Mikrodermabrasion in Herzogenaurach – sanfte Hauterneuerung mit ärztlicher Begleitung und kosmetischer Erfahrung

Microdermabrasion

120,00 €

Mechanical renewal of the outer skin layer with a diamond-tip head under vacuum — without acid, without downtime, suitable for sensitive skin. Biopsy studies show denser collagen fibers over a series; the most immediately documented additional benefit is markedly better absorption of active ingredients applied right afterward.

Medical Skincare · Level 2 · Renewal

Microdermabrasion

A mechanical procedure that removes the outer skin layer in a controlled way — with a diamond-tip head under vacuum, without acid and without downtime. Skin looks smoother and clearer immediately afterward; across a series, biopsy studies show denser, more regularly arranged collagen fibers. It's the most tolerable procedure at this second level — and one that's particularly effective at priming the skin to absorb active ingredients.

Treatment time30–45 minIncluding cleansing, treatment, and finishing care.

DowntimenoneMild redness for one to two hours, then back to normal activities.

Series6–8 sessionsWeekly to every two weeks — how the study protocols were designed.

Where it fits

Where microdermabrasion sits in the level system: Level 1 cleanses (Hydrodermabrasion, Deep Cleansing). Level 2 changes renewal — here two procedures sit side by side: microdermabrasion, mechanical, and chemical peeling, chemical. Both lead to a denser collagen layer in biopsy studies; microdermabrasion is the variant without acid, without flaking, and without downtime — making it the first choice for sensitive or acid-intolerant skin. For inflammatory acne, level 3 is the lever, medication-based therapy. For scarring and structure at depth, microneedling is the appropriate procedure.

Dr. Thomas Ackermann's practice · Clinical approach

Microdermabrasion works quietly. Its value lies not just in what it removes, but in what absorbs better afterward. That's why it rarely stands alone here — and why it can do more than its reputation suggests.

— Dr. med. Thomas Ackermann · Specialist in Anesthesiology

Indications

What it's suited for — and how strongly

The assessment below follows the published evidence, not marketing claims. In the most extensive biopsy study to date, with eight sessions, histology showed denser, more regularly arranged collagen fibers and more even pigment distribution — a good finding for a procedure at this depth.

Concern	What to expect	Assessment
Dull, rough complexion	Smoother surface and more even light reflection, visible immediately after treatment	The most reliable indication — this is exactly what the procedure is built for
Oily skin, enlarged pores	Measurably reduced sebum film over a series; pore size itself doesn't change	Worthwhile as a series, supported in controlled studies
Fine lines, sun damage	More even surface over a series of six to eight sessions	Suitable as a gentle starting point; other procedures are the right tool for pronounced wrinkles
Uneven pigmentation	More even pigment distribution, supported histologically	Well suited as a complementary building block — with consistent sun protection
Shallow acne scars	Visible smoothing of shallow irregularities over a longer series	Worthwhile for shallow scars; for indented scars, microneedling is the treatment of choice
Priming skin for active ingredients	Markedly better absorption of active ingredients applied immediately afterward	The most strongly evidenced additional benefit — and the reason this procedure rarely stands alone here

Which of these points applies to you, and whether microdermabrasion is the right tool, is determined by the skin analysis. Sometimes the answer is a different procedure.

Common reasons patients come in

Does this sound familiar?

"My skin looks dull and feels rough"

Delayed shedding of the outer skin layer — the most common and most rewarding indication. The effect is felt immediately and lasts a few weeks; with a matching skincare routine and touch-ups, the skin stays in this state.

"I can't tolerate acids"

This procedure's real place. For reactive skin, intolerance to fruit acids, or concern about visible flaking, the mechanical variant is the right answer — finely adjustable, with intensity adaptable during the session, and without a chemical reaction.

"I have expensive skincare, but it doesn't do anything"

Often an absorption problem, not a product problem. A thickened outer skin layer is a barrier. Studies show: when an active-ingredient serum is applied right after microdermabrasion, absorption and measurable effect are significantly greater than after the treatment alone.

Important to know

What microdermabrasion is not

It works at the surface, not at depth. The effect involves the outer skin layer, texture, and pigment distribution — not volume, not connective-tissue tightening, not indented scars. Anyone wanting wrinkle correction is directed to the appropriate procedure instead of being sold a series that can't deliver it.
It works through the series, not the single session. One treatment smooths the surface for a few days to weeks — a real but temporary effect. The histologically documented changes in the studies developed over six to eight sessions. After that, the findings determine whether maintenance makes sense.
More isn't better — and that's good news. A blinded split-face study compared two versus three passes per session: the extra pass brought no additional benefit, and — counterintuitively — it was the gentler two-pass side that showed a measurable rise in skin pH. This practice therefore works deliberately conservatively — more intense isn't more effective here, just more irritating.
It's not suitable for every skin. With active rosacea, inflammatory acne with pustules, open lesions, active herpes, current isotretinoin use, or a tendency toward excessive scarring, treatment isn't performed. For darker skin types, a more conservative approach is used — mechanical irritation can trigger post-inflammatory darkening.

The process

Why this practice

The device is available everywhere. The judgment isn't.

Microdermabrasion is available in almost every beauty studio. The difference lies in the question that comes before it: is this the right level for you — and what should go on the skin immediately afterward? That's exactly where the documented added benefit lies: absorption capacity is highest right after the treatment, and what's applied in that moment plays a real role in the outcome.

That's why this practice starts with an assessment and then makes the match — with a physician's eye on the findings, and the option to move a level further in the same visit if the skin needs more than a renewal of the surface.

Further reading: Skin Analysis · Chemical Peeling · Microneedling · Acne Clinic

Pure skincare without a skin problem? Cosmetic microdermabrasion is offered by our cosmetics institute HZO Kosmetik in the same building (website in German). For blemishes, acne or scars, the treatment stays here at the practice.

