Thursday, 31 July 2014 15:27

Dermablading 101

Written by   Stephani Ramirez, R.N., L.E., educator for Lira Clinical

Dermablading is a procedure that removes dead skin cells from the epidermis. It is useful for clients with fine lines, wrinkles, and/or vellus hyperpigmentation. Clients experience increased circulation, radiance, and better skin care product penetration.

How to Perform the Dermablading Procedure
Dermablading is performed by using a 10 or 14 gauge disposable scalpel to remove dead skin cells from the epidermis. It is typically performed in a medical office or skin care facility. For safety, the client should not move or talk during treatment. The client should lie supine on the treatment table. The procedure takes 30 to 60 minutes and is pain free. Follow these steps to successfully administer the treatment.

Performing a Successful Dermablading Treatment 

Set up:

  • Instruct client to sign the consent form. 
  • Cover the treatment table with table paper and put on your gloves for the treatment.
  • Instruct the client to lie face up on the treatment table and place headband on the client. This keeps hair away from the face.
  • Place one 4x4 on the treatment table to wipe scalpel free of debris during treatment.
  • Remove scalpel from protective packaging. Note: Keep scalpel packaging nearby. Store the scalpel for safety.

Prepping the Treatment:

derm-treatWash the client’s face with degreasing facial cleanser. Apply prepping solution or alcohol on 4x4 and wipe the entire face. Allow skin to dry. This is the time to remind the client to remain still and hold any conversation.


  1. Begin the dermablading procedure by starting with the forehead. Use short, light strokes to remove dead skin cells from the epidermis.
  2. Use the non-dominant hand to hold skin taut.
  3. Use dominant hand to hold scalpel at a 45 degree angle.
  4. Pull the dermablade toward self. Move in the direction opposite hair growth.
  5. Turn the client’s head to the left. Work from jaw line up to the cheeks and temple area. Then turn the client’s head to the right. Repeat the procedure as on the left side of the face. Note: Wipe the scalpel clean with 4x4 as needed during the treatment.
  6. Repeat the procedure on the chin and upper lip area.
  7. Skip the nose, curved areas of the face and any raised moles, skin tags or acne.
  8. Repeat the steps on the neck if this area is included in the treatment.
  9. Apply facial serum, moisturizer and a sunscreen with a minimum of SPF 30.

Clean Up:

  1. Dispose of the dermablade in the sharps container. Dispose of the 4x4s in the waste container. Dispose of gloves and table paper in waste container.
  2. Remove the headband from client and dispose.

Garuk, L.J., & Lannon, J.M. (2014). Strategies for technical communication in the workplace (2nd ed). Upper Saddle River, NJ: Pearson Education.
LA Skin Aesthetics (2014). Retrieved from

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