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MICRODERMABRASION AND BEYOND........ by Manuel Octaviano Jr. 

2/17/2016

4 Comments

 
Microdermabrasion  is a non- invasive mechanical exfoliation treatment for superficial skin resurfacing. Other skin exfoliation used in today’s cosmetic market are chemical exfoliants like glycolic and tricholoacetic acid peels and laser treatments.The depth of resurfacing achieved with microdermabrasion  is moderately superficial as compared to the more aggressive laser resurfacing procedures. The target depth for most microdermabrasion procedures is removal of the stratum corneum and this is achieved based on the principles of wound healing. By wounding and removing the uppermost layers of the skin in a controlled manner, cell renewal is stimulated with regeneration of a healthier epidermis and dermis. Histological evaluation of facial skin after repeated Microdermabrasion treatments demonstrate a reparative wound-healing process leading to cell regeneration and ultimately a smoother epidermis. Skin hydration increases with improved epidermal barrier function, and fibroblast stimulation increases dermal thickness through production of new collagen and elastin.

Microdermabrasion is commonly used to treat sun damaged skin and is proven to improve skin texture, large pores, blackheads/whiteheads, and hyperpigmentation such as melasma and solar lentigo. It also improves fine lines and superficial acne scarring. Microdermabrasion devices use crystals or diamond tips as the abrasive element . Negative pressure draws the skin to the hand-piece tip then the crystals or diamond tips superficially abrade the skin's surface as they pass across the epidermis. Used crystals and cellular debris are aspirated and collected in a sterile container to be disposed after each treament. Each pass of the hand piece removes approximately 15 μm of skin, and two passes of most microdermabrasion devices fully removed the stratum corneum. The depth of resurfacing achieved with microdermabrasion  is the same as superficial chemical peels however microdermabrasion offers minimal discomfort and has generally no downtime hence it’s usually called “lunch time peel”. 

Recent advances in microdermabrasion technology includes “Hydrafacial” and “Silk Peel” which combines exfoliation with dermal infusion . During this process, topical products like hyaluronic acid or salicylic acid, etc. are delivered into the skin at while doing exfoliation. These systems take advantage of the transient disruption to the epidermal barrier that occurs with removal of the stratum corneum to better deliver medications into the deeper dermal layers. Dermal infusion can enhance results for conditions such as dehydration, hyperpigmentation, acne scars, and rosacea depending on the products  used. 
Microdermabrasion  treatments are most commonly performed on the face, neck and  chest. It is usually done in 6-8 treatments every 2-4 weeks. Single treatment is not enough to see results therefore follow up is normally recommended depending on the skin problem. It is usually combined with other treatments such as IPL skin rejuvenation or lasers for better results. Patients typically experience redness or superficial skin peeling after the procedure. Moisturizer as well as sunscreen protection with SPF 30 or greater is recommended after each procedure. It is best to talk to your skin care practitioner so you will be better informed about this treatment.


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    Author

    Gloria Octaviano  is a Physician-Dermatologist  in the Philippines, she is a  member of the  International Society of Dermatology and a diplomate of The Philippine Academy of Clinical and Cosmetic Dermatology.  

    Manuel Octaviano is a Physician in the Philippines, he is a Fellow of the Anti Ageing Medical Society and a member of Philippine Academy of Clinical and Cosmetic Dermatology. Manny is a Skin and laser consultant/educator. 
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