Microdermabrasion and psoriasis: what to know

Microdermabrasion removes surface cells through mechanical exfoliation and suction. Friction over a plaque can increase soreness, cause surface breaks, or aggravate inflammation. It may also be unsuitable where skin is bleeding, infected, or covered by thick scale. Psoriasis can occur on more than one body region, so a provider needs to know about areas that are not part of the cosmetic appointment. Prescribed creams and other treatments may also change skin sensitivity.

Show the dermatologist every area you want treated and describe recent flares, cracking, bleeding, or itching. Bring a list of psoriasis medicines and skincare products. Do not scrub plaques or stop prescribed treatment to prepare for a session unless your dermatologist tells you to. If treatment is approved, ask for a test area, gentle settings, and clear aftercare. Learn how the [Microdermabrasion Device](/technology/microdermabrasion-device/) works, and ask whether a [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/) would create a different irritation risk.

Contact a clinician if treated skin becomes increasingly red, hot, swollen, cracked, painful, or develops pus. Seek prompt advice if plaques spread or a flare appears in new areas after irritation. Fever, rapidly worsening pain, or facial swelling with breathing difficulty needs urgent medical help.

Ask whether your psoriasis is quiet enough for exfoliation, which areas should be avoided, and how your medicines affect the plan. Ask what to apply afterward and which changes mean you should stop further sessions.