome of short-term NB-UVB phototherapy in the treatment of non-segmental vitiligo: a left–right comparative study

Photodermatology, Photoimmunology and Photomedicine — Tue, 11 Nov 2008 05:00:00 +0100

This study included 50 adult patients with a total of 65-paired symmetrical NSV lesions in different body parts. One side was treated with ER:YAG laser ablation, followed by 5FU application before simultaneous NB-UVB therapy of both sides for a maximum period of 4 months. The outcome was then evaluated both qualitatively and quantitatively. The overall response to therapy was better using the combination therapy. Fifty patients (78.1%) experienced a moderate-marked repigmentation response in the combination group compared with 23.4% in the mono-therapy group. The response was significantly higher when using the combination therapy in different body parts (P value is (Source: Photodermatology, Photoimmunology and Photomedicine)

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Nasal Reconstruction: An Overview and Nuances

Seminars in Plastic Surgery — Sat, 08 Nov 2008 14:27:00 +0100

This article provides an overview of nasal reconstruction with brief descriptions of subtle nuances involving certain techniques that the authors believe help their overall outcomes. The major aspects of nasal reconstruction are included: lining, support, skin coverage, local nasal flaps, nasolabial flap, and paramedian forehead flap. The controversy of the subunit reconstruction versus defect-only reconstruction is briefly discussed. The authors believe that strictly adhering to one principle or another limits one's options, and the patient will benefit more if one is able to apply a variety of options for each individualized defect. A different approach to full-thickness skin grafting is also briefly discussed as the authors propose its utility in lower third reconstruction. In general, ...

[Otophyma, zygophyma and giant rhinophyma: a rare association]

Annales de Chirurgie Plastique et Esthetique — Wed, 01 Oct 2008 04:00:00 +0100

Authors: Blairvacq JS, Yachouh J, Calteux N, Schmit S, Goudot P A patient, 64-year-old, is referred for the treatment of a giant rhinophyma. He refused any treatment during eight years. The interest of this case report is the size and the weight of the rhinophyma, the obstruction of the nasal airways and the resulting social disturbance. This exceptional clinical rhinophyma was associated with an otophyma, a zygophyma and ophthalmic disease. To our knowledge, this clinical presentation has never been reported before. The management of the rhinophyma and the otophyma was surgical excision, secondary healing followed by a full thickness skin graft associated to a fullface mechanical dermabrasion. PMID: 17959295 [PubMed - in process] (Source: Annales de Chirurgie Plastique et Esthetiq...

Standard guidelines of care for acne surgery

Indian Journal of Dermatology, Venereology and Leprology — Fri, 01 Aug 2008 06:53:27 +0100

Khunger NitiIndian Journal of Dermatology, Venereology and Leprology 2008 74(7):28-36Acne surgery is the use of various surgical procedures for the treatment of postacne scarring and also, as adjuvant treatment for active acne. Surgery is indicated both in active acne and post-acne scars. Physicians' qualifications: Any Dermatologist can perform most acne surgery techniques as these are usually taught during postgraduation. However, certain techniques such as dermabrasion, laser resurfacing, scar revisions need specific &quot;hands-on&quot; training in appropriate training centers. Facility: Most acne surgery procedures can be performed in a physician's minor ...

A Comparison of Histologic Effectiveness and Ultrastructural Properties of the Electrocautery Scratch Pad to Sandpaper for Manual Dermabrasion

Dermatologic Surgery — Thu, 29 May 2008 18:17:26 +0100

Dermatologic Surgery, Volume 0, Issue 0, Page ???, OnlineEarly Articles. BACKGROUND Manual dermabrasion with sterile sandpaper has been used for many years for skin surface retexturing. Owing to recent policy changes, our institution no longer allows sterilization of sandpaper. The electrocautery scratch pad is a routine ... (Source: Dermatologic Surgery)

An Update on Sandpaper in Dermabrasion with a Different and Extended Patient Series

Aesthetic Plastic Surgery — Fri, 23 May 2008 06:56:41 +0100

Conclusion Dermasanding with sandpaper is effective not only for burn scars, but also for other types of scars (acne, depressed, trap-door, hypertrophic), tattoos, cellulite, and antiaging. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9175-1Authors Ilteris Murat Emsen, Numune State Hospital Department of Plastic Reconstructive and Aesthetic Surgery Erzurum Turkey Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

