The results of resurfacing full-thickness facial burns by excision of scar and skin grafting are compared with results of dermabrasion and overgrafting. Long-term esthetic results from the two techniques are comparable. With the dermabrasion technique, blood loss (93 ± 77 cc/esthetic unit) (mean ± SD) and operative time (75 ± 25 minutes/esthetic unit) (mean ± SD) are significantly reduced compared to blood loss (200 ± 67 cc /esthetic unit) (mean ± SD) and operative time (112 ± 36 minutes/esthetic unit) (mean ± SD) for full-thickness excision followed by grafting. Full-thickness skin grafts were not successfully used in conjunction with dermabrasion.