San Francisco Plastic Surgery Dr James Romano

126 Post Street, Suite 618, San Francisco, CA 94108 | 415.981.3911 

San Francisco Plastic Surgeon

About Dr Romano

Before & After Images

Breast Surgery

Body Surgery

Facial Surgery

Brow Lift

Buccal Fat Pad Excision

Canthoplasty

Cheek Enhancement

Chin Enhancement

Corrugator Muscle Excision

Dermabrasion & Resurfacing

Ear Surgery

Eyelid Surgery

Facelift Surgeries

Facial Bone Reduction

Facial Fillers & Injectables

Facial Wasting

Fat Grafting Face

Lip Surgery & Rejuvenation

Liposuction Face & Neck

Nasal Revision Surgery

Nasal Surgery

Temporal Tuck

Male Plastic Surgery

Anti Aging

Office Information

Out of Town Patients

Articles

Plastic Surgery Videos

Contact

Medical Spa

Contact Dr. Romano

Dermabrasion & Skin Resurfacing

Some of my most frustrated patients are those that 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.

 

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 here is totally in the surface of the skin. This is the epidermis and dermis (the collagen layer of the skin). Therefore, it is skin surface procedures and interventions that make the most difference here, not deeper procedures like facelift. There are many, many factors that come into play here 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. It will usually involve some aspects of skin care and vitamins at the least. The usual sequence for skin resurfacing involves:

  • Skin Care. Aggressive skin care to prepare your skin to obtain the best result
  • Non-Surgical Interventions. Consideration of non-surgical interventions either prior to surgery or instead of surgery, This is good if you get results from skin care 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 and the others surgeries mentioned above involves a relatively short procedure under a light general anesthetic, performed where I do surgery, which is in a hospital setting. The surgery is safe and predictable. All the stitches are dissolvable, with return to work in as little as 3 or as much as 10 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.

 

I have expertise in dermabrasion and the other resurfacing techniques and will spend a great deal of time discussing your anatomy, listening to your expectations, and interpreting for you what your anatomy and tissues will allow me to do in a safe and predictable way. In addition, I consider your body as a whole and I build a system into every facial surgery that, initially, allows you to heal and recover much quicker and, secondly, it serves to preserve your surgical results. This system includes a special diet, special attention to blood clotting, vitamins, supplements, skin products, physical training and knowing what to avoid. Together, all of this allows me to create results that are consistently very beautiful, quick to heal, exceptionally natural, and with minimal incisions, especially in the face; an area of such major importance. I am delighted to surgically provide you with such profound yet natural facial image changes, and ones that have consistently so pleased my patients and changed their lives.

 

For before and after images of this procedure click here

 

Please call or contact the office for any further information or to schedule an appointment.

Copyright 2007 James J. Romano, M.D., 126 Post Street, Suite 618, San Francisco, CA 94108, 415 . 981 . 3911
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