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Dermabrasion for Actinic Cheilitis

Dermatologic Surgery — Mon, 24 Mar 2008 20:35:34 +0100

Dermatologic Surgery, Volume 0, Issue 0, Page ???, OnlineEarly Articles. The authors have indicated no significant interest with commercial supporters. (Source: Dermatologic Surgery)

Treatment of Postdermabrasion Facial Hypertrophic and Keloid Scars with Intralesional 5-Fluorouracil Injections

Aesthetic Plastic Surgery — Thu, 10 Jan 2008 16:40:52 +0100

Abstract Hypertrophic and keloid scarring is a known complication of dermabrasion facial resurfacing, although only a very small fraction of patients experience it. Treatment with intralesional corticosteroid injections and flashed pumped vascular dye laser is recommended in the literature. The treatment of keloid and hypertrophic scars using intralesional 5-fluorouracil (5-FU) injections has been well described, but there is no literature regarding use of the same treatment for postdermabrasion hypertrophic and keloid scars. In this case report, we describe a 67-year-old woman with persistent postdermabrasion facial hypertrophic and keloid scars that were treated at our scar clinic using intralesional 5-FU injections. Content Type Journal ArticleCategory Case ReportDOI ...

Treatment of Perioral Rhytids.

Facial Plastic Surgery Clinics of North America — Thu, 01 Nov 2007 04:00:00 +0100

This article discusses the use of chemical peels, dermabrasion, and laser resurfacing, alone or in combination, as methods to reduce fine and vertical rhytids of the upper and lower lips and superficial scarring in the perioral region. The authors emphasize that the best outcomes are often achieved using a combination of these modalities tailored to each patient's needs, which also allows surgeons greater flexibility in achieving maximal results. This article also discusses patient selection, counseling, planning, and techniques that have yielded consistent results with high patient satisfaction. PMID: 18005881 [PubMed - as supplied by publisher] (Source: Facial Plastic Surgery Clinics of North America)

Comparison of the Results of Operative and Conservative Treatment of Deep Dermal Partial-Thickness Scalds in Children

European Journal of Pediatric Surgery — Tue, 30 Oct 2007 01:28:54 +0100

Eur J Pediatr Surg 2007; 17: 354-361DOI: 10.1055/s-2006-924646AbstractDeep dermal partial-thickness scalds remain one of the most common types of injuries in childhood. Local treatment of those wounds, alternatively described as IIb degree, is still very controversial. Some authors advise conservative treatment of such wounds, pointing to their ability to self-reepithelialise, which is possible but significantly prolonged. Other investigators postulate operative treatment, i.e., tangential necrectomy and split-thickness autologous skin grafting, which may shorten the time of wound healing. Arguments call for contra-arguments, and the problem still seems to be unresolved. There is indeed a lack of acceptable standardisation of the local treatment for deep dermal partial-thickness scalds in ...

[Otophyma, zygophyma and giant rhinophyma: A rare association.]

Annales de Chirurgie Plastique et Esthetique — Mon, 22 Oct 2007 04:00:00 +0100

Authors: Blairvacq JS, Yachouh J, Calteux N, Schmit S, Goudot P A patient, 64-year-old, is referred for the treatment of a giant rhinophyma. He refused any treatment during eight years. The interest of this case report is the size and the weight of the rhinophyma, the obstruction of the nasal airways and the resulting social disturbance. This exceptional clinical rhinophyma was associated with an otophyma, a zygophyma and ophthalmic disease. To our knowledge, this clinical presentation has never been reported before. The management of the rhinophyma and the otophyma was surgical excision, secondary healing followed by a full thickness skin graft associated to a fullface mechanical dermabrasion. PMID: 17959295 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastiq...

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Dermabrasion is not a treatment for burns.

