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450 Sutter Street, Suite 1212, San Francisco, CA 94108 655 Redwood Highway Suite 250, Mill Valley, CA 94941

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A combination of life-long ultraviolet damage (UVA and UVB) from sunlight, age-related changes in the skin, and the repetitive action of the facial muscles (mimetic muscles, or muscles of facial expression) can lead to deep wrinkles (rhytids) in the facial skin. This is often most prominent around the mouth. Though deep wrinkles here are more common in smokers, some people have a hereditary predisposition. Less invasive approaches to these deep wrinkles (including lipstick bleed lines) and folds, such as ablative lasers and chemical peels, are almost always disappointing. For these patients, dermabrasion gives the best and longest lasting result.

Dr. Ransom performs perioral dermabrasion for deep wrinkles and folds around the mouth and chin area. Dermabrasion is also used to treat acne scarring and skin surface irregularity from soft tissue trauma or previous surgical scars. Using the latest in aesthetic medical treatments before and after your procedure, he makes sure that your skin heels quickly, with an even color, improved texture, and smooth contour. Dr. Ransom personally administers your dermabrasion, making sure that you achieve the best result in the most comfortable and convenient way possible – and with the quickest recovery. Dermabrasion is performed with local anesthesia and sedation in most cases.

Who is a candidate?
Dermabrasion can be performed on anyone who has skin surface irregularities, scars, deep lines (rhytids), or wrinkles (especially around the mouth). Depending on the innate properties of the skin (such as skin pigmentation, sensitivity, etc.) and the severity of the problems to be treated, the procedure may be more or less aggressive. For patients with medium to dark skin, less aggressive dermabrasion is performed in order to avoid unwanted changes in the skin color or scarring after the procedure. Dermabrasion is contraindicated for people with certain skin or connective tissue disorders, and special consideration is needed for patients who have been taking Accutane (isotretinoin).

There are a variety of approaches to skin resurfacing, and Dr. Ransom will work with you to make the best plan to suit your needs and skin type!

Frequently Asked Questions

Q: How long is recovery after dermabrasion?
A: Recovery after dermabrasion varies according to the type of peel used, the depth of the desired effect, and each person’s unique skin characteristics and healing capacity. An occlusive dressing is worn for the first 48 hours, to help the keep the treated area hydrated. After this, some scabbing will appear, and a topical emollient is used. The skin heals from the inside out, and gradually regains the more even surface texture and color desired. This process takes about a week to ten days, though some patients will have a slight redness for a little longer. The new skin is very sensitive as it heels, but patients are able to go out and can use make up. Topical medications are used in some cases to ensure rapid healing and even skin tone.

Q: What should I do to prepare for dermabrasion?
A: Dr. Ransom will work with you to get your skin ready for the procedure. Depending on your skin type and history, this may begin up to two weeks before the peel is scheduled. Treatments may include topical creams to strengthen the skin (such as retinoic acids, or Retin A) or tone down the pigments (bleaching agents, such as hydroquinone). You should avoid excessive exposure to UV (direct sunlight) and make sure that the area to be peeled is not sunburned. If you have a history of cold sores, an antiviral medication will be given for prophylaxis. A gentle daily cleanser is important as well, but harsh treatments should be avoided.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.