Dermabrasion: Rejuvenation at Its Best


Dermabrasion is a method of renewing the skin’s surface and producing a smoother, more naturally textured and pigmented surface. The procedure has the potential to repair or help conceal many kinds of skin defects — particularly wrinkles, sun damage, excessive pigmentation, or scars from accidents, acne, or previous surgery. The procedure is performed by Farzad R. Nahai, M.D. at The Center for Plastic Surgery at MetroDerm, P.C. in Atlanta, GA.

The dermabrasion procedure improves the look of the skin by employing a diamond-tipped rotary instrument to remove or abrade the existing upper layer of skin in a precise manner. The bit spins quickly, taking off and leveling, or planing, the top layers of the skin. This process injures, or “wounds” the skin and causes it to bleed. As the wound heals, new skin grows to replace the damaged skin. Healing typically occurs within about a week.

Candidates for Dermabrasion

Dermabrasion treats damage and defects in the upper layers of the skin:

  • Acne scars. The most common uses for dermabrasion are to remove and improve the look of acne scars.
  • Scars caused by surgery or trauma, if they are not deep.
  • Surface skin growths.
  • Fine lines and wrinkles around the mouth.
  • An enlarged nose caused by rosacea.

You may not be a good candidate for dermabrasion if you have any of the following conditions:

  • A history of abnormal scarring, keloid or hypertrophic scars.
  • Have an active herpes infection or other skin infection.
  • Are overly sensitive to cold because the freezing spray could be a problem.
  • Have a skin, blood flow, or immune problem that could make healing harder.

About the Procedure

During the initial consultation, Dr. Nahai determines the most precise level of dermabrasion. He discusses how much skin can be safely removed, the amount of expected improvement, and potential risks and complications. Dr. Nahai performs dermabrasion as an outpatient procedure, under a local anesthetic. Treatment areas are cleaned and marked and the local anesthetic numbs the skin. Ice packs are applied for up to 30 minutes. A freezing spray hardens the skin if the anesthetic and ice packs don’t make the skin firm enough. For deep abrasions, or if the entire face is going to be treated, Dr. Nahai may use stronger anesthesia, pain killers, sedation, or general anesthesia.

Dr. Nahai treats one small area at a time. He applies the freezing spray if needed. The rotating brush removes the top layers of skin. Gauze stops any bleeding and the area is covered with a clean dressing or ointment.

What to Expect After the Procedure

The time it takes to heal depends on the size and depth of the area treated. A full-face treatment will take longer to heal than that of a small area of skin. Deeper abrasions take the longest to heal. In most cases, the skin grows back in 5 to 8 days. This new skin is pink or red. The color fades in 6 to 12 weeks.  Apply makeup to match normal skin tones. Please note that some patients experience a permanent lightening of the skin.

Most patients have little or no pain and return to their regular activities soon after the treatment. Some need pain relievers. A corticosteroid such as prednisone treats any instances of post-surgical swelling.

After Care Do’s and Don’ts

  • Clean the skin several times a day to avoid infection and get rid of any crusting.
  • Change the ointment or dressing on the wound to keep the area moist and help heal the skin.
  • Avoid sun exposure and, after peeling has stopped, use sunscreen every day. Tender new skin is more likely to get sun damage.

A follow-up appointment is necessary to make sure the healing process is going well. If you have any problems, our highly skilled staff is here to provide advice and support.

Each patient is unique; therefore, results of treatment may vary.

Dermabrasion forces the skin to grow a fresh new layer of cells. It is a great anti-aging procedure. To learn more about how dermabrasion can help rejuvenate or improve the look of your skin, schedule a consultation with us at The Center for Plastic Surgery at MetroDerm, P.C. in Atlanta, GA. We are conveniently located to serve patients in metro Atlanta, GA including the cities of Roswell, Alpharetta, Johns Creek, Marietta, Sandy Springs, and Smryna.


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