Burns : Journal of the International Society for Burn Injuries — Mon, 01 Oct 2007 04:00:00 +0100

Authors: Yenidunya MO PMID: 17913371 [PubMed - as supplied by publisher] (Source: Burns : Journal of the International Society for Burn Injuries)

Dermabrasion for Rhytids in the Lateral Canthal Region

Aesthetic Plastic Surgery — Tue, 18 Sep 2007 19:35:35 +0100

Abstract Dermabrasion of the periorbital region has been traditionally contraindicated due to the fear of complications. A method for safe dermabrasion of the lateral canthal region is described. Lateral canthal dermabrasion has the demonstrated advantages of being economical and relatively free of pigmentary problems. The results for 25 consecutive cases with a follow-up period of 12 to 16 months have shown good to excellent results in the majority of cases, with 4 cases requiring further revision. The technique is not intended to replace the gold standard, laserbrasion of the periocular region, and is not demonstrated to be safe for resurfacing of the lower lid region. However, the technique, rapid and easy once the learning curve is completed, was not associated with si...

Breast burns are not benign: Long-term outcomes of burns to the breast in pre-pubertal girls.

Burns : Journal of the International Society for Burn Injuries — Fri, 14 Sep 2007 04:00:00 +0100

Authors: Foley P, Jeeves A, Davey RB, Sparnon AL Chest burns in pre-pubescent girl are commonly seen in paediatric burn units. These patients are at risk of significant long-term problems with scarring and breast development requiring reconstructive surgery many years after the initial burn. Admissions to our unit over a 20-year period were reviewed to determine the frequency of these burns. Patients whose burns required surgical debridement and split skin grafting, and who would now be post-pubertal were included in the study. We attempted to trace and contact these patients and were able to find 13 out of 22 patients, of whom 11 agreed to participate. The mechanism of injury in six was scalds and the other five had flame burns. Mean age of patients with scald was 18 months and for fl...

Tega-dermabrasion.

Anesthesiology — Fri, 24 Aug 2007 23:36:58 +0100

Page: 515DOI: 10.1097/01.anes.0000278863.84694.34Authors: O'Connor, John J. Jr M.D.; Vasudevan, Anasuya M.D., F.R.C.A. * (Source: Anesthesiology)

Diagnosis and treatment of pigmentary disorders in asian skin.

Facial Plastic Surgery Clinics of North America — Tue, 31 Jul 2007 14:23:21 +0100

This article focuses on the diagnosis of disorders of pigmentation in Asian patients and reviews laser and light treatment modalities. PMID: 17658433 [PubMed - in process] (Source: Facial Plastic Surgery Clinics of North America)

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Effect of Dermasanding (Manual Dermabrasion) with Sandpaper on the Appearance of Both Postsurgical and Burn Scars

Aesthetic Plastic Surgery — Thu, 26 Jul 2007 08:17:29 +0100

Content TypeJournal Article JournalAesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Comparative evaluation of the therapeutic efficacy of dermabrasion, dermabrasion combined with topical 5% 5-fluorouracil cream, and dermabrasion combined with topical placentrex gel in localized stable vitiligo

International Journal of Dermatology — Sat, 21 Jul 2007 11:22:04 +0100

International Journal of Dermatology Volume 46, Issue 8, Page 875-879, Aug 2007. Abstract Background Vitiligo affects 1% of the world's population with a higher incidence in dark-skinned individuals. Many medical treatments have been attempted with partial success, but recent focus has been on surgical techniques. The aim of this stu... (Source: International Journal of Dermatology)

Rapid, severe repigmentation of congenital melanocytic naevi after curettage and dermabrasion: histological features

British Journal of Dermatology — Tue, 01 May 2007 16:35:28 +0100

British Journal of Dermatology Volume 0, Issue 0, Page ???-???. (Source: British Journal of Dermatology)

Wrinkles

Clinical Evidence — Tue, 01 May 2007 00:00:00 +0100

New option added for Alpha and beta hydroxyl acids. New evidence; previous conclusions confirmed for Tazarotene, Tretinoin, Isotretinoin, Carbon dioxide laser, Dermabrasion, Oral natural cartilage polysaccharides, Topical natural cartilage polysaccharides, and Vitamin C or E (topical). (Source: Clinical Evidence)

Clinicares Inc.: Clinicares Prepares to Launch Dermabrasion Product in the U.S.

