What is Microdermabrasion? Microdermabrasion is a process of abrading or polishing the skin by mechanical exfoliation that uses a wand with a diamond encrusted tip attached to a machine that creates suction to pick up all of the abraded keratinized surface of your face. It was first used in Europe in the 1980’s and was introduced to North America in the late 1990’s. Its introduction led the revolution of device-driven, non-invasive cosmetic procedures. Today, microdermabrasion remains one of the most popular services employed in both day spas and medical offices.