Microdermabrasion is an exfoliation treatment that employs the use of tiny crystals to gently abrade the skin and a vacuum device that also stimulates the skin.   The treatment removes the top layer of skin to rejuvinate the skin and expose a fresh layer of skin beneath.   With repeated treatments improvements such as reduction of fine lines, evening skin tone and texture, improved pores, and increased collagen may bee seen.   The treatment is painless with no down time. Usually only mild flushing is noticed after a treatment. Some will have peeling or flaking as well.   Microdermabrasion is often combined with other cosmetic treatments for best results.