While dermaplaning is safe for many people, certain skin conditions, health issues, and circumstances make this treatment risky or inappropriate. This comprehensive guide covers who should avoid dermaplaning and why, with safer alternatives for each situation.
⚠️ Important Safety Information
Dermaplaning can cause serious skin damage, infection, and other complications for people with certain conditions. Always consult a dermatologist before proceeding if you have any concerns about your suitability for this treatment.
Absolute Contraindications: Who Must Avoid Dermaplaning
These conditions make dermaplaning potentially dangerous and should be strictly avoided:
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Active Acne Breakouts
Dermaplaning over active acne can spread bacteria across the face, leading to more breakouts and potential scarring. The procedure can also cause further irritation to inflamed skin.
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Active Cold Sores or Herpes
Blades can spread the herpes simplex virus to other areas of the face, potentially causing a widespread outbreak. Wait until completely healed and no longer contagious.
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Skin Infections
Any bacterial, fungal, or viral skin infection can be worsened or spread by dermaplaning. This includes impetigo, cellulitis, and fungal infections.
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History of Keloid Scarring
People prone to keloids may develop raised, thickened scars at the site of any microscopic nicks or irritation caused by dermaplaning.
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Blood-Thinning Medications
Those on anticoagulants (warfarin, heparin) or antiplatelets (aspirin, clopidogrel) have increased bleeding risk and difficulty healing from any minor cuts.
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Bleeding Disorders
Conditions like hemophilia or thrombocytopenia impair clotting ability, making even minor nicks potentially serious.
Skin Conditions That Require Caution or Avoidance
These skin conditions may make dermaplaning problematic or require special precautions:
- Rosacea: Can be significantly worsened by the physical exfoliation and irritation
- Eczema or psoriasis: Flare-ups may occur in response to the physical trauma
- Extremely sensitive skin: May react with redness, irritation, or contact dermatitis
- Sunburned skin: Freshly burned skin is damaged and vulnerable to further injury
- Recent chemical peels: Wait at least 4 weeks after medium-depth peels
- Recent laser treatments: Skin needs time to fully recover before dermaplaning
- Fragile or thinning skin: Common in older adults or those on long-term steroid therapy
- Dermatographia: Condition where slight pressure causes welts or hives
For more information on potential skin reactions, see our guide to dermaplaning side effects.
Medical Conditions and Considerations
Certain health conditions may require special precautions or avoidance of dermaplaning:
- Diabetes: Poor wound healing and increased infection risk, especially if blood sugar is uncontrolled
- Compromised immune system: Increased infection risk from any breaks in the skin barrier
- Pregnancy: While generally considered safe, skin is often more sensitive during pregnancy
- Chemotherapy or radiation: These treatments affect skin integrity and healing ability
- Autoimmune disorders: Conditions like lupus may cause skin sensitivity and poor healing
- History of skin cancer: Requires dermatologist approval before any exfoliation treatments
- Recent facial surgery: Wait until fully healed and cleared by your surgeon
Temporary Contraindications: When to Postpone
These situations require postponing dermaplaning until the condition resolves:
- Active sunburn: Wait until skin has completely healed and peeled
- Recent waxing: Wait at least 1 week to allow skin to recover
- Recent laser hair removal: Wait 2 weeks after treatment
- Open wounds or cuts: Any broken skin must be fully healed first
- Recent use of retinoids: Stop using 5-7 days before dermaplaning
- Recent use of acid exfoliants: Discontinue AHAs/BHAs 3-5 days prior
- Fever or illness: Your body needs to focus on healing, not skin recovery
- Vaccinations: Some recommend waiting a week after certain vaccinations
Safer Alternatives to Dermaplaning
If dermaplaning isn't appropriate for you, these alternatives provide similar benefits with less risk:
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Chemical Exfoliation
AHAs, BHAs, and enzymes provide exfoliation without physical abrasion. Suitable for most skin types when formulated properly.
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Gentle Physical Exfoliants
Fine powders or soft brushes can provide mild exfoliation without blade-related risks.
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Enzyme Treatments
Fruit enzymes like papain and bromelain gently dissolve dead skin cells without irritation.
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Professional Treatments
Microdermabrasion or gentle facials may be safer options for those who can't dermaplane.
Explore more hair removal alternatives for different skin conditions and concerns.
Safety Guidelines for Those Who Can Dermaplane
If you don't have contraindications, follow these guidelines for safe dermaplaning:
- Patch test first: Try a small, inconspicuous area before full treatment
- Use proper tools: Sharp, high-quality blades designed for dermaplaning
- Disinfect skin: Cleanse thoroughly with appropriate products before beginning
- Follow technique: Use proper angles and motions to minimize irritation
- Don't over-treat: Limit frequency to every 3-4 weeks to allow skin recovery
- Moisturize after: Use gentle, soothing products post-treatment
- Avoid sun exposure: Freshly exfoliated skin is more vulnerable to UV damage
- Listen to your skin: Stop immediately if you experience pain or significant irritation
When to Consult a Professional
Seek professional advice before dermaplaning if you:
- Have any of the conditions mentioned in this guide
- Are unsure about your skin's suitability for dermaplaning
- Have experienced adverse reactions to exfoliation in the past
- Are using prescription skincare products
- Have undergone cosmetic procedures in the last 6 months
- Have a history of problematic scarring
- Are experiencing unexplained skin changes or symptoms
A dermatologist can assess your skin and recommend the safest approach for your concerns.
Prioritize Your Skin Health
Whether you can dermaplane or need to explore alternatives, making informed decisions protects your skin's health and appearance long-term.
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