How do you remove resistant callus?

When I am giving a pedicure and my client has callused skin, I use a credo blade and/or a rasp and then I use a pumice stone followed by a sloughing lotion. But sometimes the bottom of my clients’ feet are still rough. Is there anything else I can do to try and help this situation? I also tell them use a pumice stone at home and to use lotion every day.

Dr. Ivar Roth: I have had the same difficulty with my patients. After debriding [paring down] calluses, the skin is sometimes still rough. I like to use a Dremel cordless rotary tool to smooth the rough areas. You can use a sandpaper-type attachment, or because you can get a burn from sandpaper, you can use a diamond-coated, steel umbrella attachment that will the smooth the skin very nicely. I also recommend that you use an electric filing tool with a low/high switch so you can adjust the setting. Make sure to use some kind of protection such as a mask so you do not inhale the skin particles that become airborne. You will get fast results and the skin will be nicely smoothed.