What is dermaplaning and how is it performed?

Dermaplaning: Technique and Applications

Dermaplaning is a minimally invasive exfoliation procedure that involves using a sterile surgical scalpel to gently scrape away the top layer of dead skin cells and fine vellus hair (peach fuzz) from the face to reveal smoother, brighter skin.

What is Dermaplaning?

Dermaplaning is a physical exfoliation method that:

• Uses a sterile surgical blade (typically a #10 scalpel) held at a 45-degree angle against the skin
• Removes the outermost layer of dead skin cells (stratum corneum)
• Eliminates fine vellus facial hair ("peach fuzz")
• Provides immediate skin smoothing and brightening effects
• Is performed as an office-based procedure by trained professionals

How Dermaplaning is Performed

Preparation

• Cleanse the face thoroughly to remove makeup, oils, and debris
• Apply a topical anesthetic 30 minutes before the procedure if needed (though most patients tolerate it well without anesthesia) 1
• Position the patient comfortably in a reclined position with good lighting

Technique

1. Hold the skin taut with one hand
2. Hold the sterile surgical blade at a 45-degree angle with the other hand
3. Use short, feathering strokes in the direction of hair growth
4. Work systematically across facial regions:
   • Begin with forehead
   • Move to cheeks
   • Continue to chin and perioral area
   • Finish with nose (avoiding nostrils)
   • Avoid active acne lesions, open wounds, or inflamed areas

Post-Procedure

• Apply soothing products (hyaluronic acid serums, growth factors)
• Apply broad-spectrum SPF 30+ sunscreen
• Avoid direct sun exposure for 24-48 hours
• Avoid heavily scented facial products for 24 hours 2

Benefits of Dermaplaning

• Immediate skin smoothing and brightening
• Enhanced penetration of skincare products (increases absorption by 5-10 times) 2
• Suitable for all skin types, including sensitive skin
• Minimal downtime (24-48 hours of mild redness)
• Low risk of complications compared to more invasive procedures
• Can be performed on pregnant women (unlike chemical peels)
• Provides a smooth canvas for makeup application

Contraindications

Dermaplaning should be avoided in patients with:

• Active acne breakouts
• Inflammatory skin conditions (rosacea, eczema, psoriasis)
• Open wounds or sunburned areas
• Active skin infections
• History of keloid scarring
• Use of isotretinoin within the past 6 months
• Tattoos or permanent makeup in the treatment area 2

Clinical Applications

Skin Rejuvenation

Dermaplaning is effective for general skin rejuvenation and can be performed as a standalone procedure or combined with other treatments for enhanced results.

Scar Treatment

For acne scarring or other facial scars, dermaplaning is often combined with other modalities:

• Combination with chemical peels: For small multiple discrete scars with abnormal pigmentation 3
• Combination with microneedling: For deeper textural improvements
• Combination with PRP: For enhanced collagen stimulation and skin remodeling 2

Treatment Protocol

• Typically performed every 3-4 weeks
• A series of 3-4 treatments is recommended for optimal results
• Maintenance treatments every 2-3 months 2

Comparison to Other Exfoliation Methods

Unlike dermabrasion, which is a more aggressive procedure that penetrates into the dermis and requires longer recovery time, dermaplaning:

• Is less invasive (affects only the epidermis)
• Has minimal downtime
• Carries lower risk of complications
• Does not require anesthesia in most cases
• Is suitable for a wider range of skin types 4

Potential Side Effects

• Temporary redness (24-48 hours)
• Slight skin sensitivity
• Potential for small nicks or abrasions if performed improperly
• Temporary dryness
• Risk of hyperpigmentation if sun protection is not maintained

Expert Recommendations

For optimal results and safety:

• Ensure the procedure is performed by a trained professional
• Maintain strict sun protection following treatment
• Follow a consistent skincare regimen between treatments
• Consider combination therapy for specific concerns like acne scarring
• Be aware that results are temporary and maintenance is required

Dermaplaning offers immediate cosmetic benefits with minimal risk when performed correctly, making it a popular option for patients seeking skin rejuvenation with little to no downtime.