afgratning

Afgratning is a Danish term describing the removal of a surface layer of skin or tissue. In dermatology, cosmetology, and medicine it generally refers to exfoliation—the controlled removal of dead skin cells from the epidermis—or debridement—the removal of nonviable tissue from wounds to promote healing. The term is used across cosmetic and clinical settings to describe procedures that loosen or remove outer layers of skin.

Methods range from mechanical to chemical. Mechanical exfoliation includes scrubs, brushes, dermaplaning, and professional microdermabrasion, which physically abrade the surface to remove dead cells. Chemical exfoliation uses acids or enzymes to dissolve bonds between skin cells, such as alpha-hydroxy acids, beta-hydroxy acids, or enzymatic agents. In medical contexts, debridement may involve mechanical methods (gauze or sharp debridement) or enzymatic products to remove necrotic tissue.

Applications differ by context. In skincare, afgratning aims to improve texture, refine pores, enhance absorption of skincare products, and support treatment outcomes. In wound care, debridement removes nonviable tissue to reduce infection risk and accelerate healing. The approach and intensity depend on the target area, skin type, and clinical goals.

Safety and considerations are important. Exfoliation can irritate sensitive or damaged skin, and excessive treatment may disrupt the skin barrier. Gentle methods should be used on delicate skin, and it is generally advised to avoid exfoliation on active infections or open wounds unless guided by a clinician. After exfoliation, sun protection and moisturization are recommended. Medical debridement should be performed by trained professionals following appropriate indications and protocols.

Etymology: The term derives from Danish af- meaning away and gratning, related to rubbing or scraping to remove material.