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Electrobrasion Step-by-Step
Electrobrasion Step-by-Step
- Ensure that all preoperative preparation is complete (e.g., photograph, consent).
- Administer preoperative anxiolytics as needed. For limited treatment sites in
areas typically unaffected by herpetic or impetigo outbreaks, prophylaxis is generally not necessary.
3. Clean the treatment area with an antiseptic of choice (e.g., chlorhexidine or
betadine). Alcohol should be avoided due to fire hazard.
4. Provide necessary anesthesia with local anesthetic.
5. Abrade the skin with the needle tip of an electrosurgical device (e.g.,
Hyfrecator 2000, ConMed Co., Centennial, CA) on low power with a setting of
10. A sweeping motion is used to paint the treatment area to the level of the papillary or reticular dermal junction, depending on scar characteristics.
6. After the treatment area is fully ablated, feather the periphery to create a more
natural appearing transition zone.
7. Apply Vaseline ointment and hydrogel semiocclusive dressing to abraded sites
to prevent crust formation until the epidermis is fully reepithelialized. This dressing should be changed every 3 to 5 days.
8. The patient should be instructed to take acetaminophen and ibuprofen as needed
for pain.
9. Reepithelialization should take 7 to 10 days, after which make-up can be
applied. Patients should be instructed on strict sun avoidance and can be started on retinoic acid and hydroquinone 3 weeks following the procedure.
Campbell and Eisen used electrobrasion with a monopolar device and reported efficacy in the treatment of contour irregularities resulting from a paramedian forehead flap and full-thickness skin graft repair following Mohs surgery.8 No histological evaluation was made in this study. They noted several advantages of electrobrasion with a monopolar device, reporting decreased cost, ease of use, and absence of blood splatter.