Dermabrasion and microdermabrasion are very different. Microdermabrasion is a procedure utilizing crystals to remove the dead skin cells from the outer surface of the face. It will only allow your face to feel smoother but will not stimulate collagen production or improve wrinkling. Dermabrasion is a procedure utilizing either a diamond sanding wheel or a wire brush to remove the outer epidermis and dermis of the skin which is much deeper than micro-dermabrasion and allows for improvement in wrinkles and collagen production. We usually utilize a trichloracetic acid chemical peel for the wrinkles on the entire face, which also improves pigment, and allows for collagen regeneration. We combine this with dermabrasion for the perioral area in patients with a deep perioral lines. The dermabrasion does require a significant downtime and there is a small risk of pigmentation loss and scarring. It does offer the best chance for the most significant improvement however. We have examples of both chemical peels and dermabrasion on the site and I encourage you to explore our photo Gallery. Thank you for your question; we would be happy to see you anytime.