Tumescent dermasanding with cryospraying - A new wrinkle on the treatment of rhytids

BACKGROUND. The art of dermasanding has been recently rediscovered, revived, and refined. This renewed interest follows on the wake of intense interest in the new carbon dioxide resurfacing lasers. Tumescent dermasanding with cryospraying is a simple, inexpensive, highly effective, reliable, and safe method of wrinkle removal. Personal experience with over 130 patients with ongoing refinement of existing dermasanding techniques plus the addition of tumescent analgesia, cryospraying, and specific postoperative instructions has resulted in outcomes at least equivalent to those obtained with laser resurfacing. METHODS. A detailed description and pictorial display of preparation, treatment, and postoperative care is presented. Its special attributes as well as its shortcomings versus laser resurfacing are briefly described. CONCLUSION. Strict attention to detail should produce excellent, consistent, and reproducible results with minimal complications.