Dermabrasion is a time-tested and cost-effective resurfacing technique for scars, wrinkles, and photodamage with a track record of moderate efficacy and well-known safety profile. The risk of bloodborne pathogens to the operator is far greater with dermabrasion than other resurfacing techniques. The learning curve is significantly longer with dermabrasion than laser resurfacing or chemical peels. In expert hands, dermabrasion can achieve results comparable with laser resurfacing. When performed by an infrequent user of the procedure, however, the results achieved can be expected to be far less predictable than laser resurfacing.