Market Wire - Pharmaceuticals and Biotech — Fri, 20 Apr 2007 20:30:00 +0100

LOS ANGELES, CA (MARKET WIRE) Clinicares Inc. (PINKSHEETS: CCRC) announced today that it will market its highly acclaimed "micro roller" dermabrasion product in the United States starting next quarter. (Source: Market Wire - Pharmaceuticals and Biotech)

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Superficial Dermabrasion and Suction Blister Epidermal Grafting for Postburn Dyspigmentation in Asian Skin

Dermatologic Surgery — Fri, 16 Feb 2007 10:16:20 +0100

Dermatologic Surgery Volume 0, Issue 0, Page ???-???. (Source: Dermatologic Surgery)

Letter: The Superiority of Dermabrasion over Laser Abrasion in the Prophylaxis of Malignant and Premalignant Disease

Dermatologic Surgery — Fri, 02 Feb 2007 17:03:55 +0100

Dermatologic Surgery Volume 33, Issue 2, Page 258-259, Feb 2007. (Source: Dermatologic Surgery)

Extensive facial adenoma sebaceum: successful treatment with mechanical dermabrasion: case report.

British Journal of Plastic Surgery — Mon, 22 Jan 2007 14:31:03 +0100

This report documents the successful elimination of disfiguring sebaceous adenomas from the face of a 21-year-old male patient with mechanical dermabrasion. PMID: 16061214 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery)

Dermabrasion with steel wool in the extensive partial burns during shock stage: A case report and review.

Burns : Journal of the International Society for Burn Injuries — Mon, 22 Jan 2007 07:00:00 +0100

Authors: Feng Y, Huo R, Fu H, Li Q, Lv R, Wang Y, Wang D PMID: 17241744 [PubMed - as supplied by publisher] (Source: Burns : Journal of the International Society for Burn Injuries)

Review paper Keloids and hypertrophic scars

Articles of Advances in Dermatology and Allergology - TERMEDIA publishing house — Fri, 03 Nov 2006 13:35:05 +0100

Keloids and hypertrophic scars are important problems in esthetic dermatology but also in dermatosurgery. Abnormal scarring may cause psychological problems. Keloidal scars and hypertrophic scars are fibrous growths that result from an abnormal connective tissue response in certain predisposed individuals. They are connected with excessive amounts of collagen over prolonged periods. The negro race form keloids more often than other races. The mechanisms underlying the pathogenesis of these abnormal wound responses have not been fully characterized. Trauma, infections, dermabrasion, tattoo, scarring ackne, vaccinations have all been proposed as precipitating factors. Keloids and hypertrophic scars are found most commonly on the midchest, back or shoulders, in places with higher tissue tensi...

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Study of transplantation of melanocyte keratinocyte suspension in treatment of vitiligo

Indian Journal of Dermatology — Wed, 11 Oct 2006 00:48:05 +0100

Conclusion: Autologus melanocyte keratinocyte suspension combined with motor/manual dermabrasion is an effective affordable treatment for patients with stable vitiligo who fail to respond to medical treatments. (Source: Indian Journal of Dermatology)

Human allogeneic keratinocytes cultured on acellular xenodermis: the use in healing of burns and other skin defects.

Bio-Medical Materials and Engineering — Sun, 01 Jan 2006 05:00:00 +0100

Authors: Matousková E, Broz L, Stolbová V, Klein L, Konigová R, Veselý P The tissue engineered skin should be composed of both dermal and epidermal layers. We combined cultured human allogeneic keratinocytes with acellular xenodermis prepared from pig xenografts. The resulting composite skin was termed recombined human/pig skin (RHPS), and could be cultured in both, undifferentiated and differentiated phenotype. The undifferentiated RHPS was grown submerged and formed 1-2 layers of keratinocytes. The differentiated phenotype (D-RHPS) was grown at the air-liquid interface and formed 5-20 cell layers similar to the normal epidermis, including the granular and horny layers. Undifferentiated RHPS has skin-like consistency and has been successfully used for treatment of ...

Ablative facial resurfacing.

Dermatologic Clinics — Thu, 14 Jul 2005 06:00:00 +0100

This article discusses the three most common modalities used in ablative facial resurfacing: chemical peels, dermabrasion, and laser resurfacing. Indications, mechanism of action, techniques, results, and complications all are reviewed. PMID: 16039434 [PubMed - indexed for MEDLINE] (Source: Dermatologic Clinics)