Dermatologic Surgery
Original Articles
The Epidermal and Dermal Changes Associated with Microdermabrasion
FREEDMAN, BRUCE M. MD*; RUEDA-PEDRAZA, EUGENIA MD†; WADDELL, SHARON P.*
*Plastic Surgery Associates of Northern Virginia, McLean, Virginia
†Department of Pathology, Reston Hospital Center, Reston, Virginia
Address correspondence and reprint requests to: Bruce M. Freedman, MD, Plastic Surgery Associates of Northern Virginia, 8180 Greensboro Dr., Suite 1015, McLean, VA 22102.
B.M. Freedman, MD, E. Rueda-Pedraza, MD, and S.P. Waddell have indicated no significant interest with commercial supporters.
Abstract
BACKGROUND
Microdermabrasion has become a popular method of skin rejuvenation for treating dyschromia, fine wrinkles, and mild scarring.
OBJECTIVE
To analyze the onset and extent of the dermatologic changes associated with microdermabrasion.
METHODS
Ten volunteers, ages 31–62 years, underwent a series of six aluminum oxide microdermabrasion facial treatments 7–10 days apart. Skin biopsy specimens were obtained prior to the study, after three treatments, and after six treatments.
RESULTS
Compared to the controls, the treated areas demonstrated the following histologic changes: thickening of the epidermis and dermis, flattening of the rete pegs, vascular ectasia and perivascular inflammation, and hyalinization of the papillary dermis with newly deposited collagen and elastic fibers.
CONCLUSION
This study suggests that microdermabrasion produces clinical improvement by a mechanism resembling a reparative process at the dermal and epidermal levels.