Dermabrasion and Staged Excision of Facial Lesions in a Neurofibromatosis Case for Improvement of Facial Appearance

Abstract

Background: Neurofibromatosis may present with different skin lesions. Disfiguring lesions on the face might be challenging for the surgeon or clinician to correct and may have adverse effects on patients' social lives, especially in young women.Objective: To present the dermabrasion technique combined with serial excisions of a deeper accompanying lesion to treat superficial facial lesions in a young neurofibromatosis patient.Methods: Dermabrasion was applied to superficial lesions on the face, and staged excision was applied to the deeper lesion located on the forehead. Results:We obtained high patient satisfaction with the result. The deep lesion was excised totally, and superficial lesions were decreased with dermabrasion.Conclusion: Dermabrasion may become a good alternative in cases of neurofibromatosis with superficial facial lesions.Contexte: La neurofibromatose peut se manifester sous diffé rentes formes de lé sions cutané es. Certaines abîment le visage et peuvent se ré vé ler difficiles à corriger par le chirurgien ou le clinicien, sans compter qu'elles peuvent avoir des ré percussions dé favorables sur la vie sociale, notamment celle des jeunes filles.Objectif: L'é tude visait à pré senter une technique de dermabrasion, suivie d'une sé rie d'excisions visant à effacer une lé sion plus profonde dans le traitement de lé sions superficielles de la face chez une jeune patiente atteinte de neurofibromatose.Mé thode: La dermabrasion a é té appliqué e aux lé sions superficielles de la face, et l'excision en plusieurs temps, à la lé sion plus profonde situé e sur le front.Ré sultats: Les ré sultats obtenus ont donné grande satisfaction à la patiente. La lé sion profonde a é té complè tement effacé e, et les lé sions superficielles ont é té estompé es par la dermabrasion.Conclusion: La dermabrasion peut se ré vé ler une bonne solution de rechange dans les cas de neurofibromatose s'accompagnant de lé sions superficielles de la face.

Current Concepts in Dermabrasion Therapy

“…A case report has demonstrated high patient satisfaction with the use of dermabrasion on facial lesions due to neurofibromatosis. 13 This procedure can also be used to treat photo-aged skin by replacing it with smooth-textured skin. It has also been shown to normalize actinically damaged epidermis and papillary dermis from prior photo-aged skin.…”

Eradication of Benign Skin Lesions of the Face by Voltaic Arc Dermabrasion (Atmospheric Plasma): Postoperative Pain Assessment by Thermal Infrared Imaging

“…Different techniques have been used for removing fibroids and other benign skin lesions: electrocoagulation, laser removal, removal using liquid nitrogen, surgical excision, freezing and radiowave coagulation [4,5]. Dermabrasion is applied to superficial lesions on the face, and it can be considered as safe to the level of the superficial or mid-reticular dermis [6]. This technique has been proposed with success for the treatment of wrinkles [7] and skin lesions [8].…”