Dermabrasion is a skin resurfacing cosmetic procedure that removes the entire top layer of skin with a specialized, abrasive tool. Several dermal layers of skin are also treated to stimulate new collagen production. The treatment area is numbed for the procedure, and there may be the option to be under general anesthesia, depending on the scope of treatment. Several weeks of downtime are associated with this treatment option, during which the treatment area may be red, blotchy, or swollen. Dermabrasion is not recommended for individuals with a history of keloid scarring or darker skin, as it may cause unwanted side effects, including hyperpigmentation and scarring.
Microdermabrasion stimulates new collagen production by exfoliating away the top layer of skin, smoothing out the skin texture. Traditional microdermabrasion is called crystal microdermabrasion. During a crystal microdermabrasion skin treatment, a specialized handpiece is used to gently spray tiny crystals (usually aluminum oxide or sodium bicarbonate) to sand away the outer layer of the skin. Diamond microdermabrasion entails directly applying a diamond-tipped handpiece to the skin’s surface to exfoliate the outer layer of the skin gently. This treatment option is painless, non-invasive, and does not involve downtime.
Kenalog injections are used to flatten raised scars, such as keloids and hypertrophic scars. These steroid injections are highly effective for shrinking active acne lesions and raised spots. Generally, intralesional kenalog injections are needed to flatten hypertrophic scars successfully.
Punch excision is a method for treating acne scarring in which a punch tool (regularly used for skin cancer biopsy) removes scar tissue. This scar revision treatment is a minimally invasive surgical procedure, ideal for deeper scars such as ice-pick scars. During the process, the punch tool removes the acne scar. After removing the spot, the wound left behind is closed with fine sutures or a skin graft. When the skin heals, a flatter, less noticeable fault replaces the acne scar.
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