Deep dermal burns are initially difficult to evaluate, and they sometimes h
eal spontaneously. We present our experience of dermabrasion with sandpaper
in four patients. It is a useful alternative to early excision of the scar
. Skin grafts are not always required and the aesthetic results are excelle
nt. Dermabrasion should be considered routinely for all deep dermal bums an
d particularly for facial burns and those caused by scalds.