Dermaplaning - Procedure, Indications, and Contraindications

Introduction:

Cosmetic procedures for the face are gaining popularity in recent days as there is a growing societal emphasis on a beautiful face and youthful appearance. Dermaplaning is a non-invasive cosmetic procedure to exfoliate the superficial layer of dead skin cells and remove fine hair (also known as Peach fuzz) from the face. This gives smoother and brighter skin. The objective of dermaplaning is to remove the outermost layer of dead skin cells, dust, and facial hair, thus enhancing the radiance of the face to get a youthful appearance.

What Are the Indications of Dermaplaning?

Dermaplaning is a cosmetic skin treatment and indicated to treat:

• Dull Skin: Dermaplaning aids in eliminating the topmost layer of dead skin cells, unveiling a complexion that is more luminous and vibrant.

• Fine Lines and Wrinkles: It is used to decrease the visibility of wrinkles and other indications of aging.

• Uneven Skin Tone and Texture: Dermaplaning can refine rough and uneven skin texture and minimizes hyperpigmentation.

• Acne Scars: It helps to improve the appearance of acne scars and encourage cell turnover.

• Skincare Product Absorption: Dermaplaning can help improve skincare products' absorption, making them more effective.

• Sun Exposed Skin: It helps to restore the skin tone to tanned skin after sun exposure.

What Are the Contraindications of Dermaplaning?

Dermaplaning is a non-invasive skin treatment that is considered to be safe and effective. However, it is not indicated in people with the following conditions.

• Acne: Individuals with active acne are contraindicated for dermaplaning as the treatment can exacerbate inflammation and skin irritation.

• Rosacea: It is a skin condition causing redness in the face. People with rosacea experience increased redness (flushing) and sensitivity to the skin.

• Sensitive Skin: People with sensitive skin must avoid dermaplaning as it can increase skin sensitivity, leading to irritation and inflammation.

• Sunburnt Skin: Dermaplaning is not indicated in cases of sunburn as it can increase skin damage.

• Infection: People with infectious diseases of the skin, like Herpes Zoster and chickenpox, are contraindicated from the procedure as the infection can spread and exacerbate the symptoms.

• Immune Disorders: Individuals with immune disorders like psoriasis, pemphigus, and pemphigoid are contraindicated.

• Medications: People taking medications like blood thinners are at increased risk of bleeding and bruising after the procedure.

How Is Dermaplaning Done?

A thorough evaluation of the medical history, physical and general examination must be done to plan the treatment efficiently. Dermaplaning is done in a clinical setting by a plastic surgeon or a dermatologist and involves the following steps:

• The skin is thoroughly cleansed and dried to remove dirt, oil, or makeup. Sometimes, a local anesthetic cream is applied over the area.

• This is followed by gently scraping the skin's surface by holding a sterile surgical blade at a 45-degree angle and using short, gentle strokes. This process eliminates the superficial layer of dead epithelial cells. The procedure can also be done with an electric razor-like instrument called a dermatome.

• The process is repeated over the entire face, avoiding sensitive areas such as the eyelids and lips.

• Once the entire face has been treated, the skin is cleansed again to remove any remaining debris, and a soothing ointment or moisturizer is applied over the treated area.

• The duration of the procedure is about 30 minutes and is generally painless.

What Are the Instructions to be Followed After Dermaplaning?

After dermaplaning, taking care of the skin is essential to ensure the best results and minimize the risk of complications.

• Cold compresses are recommended 24 hours after dermaplaning to reduce swelling or discomfort.

• It is recommended to refrain from sun exposure for a minimum of 48 hours after the procedure. Broad-spectrum sunscreen with SPF (sun protection factor) 40 or more, is indicated for two weeks following the procedure.

• Avoid using harsh or abrasive exfoliants as they may irritate the skin.

• Avoid touching the skin, as this can introduce bacteria and increase the risk of infection.

• Keep the skin well-hydrated by using a gentle, non-comedogenic moisturizer.

• Hot water splashes are contraindicated for at least two weeks following the procedure.

What Are the Post-Treatment Complications?

While dermaplaning is generally considered a safe and low-risk procedure, there are some potential postoperative complications. These can include:

• Redness and Irritation: Mild redness and irritation are common immediately following the procedure, but these should resolve within a few hours to a few days.

• Infection: In rare cases, dermaplaning can cause infection if bacteria enter the skin through the small nicks or cuts made by the surgical blade. This may manifest as swelling, pain, or pus in the infected site.

• Hyperpigmentation: Dermaplaning can cause temporary darkening or hyperpigmentation in some individuals, particularly those with darker skin tones.

• Scarring: While scarring is rare with dermaplaning, it can occur if the skin is not properly prepped or if the surgical blade is not used correctly.

• Sensitivity to Skincare Products: Following dermaplaning, the skin may be more sensitive to certain products, particularly those containing active ingredients like retinoids or acids. It is important to avoid these products for at least a few days after the procedure and to consult with the medical professional before resuming their use.

What Are the Advantages of Dermaplaning?

Dermaplaning can be a useful and effective tool for improving the appearance and health of the skin and may be a good option for individuals looking for a non-invasive and low-risk cosmetic treatment. Pros of dermaplaning include:

• Smoother and Brighter Skin: Dermaplaning helps to provide an even skin tone by removing dead skin cells.

• Reduced Appearance of Wrinkles: Fine lines and wrinkles are reduced as the procedure stimulates cell turnover and collagen production.

• Non-invasive: Dermaplaning is a minimally invasive treatment procedure with low risks.

• Safety: Dermaplaning is a safe procedure for all skin types, including dry and oily skin.

What Are the Disadvantages of Dermaplaning?

While dermaplaning is generally considered safe and low-risk, there are some potential drawbacks or cons, including:

• Short-Term Results: While dermaplaning can leave the skin looking smoother and brighter immediately following the procedure, the results are generally temporary and may last a few days to weeks.

• Potential for Skin Irritation or Damage: If not performed correctly, dermaplaning can cause irritation, redness, or even injury to the skin, particularly if the blade is used too aggressively or if the skin is not properly prepped. In rare cases, dermaplaning can cause temporary or permanent hyperpigmentation or scarring.

• Maintenance: Dermaplaning is not a one-time treatment and requires regular maintenance to maintain the results.

Conclusion:

Dermaplaning is a non-invasive and safe cosmetic procedure that improves the appearance and health of the skin. It is indicated to address various concerns but has the potential for certain complications. Therefore, it is always advisable to discuss the benefits, procedures, and risks involved with a medical professional for effective treatment planning which also ensures the best possible outcomes.