Ateneo de Zamboanga University College of Nursing Nursing Skills Output DERMABRASION Description: Dermabrasion is an abrasive process performed to remove

the epidermis and superficial dermis. It results in a smoothing of contour irregularities. It is often very useful in the treatment of facial wrinkles, acne scarring, and traumatic scars. Purpose: Dermabrasion is done to help repair damaged skin. The procedure is believed to promote skin rejuvenation by stimulating the production of skin cells. Dermabrasion can be used to treat the following skin conditions: Benign tumors Chickenpox scars Acne scars Surgical scars Scars resulting from accidents or disease Tattoos Age (liver) spots Wrinkles

Equipments/ Materials:

Dermabrader with wire brush and sanding cylinder and cord. Basin set Local anesthetic with epinephrine Marking pen A plastic tray or selected instruments should be available. A basic pack with head drape and split sheet is usually appropriate for this procedure.

Procedure: 1. The skin is stretched by hand and the epidermis is abraded by means of a dermabrader.

2. If the area to be treated is on or near the cheek, the surgeon may wish to pack the patients mouth with gauze to stretch the skin taut. 3. The area is irrigated copiously with saline during and after the procedure. 4. The wound may be dressed with a nonadherent gauze dressing or Telfa moistened with saline. 5. A light compression bandage may be applied. Illustration: Dermabrasion procedure:

Before and after images of patients who have undergone Dermabrasion:

Nursing Responsibilities: Perioperative nursing considerations: Do not allow preparation solution to pool in or around the eyes or ears. Table may be turned to facilitate easier access, and slightly flexed for patient comfort. Do not leave loose sponges near the dermabrader, they may caught in the mechanism. Keep distraction in the room in a minimum.

Postoperative nursing considerations (Follow up health teachings): Clean the skin several times a day. This will help you to avoid infection and to remove the crusting that develops during healing. Keep the treated area moist. Change the ointment and dressing on the wound. Avoid sun exposure. After peeling has stopped, use sunscreen every day. Go to follow-up visits as recommended by your doctor. They are important to monitor the skin's healing and regrowth. Be sure to follow your doctor's instructions.

References: Demabrasion and Microdermabrasion. Wigoda, P. (n.d). Retrieved on December 15, 2011 from http://www.makeupusa.com/articles/dermabrasion.htm Dermabrasion. (n.d). Retrieved December 15, 2011 from http://nursingcrib.com/perioperative-nursing/dermabrasions/

Dermabrasion. Bearden, M. (n.d). Retrieved on December 15, 2011 from http://www.halifaxhealth.org/healthinformation/content.aspx? chunkiid=102959

December 15, 2011 _____________________ Date

Iman K. Tawasil BSN III-A Instructor Clinical