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Pigmentation after dermabrasion: an avoidable complication.

A G Ship, P R Weiss

    Plastic and Reconstructive Surgery
    |April 1, 1985
    PubMed
    Summary
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    Dermabrasion for acne and scar deformities rarely causes lasting pigmentation issues, especially when patients avoid sun exposure post-procedure. This retrospective study confirms dermabrasion

    Area of Science:

    • Dermatology
    • Plastic Surgery
    • Aesthetic Medicine

    Background:

    • Dermabrasion is a surgical technique used to improve skin texture and treat deformities.
    • Concerns exist regarding potential long-term adverse pigmentary changes following dermabrasion.

    Purpose of the Study:

    • To evaluate the incidence and persistence of adverse pigmentation following dermabrasion.
    • To assess the long-term outcomes of dermabrasion, focusing on pigmentary alterations.

    Main Methods:

    • Retrospective analysis of patients undergoing dermabrasion over a 20-year period.
    • Inclusion criteria: minimum 6-month follow-up, sun avoidance, and photographic documentation.
    • Data collection on pigmentary changes, redness, and patient-reported textural alterations.

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    Main Results:

    • Unfavorable pigmentation occurred in 8% of patients, with 7 resolving spontaneously.
    • Hypopigmentation was noted in 3 patients (2 Black, 1 Caucasian).
    • Persistent redness and sun-induced recurring pigmentation were observed in a small percentage of Caucasian and Black patients.

    Conclusions:

    • Adverse pigmentation is not an inevitable outcome of dermabrasion, particularly with adherence to sun avoidance.
    • Dermabrasion remains a valuable procedure for improving acne and other scar deformities.
    • Hispanic patients demonstrated heightened awareness of subtle post-procedure skin changes.