Dermabrasion; segmental, face
CPT4 code
Name of the Procedure:
Dermabrasion; Segmental, Face
Summary
Dermabrasion is a cosmetic surgical procedure that involves the controlled removal of the outer layers of the skin (epidermis and superficial dermis) on the face. It uses a high-speed rotating tool to exfoliate and resurface the skin, improving its texture and appearance.
Purpose
Dermabrasion is primarily used to address skin imperfections by smoothing out the surface. The goals include reducing the appearance of scars (acne scars, surgical scars), fine lines and wrinkles, pigmentation issues, and certain types of lesions. It aims to enhance the overall look and feel of the skin by promoting the regeneration of new, healthy skin cells.
Indications
- Acne scars
- Fine lines and wrinkles
- Surgical or traumatic scars
- Skin pigmentation irregularities (e.g., melasma)
- Precancerous skin growths (actinic keratoses)
- Certain types of skin lesions
Preparation
- Discontinue certain medications like aspirin, blood thinners, and specific topical treatments as advised by your doctor.
- Avoid sun exposure and tanning.
- Complete a skin evaluation and possibly receive pre-procedure antiviral medication if you have a history of herpes infections.
- Fasting may be required, depending on the anesthesia plan.
Procedure Description
- Anesthesia: The procedure typically involves local anesthesia with or without sedation; general anesthesia might be used in deeper treatments or extensive sections.
- Preparation: The treatment area is cleansed, and protective eye coverings are applied.
- Exfoliation: A dermatologist or cosmetic surgeon uses a high-speed rotating tool with an abrasive brush or diamond fraise.
- Removal: The outer layers of the skin are carefully removed section by section.
- Post-procedure Care: Treated areas are covered with a moist dressing and possibly ointment to promote healing.
Duration
The procedure generally takes about 30 minutes to 1 hour, depending on the size and number of areas being treated.
Setting
Dermabrasion is typically performed in an outpatient setting such as a dermatologist's office, outpatient surgical center, or cosmetic surgery clinic.
Personnel
- Dermatologist or Cosmetic Surgeon (primary operator)
- Nurse or medical assistant (support during the procedure)
- Anesthesiologist or nurse anesthetist (if sedation or general anesthesia is used)
Risks and Complications
- Common risks include redness, swelling, and sensitivity.
- Possible complications include infection, scarring, changes in skin pigmentation, and prolonged redness.
- Rare risks involve keloids and persistent erythema, which may require further treatment.
Benefits
- Smoother, more even skin texture
- Decreased appearance of scars and fine wrinkles
- Potentially more even skin tone
- Improvement in overall skin appearance, typically visible within a few weeks
Recovery
- Initial redness and swelling typically subside within a few days to weeks.
- Adherence to a meticulous skincare regimen including gentle cleansing, moisturization, and sun protection.
- Avoid sun exposure and follow-up as directed by your healthcare provider.
- Full recovery and final results may take several months.
Alternatives
- Chemical peels: Non-mechanical exfoliation, suitable for milder conditions.
- Laser resurfacing: Uses laser technology, offering precision and control.
- Microdermabrasion: Less invasive, suitable for superficial skin conditions.
Patient Experience
During the procedure, the patient might feel a varying degree of discomfort, managed by anesthesia. Post-procedure, the skin may feel sensitive, similar to a sunburn, and proper pain management includes prescribed medications and cold compresses. Redness and swelling are expected, and patients are encouraged to follow specific skincare recommendations to ensure proper healing.