Emsen Ilteris Murat
Department of Plastic Reconstructive and Aesthetic Surgery, Numune State Hospital, Erzurum, Turkey,
Aesthetic Plast Surg. 2008 May 23. doi: 10.1007/s00266-008-9175-1.
Dermabrasion is an accepted method for improving the appearance of facial scars. It allows the epidermis to regenerate as a smooth surface after the defective dermis and epidermis have been removed. Several methods and instruments are currently being employed for dermabrasion. This study is an update on a forgotten or abandoned technique. We extended the patient range and saw that this technique was one procedure used before laser systems became available. It is still effective and the cheapest procedure for treatment of these patients. Dermasanding is effective not only for burn scars but also for depressed, acne, hypertrophic, and trap-door scars, cellulite, and tattoos. METHODS: The authors performed this technique on 38 patients with different diagnoses. RESULTS: Each patient was reviewed separately. The obtained result in each patient was reviewed with regard to patient satisfaction. In no patient was the result worse compared to the original scar, burn, or injury. Mild wound infections were seen in only four cases but they were not severe. They were controlled with systemic antibiotic therapy. 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.
磨皮术是一种公认的改善面部瘢痕外观的方法。在去除有缺陷的真皮和表皮后,它能使表皮再生为光滑的表面。目前有多种方法和器械用于磨皮术。本研究是对一种被遗忘或废弃技术的更新。我们扩大了患者范围,发现这种技术是在激光系统出现之前使用的一种方法。它对于这些患者仍然有效且是最便宜的治疗方法。砂纸磨皮术不仅对烧伤瘢痕有效,对凹陷性、痤疮性、增生性和活板门样瘢痕、脂肪团及纹身也有效。
作者对38例诊断各异的患者实施了该技术。
对每位患者进行单独评估。根据患者满意度对每位患者获得的结果进行评估。与原始瘢痕、烧伤或损伤相比,没有一位患者的结果更差。仅4例出现轻度伤口感染,但并不严重。通过全身抗生素治疗得到控制。
砂纸磨皮术不仅对烧伤瘢痕有效,对其他类型的瘢痕(痤疮性、凹陷性、活板门样、增生性)、纹身、脂肪团及抗老化也有效。