Women and men often consult with Dr. Romano regarding their skin textural issues, mostly related to old acne or scars, but also involving wrinkle lines, large pores, pigment spots, and other skin-surface problems. Oftentimes, Dr. Romano will first address these issues through non-surgical interventions such as peels, fillers, and microdermabrasion.
When required in addressing these problems, Dr. Romano often employs a procedure known as dermabrasion to produce smoother, more attractive skin texture. Utilizing advanced techniques, he removes damaged skin and softens the sharp contours and irregularities caused by wrinkles, scarring, and acne.
Some of my most frustrated patients are those who come to me for skin textural issues, mostly related to old acne or scars, but also involving wrinkle lines, large pores, pigment spots, and other skin-surface problems.
You have usually been to many doctors, tried many things, and want any kind of improvement. I know how you feel. There are many things that can be done for improving skin texture. I will help you with this issue.
The features of most concern to patients are textural irregularities such as wrinkle lines; large pores; age spots; blotches; unevenness; depressions; white, shallow, or deep scars; ice-pick scars; and pigmentation spots, usually as they relate to areas of former pustules and breakouts. The anatomy we are dealing with is totally in the surface of the skin. This is the epidermis and dermis (the collagen layer of the skin). Therefore, skin-surface procedures and interventions make the most difference in this case, not deeper procedures like facelifts. There are many, many factors that come into play that must be addressed prior to your surgery. I will coordinate the features of your anatomy with your expectations, formulate a plan with you, and guide you through this process. It will usually involve some aspects of skincare and vitamins at the least. The usual sequence for skin resurfacing involves:
- Skincare: Aggressive skincare to prepare your skin to obtain the best result.
- Non-Surgical Interventions: Consideration of non-surgical interventions, either prior to or instead of surgery is good if you get results from skincare or just want to go slowly. These may include peels, fillers, microdermabrasion, and others.
- Surgery: Surgical interventions then include dermabrasion, direct excision of scars, punch and suture, laser resurfacing (CO2), and fat grafting.
Surgery for dermabrasion, as well as the other surgeries mentioned above, involves a relatively short procedure under a light general anesthetic and is performed where I do surgery, which is in a hospital setting. The surgery is safe and predictable. All of the stitches are dissolvable, with return to work in as little as three or as many as ten days, depending on the depth of resurfacing required. You can return to some physical exercise within the first week. I counsel patients that usually a 40% to 60% improvement can be obtained, sometimes more.
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