Controlled microdermabrasion

Controlled microdermabrasion - skin resurfacing under the action of inert crystals of corundum powder (alumina crystals), by means of which layers of tissues are exfoliated at different depths.

Mechanism of action of microdermabrasion

The effect is achieved due to the direct action of pointed crystals on the fabric and is characterized by a very low traumatic effect of high accuracy, in addition, the amount of powder is precisely controlled. With controlled microdermabrasion, there are virtually no side effects or undesirable effects, and patients can continue their social life a few minutes after the procedure. Immediately after the procedure, symptoms such as pain, erythema, go away quickly, and often are simply absent. The biggest difference between controlled microdermabrasion and other alternative methods (mechanical and chemical dermabrasion) is that with its use, the probability of traumatization is really minimal due to the high accuracy of the intervention. Such a technique can be realized with the help of some tools, which can be used to spray crystals of corundum (an inert substance) onto the treated area, thanks to the vacuum effect (the intensity of the spray can be controlled and measured). Skin contacting crystals produce mechanical removal of tissue fragments, then the removed tissue fragments, together with the crystals, are collected in a special container. Removal of the epidermis and the opening of the surface layers of the dermis causes an inflammatory reaction (all typical stages of the inflammatory process are present: active hyperemia, the appearance of macrophages, activation of fibroblasts, etc.), which precedes the restoration of weavers. Active hyperemia allows to provide a zone of exposure to a large amount of arterial blood, rich in oxygen, and to carry out a full-fledged outflow, contributing to the prevention of stagnant phenomena.

Comparison of traditional dermabrasion and microdermabrasion

Options	Controlled microdermabrasion	Traditional dermabrasion
.Anesthesia	No or local	General or local
Time of treatment	A short	Prolonged
Mode	Ambulatory	Stationary
Interval	5-10 days	6-12 months
A course of treatment	6-12 months	12-24 months
Contraindications	No	Associated with anesthesia, burns or pigmentation
Treatment	Open	Closed

When conducting controlled microdermabrasion, it is important that only part of the epidermis is removed, without affecting the dermis. The remaining part "works" as the basis guiding the formation of new fibrils, so that they are formed in the proper way and in the right order in a healthy tissue. The main feature of the method is the ability to constantly monitor the effectiveness of abrasive action during the course.

Indications for microdermabrasion

Application	Controlled microdermabrasion	Traditional dermabrasion
Face peeling	Yes	No
Smoothing wrinkles	Yes	No
Stretching	Yes	No
Scars after acne	Yes	-
Scars after chicken pox	Yes	Yes
Hypertrophic scars	Yes	Yes
Before operation	Yes	No
Couperose	Yes	No

Methods of conducting and prescribing microdermabrasion

The procedure uses an average low pressure aspiration (300-400 mm Hg) without the use of compression. The tip moves directly over the surface of the skin, aspiration of corundum crystals is made through it. The duration of the procedure is 10-15 minutes. The frequency and number of procedures are determined by the indication for the use of microdermabrasion. After the end of the procedure, the patient should immediately return to their daily activities.