DERMABRASION

All surgery carries some uncertainty and risk
Dermabrasion and dermaplaning are normally safe when they're performed by a qualified, experienced board-certified physician. The most common risk is a change in skin pigmentation. Permanent darkening of the skin, usually caused by exposure to the sun in the days or months following surgery, may occur in some patients. On the other hand, some patients find the treated skin remains a little lighter or blotchy in appearance.

You may develop tiny whiteheads after surgery. These usually disappear on their own, or with the use of an abrasive pad or soap; occasionally, the surgeon may have to remove them. You may also develop enlarged skin pores; these usually shrink to near-normal size once the swelling has subsided.

While infection and scarring are rare with skin-refinishing treatments, they are possible. Some individuals develop excessive scar tissue (keloid or hypertrophic scars); these are usually treated with the application or injection of steroid medications to soften the scar.

Planning your surgery
In your initial consultation, be open in discussing your expectations with Dr. Parson, and don't hesitate to ask any questions or express any concerns you may have. Dr. Parson will be equally open with you, explaining the factors that could influence the procedure and the results - such as your age, skin condition, and previous plastic surgeries.

Dr. Parson will discuss your medical history, conduct a routine examination, and photograph your face. He will explain the procedure in detail, along with its risks and benefits, the recovery period, and the costs. Insurance usually doesn't cover cosmetic procedures, however, it may cover dermabrasion or dermaplaning when performed to remove precancerous skin growths or extensive scars. Check your policy or call your carrier to be sure.

Preparing for your surgery
Dr. Parson will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, and on avoiding aspirin and other medications that affect blood clotting. You may also be given special instructions regarding the care and treatment of your skin prior to surgery. If you smoke, you'll probably be asked to stop for a week or two before and after surgery, since smoking decreases blood circulation in the skin and impedes healing.

While you're making preparations, be sure to arrange for someone to drive you home after your surgery, and to help you out for a day or two if needed.

Where your surgery will be performed
Your treatment will be performed in an outpatient surgery center. It's usually done on an outpatient basis, for cost containment and convenience. However, if you're undergoing extensive work, you may be admitted to the hospital.

Types of anesthesia
Dermabrasion and dermaplaning may be performed under local anesthesia, which numbs the area, combined with a sedative to make you drowsy. You'll be awake but relaxed, and will feel minimal discomfort. Sometimes a numbing spray, such as freon, is used along with or instead of local anesthesia. Or, in more severe cases, Dr. Parson may prefer to use general anesthesia, in which case you'll sleep through the procedure.

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