The author has been using microdermabrasion routinely since 1997, starting first with particle abrasion, and then moving to dermal infusion with abrasive hand piece technology five years later. The optimal use for microdermabrasion technology is in a combination protocol using prescription retinoids, cosmeceuticals, and sunscreens to achieve faster improvement of many skin conditions. The best use, in the author’s opinion, is for dyschromia of all types: melasma (Fig. 14.3), PIH from acne (Fig.14.4), folliculitis (Fig.14. 5), and
Figure 14.6 Improvement in postinflammatory hyperpigmentation caused by a TCA peel using microdermabrasion procedure.
PIH from a TCA peel (Fig.14.6), as well as pigment changes as a result of photoaging (Fig. 14.7). In addition, mild traumatic scars improve as shown in Fig.14. 1. This safe and effective complementary therapy should be an effective addition in any aesthetic practice.