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.  

Doctor Answers 10

Benefits of Microdermabrasion

Microdermabrasion is a cosmetic procedure whereby the superficial layer of skin is exfoliated using either crystals or a wand containing diamond microparticles. Our office uses diamond microdermabrasion exclusively as the depth of penetration is well controlled and the complication rate is low to nonexistent.

The effects of microdermabrasion are directly influenced by the skill of the practitioner. Microdermabrasion is an important method of reducing skin impurities, clogged pores, oily skin, and resurfacing superficial skin irregularities.

Our office uses the Diamondtome microdermabrasion system. Results are excellent for normal to oily skin.

Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Best microdermabrasion

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.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

The Best Microdermabrasion Method?

We use the newest and most advanced form of Microdermabrasion ; process that uses a handheld device that sucks up dead skin cells from the top layer of your face allowing newer skin cells to come to the surface. This treatment is definitely worth a try and is extremely effective.

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Best Microdermabrasion Method


This is interesting as there are always mixed opinions. This does not mean to say anyone is right or wrong just personal preference.

We use the newest and most advanced form of Microdermabrasion in the Hydra facial treatment. This treatment not only incorporates all the benefits of Microdermabrasion but with the added value of detoxification, deep cleanse and exfoliation, Skin brightener in the form of a chemical peel, extraction, hydration and LED light therapy.
This treatment is definitely worth a try and is extremely effective.

Kind regards

Chien C. Kat, FRCS
Birmingham Plastic Surgeon
4.9 out of 5 stars 86 reviews

Most Effective Microdermabrasion Method

The gold standard in microdermabrasion is the DiamondTome™ skin resurfacing method.Microdermabrasion is a safe, non-invasive exfoliation method that removes and vacuums dead skin cells from the skin revealing fresh, healthy skin. This latest technology in microdermabrasion, DiamondTome™ skin resurfacing, is a crystal free treatment that provides an unparalleled approach to microdermabrasion that yields superior results. This resurfacing method reduces signs of aging such as fine lines, wrinkles, hyperpigmentation and uneven texture. A smoother and more vibrant skin is uncovered when the outer layer of the skin is gently polished away. This procedure promotes new cell growth and vascular circulation under the skin resulting in healthier and firmer skin.

Microdermabrasion can be performed on the face, neck, chest, arms, back and hands. Softer, smoother skin will be visible after one treatment and results will continue to advance after additional treatments. There is not any irritation, redness or downtime associated with microdermabrasion and normal activities can be returned to immediately after treatment.

Scott Chapin, MD, FACS
Philadelphia Plastic Surgeon
4.8 out of 5 stars 23 reviews

DiamondTome Microexfoliation

At my practice, we use DiamondTome Microexfoliation. After evaluating your skin, a trained esthetician will select a fine, medium, or coarse diamond tip wand. This machine uses a gentle suction to remove dead skin cells after they are exfoliated. To maximize results, I recommend a series of 6 treatments spaced 3-4 weeks apart. During this time, total facial sun protection is necessary. 

Laura E. Skellchock, MD (in memoriam)
Boca Raton Dermatologic Surgeon
4.3 out of 5 stars 28 reviews

Advanced Microderm

In our office we use the best system, called Advanced Microderm. Instead of aluminum oxide crystals that can be very irritating on the skin, we use medical grade baking soda crystals. This is the most natural way to evenly and safely exfoliate the skin without the use of chemicals. The system applies mild suction to the surface to efficiently remove dead skin cells and improve the texture. It increases blood flow to stimulates cell renewal and collagen production and it helps carry away toxins and impurities away from the skin.

Gregory Turowski, MD, PhD, FACS
Chicago Plastic Surgeon
4.5 out of 5 stars 61 reviews

Best method for microdermabrasion

In my office we use the new Vibraderm Skin Station which has been clinically tested with scientifically verified results. This procedure is painless and feels like a relaxing massage. Our Vibraderm machine uses a slightly abrasive paddle for non-surgical exfoliating treatments for dull or rough skin, age spots, fine lines, wrinkles, and sun damage. With Vibraderm’s new infusion paddle we can infuse your favorite lotion or serum at the end of your treatment. We have found Vibradermabrasion to be extremely safe and have not had problems such as pitting, scarring, or hyperpigmentation in patients with darker skin.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews


In our practice, we use microdiamond heads which gently and accurately smooth the skin without the mess of the powders used in other methods. In combination with a good topical routine, you can see nice changes with microdermabrasion. Good luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

Vibraderm is a good alternative to traditional microdermabrasion

You may get as many different responses people you ask.

We prefer vibraderm for the following reasons:

It does not bombard the skin with crystals, so there is no risk of them embedding in the skin and interfering with future laser treatments for example.

Also the paddles are personal to each individual, and can be used on much larger areas than just the face -- hands, feet, arms, upper chest.

It is a very pleasant and relaxing experience, and gives a youthful glow to the skin . Having said that, one cannot say one method is hands down better than another.

Christopher J. Peers, MD
South Bend Facial Plastic Surgeon
4.6 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.