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Dermabrasion city, state

middle-aged woman 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

Question: How long is recovery after dermabrasion?
Answer: 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.
Question: What should I do to prepare for dermabrasion?
Answer: 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.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.