Best microdermabrasion

George Beraka, MD answers: What is the best microdermabrasion method?

Of all of the substances used for microdermabrasion, which works best?  My clinic uses crystals but I've heard that there are other microderm methods that work better.  


George J. Beraka, MD
17 months ago

We actually do not use microdermabrasion in our practice. We prefer a technique called microdermaplaning. I work with Laurie Lombardi, who is an excellent aesthetician. She has extensive experience with both microdermabrasion and microdermaplaning and feels that microdermaplaning is both safer and more effective.

The disadvantage of microdermabrasion is that there is limited control in the depth of penetration. It is possible to get broken capillaries and pitting of the skin with microdermabrasion, and microdermabrasion is not appropriate for patients with pigmented skin. The crystals used in microdermabrasion can interfere with good visualization of the appropriate target areas in the skin. 

Microdermaplaning is more technically demanding and has to be performed correctly, but yields better results. It is appropriate for all patients beginning in the late 20s. The skin is cleansed and then the microdermaplaning is performed by gliding a dermatome on the skin. Microdermaplaning removes facial hair and speeds up the production of new and healthy cells. It helps smooth acne scarring and it helps with the absorption of skin care products such as vitamin C serum.   Microdermaplaning does not damage healthy tissue or break capillaries, and it is very effective in removing light surface wrinkling and in improving skin texture. It also lightens uneven hyperpigmented skin to a more even skin tone. It leaves the skin glowing.

Microdermaplaning takes less than an hour to perform and there is absolutely no down time. Microdermaplaning should be followed by good skin care at home, and ideally it should be performed every two or three months.

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