How your treatment unfolds

Skin analysis and assessmentSkin type, keratinization, tendency toward pigmentation, history and current skincare. The result is the decision whether to work mechanically, chemically, or not at all at this level.
Cleansing and degreasingRemoving makeup and surface oils. On an oily film, the abrasion head slides instead of working — this preparation determines how even the removal is.
The treatmentRemoval in defined passes under vacuum, intensity adjusted to the skin's reaction, typically two passes. Sensitive zones around the eyes and nose are treated more gently. You'll feel a scratchy pulling sensation, not burning.
Active ingredients and finishAbsorption capacity is highest right after the treatment — this moment is used: a serum matched to the findings, soothing care, sun protection.
Series and maintenanceFollow-up after one to two weeks, assessing the response, adjusting intensity. After the series, the findings determine whether maintenance makes sense — or whether the next level is the better path.

Frequently asked questions

The next step

The level first. Then the procedure.

Whether mechanical, chemical, or something else entirely — that's determined by the findings, not a catalog. Herzogenaurach, twelve minutes by car from Erlangen.

Book an appointment

Does the treatment hurt?

No. You'll feel a scratchy pulling sensation and the pull of the vacuum, comparable to a rough cat's tongue. Numbing isn't necessary. If it becomes uncomfortable, the intensity is set too high — that's adjusted during the treatment, not endured.

How many sessions do I need?

The studies that showed measurable changes used six to eight sessions, one to two weeks apart. A single treatment smooths the surface for a few days to weeks — a real but temporary effect. Changing the structure requires the series.

What's the difference from a chemical peel?

The mechanism. Microdermabrasion removes mechanically; a peel dissolves the bonds between the outer skin cells chemically. In biopsy comparisons, both measurably densify the collagen layer. The peel goes deeper, and the skin reacts more visibly with redness and flaking. Microdermabrasion is the variant without a reaction and without downtime — which one is right depends on skin type, not on strength.

Does it help with wrinkles?

For fine lines and sun-related roughness, yes — over a series, and within what a surface-level procedure can achieve. For pronounced wrinkles, it isn't the right tool; other procedures work at depth for that. What makes sense is discussed beforehand, so expectations match the procedure.

Does it help with acne?

For non-inflammatory, comedonal acne, it can help improve keratinization as a complementary measure; sebum production measurably decreases over a series. For inflammatory acne with pustules, microdermabrasion isn't performed — mechanical irritation makes it worse there. Treatment then starts one level further, at the Acne Clinic.

Can I be out in public right afterward?

Yes. Skin is mildly red for one to two hours and feels tight; makeup is possible the same day, though not ideal. For 24 hours: no sport, no sauna, no tanning bed, no acids or retinoids — and sun protection, because the outer skin layer is thinner than before.

I have darker skin — is that a problem?

It calls for a more conservative approach. Mechanical irritation can trigger post-inflammatory darkening in darker skin types that lasts considerably longer than the treatment itself. Reduced intensity is used, without a repeat pass, and sun protection afterward isn't a suggestion — it's a condition.

Can I combine it with other treatments?

Yes, with spacing and in the right order. Combining it with active ingredients applied right afterward makes sense — that’s the most strongly evidenced added benefit. Combining it with a peel in the same session doesn't make sense: two procedures that both attack the outer skin layer don't add up to more effect, just more irritation.

What does the treatment cost?

Cosmetic services are billed at a flat rate including VAT; medical services follow the German fee schedule for physicians (GOÄ). What makes sense in your case — a single treatment, a series, or a different procedure — is discussed and broken down at the skin analysis.

Evidence base

What the studies show

El-Domyati M et al., 2016. Microdermabrasion: a clinical, histometric, and histopathologic study. J Cosmet Dermatol 15(4):503–513. PMID 27357600. 38 patients, eight weekly sessions, biopsies at three time points: clinically mostly mild to moderate improvement, histologically denser and more regularly arranged collagen bundles and more even pigment distribution — epidermal thickness itself remained unchanged.
Abdel-Motaleb AA, Abu-Dief EE, Hussein MR, 2017. Dermal morphological changes following salicylic acid peeling and microdermabrasion. J Cosmet Dermatol 16(4):e9–e14. PMID 28229524. Biopsy comparison over six weeks: microdermabrasion significantly thickened the epidermis and collagen layer compared with untreated skin — a measurable remodeling process, not just a surface effect.
Davari P et al., 2008. A randomized investigator-blind trial of different passes of microdermabrasion therapy. Int J Dermatol 47(5):508–513. PMID 18412873. Blinded split-face study, two versus three passes over six sessions: sebum content fell in both groups; the extra pass brought no added benefit, and it was the two-pass side that showed a significant, measurable rise in skin pH — a sign of barrier disruption even at the gentler setting.
Freedman BM, Rueda-Pedraza E, Waddell SP, 2001. The epidermal and dermal changes associated with microdermabrasion. Dermatol Surg 27(12):1031–1033. PMID 11849265. Biopsies after three and six treatments: thickening of the epidermis and dermis, newly deposited collagen and elastin fibers — the effect arises through a repair process, not through the removal itself.
Freedman BM, 2009. Topical antioxidant application enhances the effects of facial microdermabrasion. J Dermatolog Treat 20(2):82–87. PMID 18720185. Split-face comparison over six sessions: when a polyphenol-containing serum was applied immediately after treatment, epidermal thickness, fibroblast density, and measurable active-ingredient content in the skin were significantly higher than after treatment alone.

The histological effect is documented in several independent biopsy studies. What matters is the right match — which skin, which level, which active ingredient afterward. That's exactly what's discussed here before treatment.