The Role of Dermabrasion in Adenoma Sebaceum

Tuberous sclerosis is primarily a neurocutaneous autosomal dominant disorder that affects the skin, kidneys, eyes, heart, lungs, bones, and central nervous system. It encompasses the triad of adenoma sebaceum, mental retardation, and epilepsy. Because of their cosmetic deformity, patients with adenoma sebaceum and normal mental development may experience severe psychological and social issues. Adenoma sebaceum fibroplasias have been treated with a variety of methods, including electrocoagulation, electrodesiccation and curettage, liquid nitrogen freezing, excision, and dermabrasion. There is not a single modality that is particularly effective. In this study, we describe the effectiveness of dermabrasion as a treatment for adenoma sebaceum. This study was conducted in the department of plastic surgery in a tertiary care center in North India. Departmental ethical clearance and consent from the subject were obtained. The process was carried out while under general anesthesia. All of the tuberous lesions on the forehead, cheeks, and chin were abraded using mechanical dermabrasion equipment. Following surgery, the treated areas recovered without skin discoloration or scars. The procedure was both cosmetically pleasing and efficacious. Mechanical dermabrasion is an efficient and safe remedy for treating massive adenoma sebaceum of the face, even though we cannot permanently clear these lesions due to their nature. A recurrence of the angiofibromas may require recurrent dermabrasion. The quality of life can be enhanced with their social perspective and physical appearance.