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micro dermabrasion

Microdermabrasion is the 3rd most common cosmetic procedure. Results are readily acknowledged


What is the Salt A-Peel

The Salt A-Peel™ system gently removes the stratum corneum, the outer most layer of skin which is essentially comprised of dead skin. Our studies conclude that the stratum corneum is effectively removed in less than 3 passes. It is essential that the stratum corneum is removed as this contains the very top of any scarring, wrinkles and stretch marks.

Seven treatments are recommended to drastically reduce the appearance of fine lines, wrinkles, stretch marks and scarring and when combined with photoRejuvenation will allow for fresh, nourished skin to be exposed.


The Salt A-Peel™ Treatment

The Salt A-Peel™ treatment takes approximately 30 minutes.

The Salt A-Peel™ microdermabrasion is a painless, effective truly "lunchtime treatment" with no down time or post treatment redness or swelling. This is due to the use of positive pressure instead of traditional vacuum systems and salt instead of more controversial abrasives. Patients can resume normal working activities following treatment with 'The Salt A-Peel' microdermabrasion. There are immediate results, the skins appearance will look refreshed and healthy.

The number of 'The Salt A-Peel' microdermabrasion treatments required depends upon the required skin improvement. For a very refreshed appearance one treatment is required, for the reduction in the appearance of fine lines and wrinkles, scarring and stretch marks a course of 7 'The Salt A-Peel' microdermabrasion treatments is required over a 14 week period.


Clinical studies


CLINICAL PAPER - Stretch Marks (Dr David H. McDaniel MD)
"Positive Pressure Salt Microdermabrasion Therapy of Stretch Marks"
David H. McDaniel, MD, Kim Beckman, MS, Cathy A. Slater, MD, MPH, and John Newman, MD

Striae, or stretch marks, are a type of atrophic scar. Stretch marks are a very common skin disorder that are considered unsightly and undesirable to a majority of those afflicted. Two types of stretch marks exist: Striae rubra, recent or "immature" stretch marks that usually present with a red and slightly elevated appearance; Striae alba (mature stretch marks) are those typically seen with a depressed atrophic epidermis with lighter or darker pigmentation.

In a recent study, 29 female patients representing all Fitzpatrick skin types and with striae alba (average duration of 12 years) were treated using a positive pressure microdermabrasion system with sodium chloride as the abrasive (Salt APeel ™, IntegreMed, LLC). Matching sides of the body in mirror symmetry were treated with this device. Subjects received six treatments over a 12-week period. In addition, one side only also received treatment using a novel new topical cosmeceutical. Lateral thighs, hips and abdomen were anatomic sites treated. The topical agent was applied immediately post treatment and once daily to the treated site on the same side for the entire 12-weeks of the study. Subjects were tattooed to ensure accurate placement of the data analysis devices.

Data analysis consisted of blinded photo grading, elasticity meter measurements, digital and silicone profilometry, TEWL, moisture meter, biopsies with histometric analysis for elastin and GAG and epidermal thickness, high-resolution ultrasound, and other data.

The study results demonstrated an overall improvement in the appearance of the stretch marks of 39% using microdermabrasion alone and 44% with the combination of microdermabrasion and topical agent. Elasticity meter analysis revealed a 2.3% improvement with the device alone and a 44% increase in elasticity with the combined treatment protocol.

Slight transient irritation from the topical agent was experienced in the inguinal fold area by a few subjects; however, no significant adverse effects were observed. Treatment by the device alone produced no adverse effects. Conclusion: The Salt-A-Peel™ microdermabrasion system is a safe and effective device for improving the appearance of stretch marks. When combined with topical application of the new cosmeceutical agent, greater improvement of stretchmarks was observed than with microdermabrasion alone, and a very significant increase in skin elasticity was observed which appeared to be supported by the pathology. This topical product was well tolerated and irritation was not a significant problem (unlike topical retinoids in current clinical use). No special problems were encountered with either treatment protocol in darker ethnic skin types.


"Comparison of Leading Negative Pressure Aluminum Oxide Microdermabrasion Devices with a New Positive Pressure Salt (NaCl) Microdermabrasion Device"
David H. McDaniel, MD, Cathy A. Slater, MD, MPH, Casey L. Montgomery, BS, and John Newman, MD

This study of 23 photoaged females, skin types I-V, was a randomized split face clinical trial with blinded grading. A new positive pressure salt microdermabrasion device (Salt A-Peel™, IntegreMed, LLC) was compared with two leading negative pressure aluminum oxide devices. All three devices were used with comparable techniques and the same operators at parameters selected to achieve maximal possible clinical results with each device without producing skin abrasions. A total of six treatments were performed at weekly intervals.

Analysis included digital and 35mm photography, diaries, colormeter, pathology, elasticity, profilometry, TEWL, pain grading and moisture analysis. Results demonstrated the positive pressure salt system to be the most effective at removing the stratum corneum and also to be superior to the other devices in improvement in skin smoothness, and wrinkle reduction as measured by profilometry. The positive pressure device also showed the greatest improvement in skin elasticity. Of the two negative pressure devices, the "physician model" fared somewhat better than the "esthetician model" in overall clinical results. The discomfort of the positive pressure device was rated similar to the physician model negative pressure device, and both of these were rated as being slightly more uncomfortable than the esthetician device. Patient satisfaction was greatest with the positive pressure device.

"Evaluation of a New Positive Pressure Salt Microdermabrasion Device with and without use of a Novel New Antioxidant Cosmeceutical"
David H. McDaniel, MD, Amy Perris, BA, Cathy A. Slater, MD, MPH, and John Newman, MD

Twenty-four photoaged female subjects of various ethnic backgrounds (I-V) were selected for randomized clinical trial with blinded analysis to evaluate a new system of cosmeceutical skin care products developed specifically for use with positive pressure salt microdermabrasion device (Salt A-Peel™, IntegreMed, LLC). A split face clinical study was performed with both sides receiving identical microdermabrasion but with one side receiving the addition of a novel topical antioxidant applied immediately post treatment and once daily between treatments. A new specially formulated barrier repair cream was also used after the treatment. Six treatments were performed over a 12-week period. Analysis included digital and 35mm photography, profilometry, elasticity, skin moisture, TEWL, colormeter, pathology and expert grader.

Results showed a 37% improvement in skin scaliness using microdermabrasion alone and 62% improvement on the side that also received the new cosmeceuticals. Wrinkle improvement was about twofold greater on the side receiving the products, and patient satisfaction was about twice as high for the product side. No significant adverse effects were observed with either therapy.