Q: Dr. Eppley, I would like to know your opinion on what results a person can expect to achieve from perioral dermabrasion percentage wise.
A: I assume that the basis of your question is how to best improve lip lines and creases around the mouth area from aging. There are numerous methods of skin resurfacing around the mouth, historically dermabrasion was used and today it is different types of lasers. With dermabrasion (not to be confused with the more superficial treatment of microdermabrasion which would be completely ineffective for lip lines) hat answer would depend on the depth of the vertical lip lines one has and how thick the perioral skin is. There is a tricky balance with the aggressiveness of diamond wheel dermabrasion between getting a good result and causing scarring if one goes too deep. There is also risk with dermabrasion of creating irregular skin removal. This is why the use of lasers today, particularly fractional laser resurfacing, is a much more predictable. Consistent depth penentration because it is computer driven by the settings makes it less risky than dermabrasion. Dermabrasion can be a very effective treatment for lip wrinkles but it requires good operater experience and a lot of artistic skill for consistent results.
Dr. Barry Eppley
Q: Dr. Eppley, I have alot of scarring on my face. Mostly small scarring from acne and also some from adult acne which includes one very large pocket where a cyst once was, also another very large scar where I had to have a surgeon remove another cyst .There are also a few smaller scars where more cysts were removed and one ice pick also. I’d like to know if you can help to remove some of these in your office or at least help to minimize some of the issues. I am embarrassed to go out into any type setting outside my home wether it be work or any other. I use to be what most would consider a pretty attractive woman. I would like it so much to not feel so awkward about myself because of my complexion. I have been dealing with the the withdrawing from others for about 17 years or so where as I use to be an outgoing and confident person. If you can help me I would greatly appreciate it. Thanks so much.
A: One of the most challenging facial skin conditions to really improve is that of acne scarring. There is no magic solution to this devastating problem and it is compounded by the fact that there are many different types of acne scars by depth and shapes. Surgical methods of improvement can include excision, dermabrasion and fractional laser resurfacing. There is even an occasional role for fillers placed underneath certain types of acne scars. Usually some combination of several of these approaches are needed. Almost always some improvement in acne scarring can be obtained. It is just a question of how much and is it worth the effort involved to do so.
Dr. Barry Eppley