Hydrodermabrasion vs. Microdermabrasion: Which Should You Offer?

What’s the Difference?

Microdermabrasion is a manual exfoliation treatment that uses fine crystals or a diamond tip to physically buff away dead skin cells. It’s been a staple in skincare for decades and offers solid, visible results—especially for thickened skin or clients with textural concerns.

Hydrodermabrasion, on the other hand, is a more modern, gentler option. It uses water-based solutions plus suction to exfoliate and infuse the skin at the same time. It’s essentially exfoliation meets hydration—and clients love how refreshed and dewy their skin feels afterward.

💡 Heads-up: A lot of people think there’s only one hydroderm brand out there, but that’s not the case. There are plenty of innovative systems available now—so you’ve got more flexibility in terms of pricing, features, and treatment style.

Similarities Between the Two

When comparing hydrodermabrasion and microdermabrasion, you’ll notice some common ground. Both treatments:

• Are non-invasive and require little to no downtime.
• Can improve skin tone, texture, and radiance.
• Work best in a series of treatments.
• Fit well into 30–60 minute appointments.

Pros & Cons of Each

Microdermabrasion

Pros:

• Great for thicker, more resilient skin.
• Effective for smoothing texture and softening fine lines.
• Lower operating cost—no serums to replace.

Cons:

• Can be too abrasive for sensitive or acne-prone skin.
• Doesn't offer hydration or product infusion.
• May feel dated compared to newer tech.

Hydrodermabrasion

Pros:

• Gentle enough for sensitive skin, yet still effective.
• Delivers both exfoliation and  hydration.
• Clients often love the glow and the comfort of the process.

Cons:

• Higher equipment cost
• Requires consumables like solutions/serums.
• May not be abrasive enough for clients needing deep resurfacing.

Who Is Each Treatment For (And Not For)?

Microdermabrasion is ideal for:

• Clients with texture, dullness, or fine lines.
• Non-sensitive skin types.
• Those looking for a budget-friendly option with visible results.

Hydrodermabrasion is great for:

• Clients with dry, sensitive, or mature skin.
• First-timers or those who dislike rough exfoliation.
• Anyone craving a hydration-focused facial experience.

🔍 Friendly Tip: Combine them! Use microdermabrasion on areas like the forehead or chin, then switch to hydroderm on the cheeks or around the nose. It’s a great way to personalize the treatment and impress your regulars.

Commonly Asked Questions

Here are answers to some of the most common questions estheticians ask when considering hydrodermabrasion, microdermabrasion, or both:

Q: What’s the client retention like for hydrodermabrasion versus microdermabrasion?
A: Hydrodermabrasion often appeals to clients who love hydration-focused services and may be more likely to rebook for that fresh, glowy look. Microdermabrasion clients may come in cycles, especially when targeting texture or pigmentation, so tracking their rebooking patterns can help you fine-tune your series packages.

Q: Are there any specific contraindications for hydrodermabrasion I should know beyond sensitive skin?
A: Yes—avoid hydrodermabrasion for clients with open lesions, active infections, compromised skin barriers, or recent injectables. Always perform a thorough consultation and patch test when needed.

Q: How do I determine pricing?
A: Hydrodermabrasion is often priced higher due to the technology and consumables involved. But pricing should also reflect your treatment time, product costs, and the value-added experience. Bundling with serums, masks, or LED can justify premium pricing.

Q: Will clients stick with hydrodermabrasion long-term?
A: Many do—especially when results are visible and the treatment feels luxurious. However, it helps to build packages or memberships to encourage consistency.

Q: What about hidden costs?
A: Hydro machines usually require consumables (like serums) and occasional part replacements like tips and hoses. Be sure to calculate ongoing costs. Look closely at the pricing and ingredient quality of those consumables when evaluating a unit—some brands cost significantly more than others, and some offer higher-quality formulations that may impact both your results and profitability. Microderm machines typically have lower recurring expenses.

Q: How should I structure combination treatments on my menu—do I market it as one facial or as an upgrade?
A: That depends on how you want to frame the experience. Some estheticians present it as a signature or deluxe facial that includes both treatments, while others list hydrodermabrasion as an upgrade option to a traditional microderm service. Whichever approach you choose, make sure your menu clearly explains the value and benefits of combining both methods.

Final Thoughts

It's always important to weigh what’s best for your clients and what makes the most sense for your treatment room. There’s no one-size-fits-all answer—but the good news is, you don’t have to settle for just one brand or method.

Hydrodermabrasion is gentler, newer, and deeply hydrating. Microdermabrasion is tried-and-true, effective, and straightforward. Your decision might come down to budget, target clientele, or how you want clients to feel when they leave your space.

Whatever you choose, you're in control—and your clients are lucky to have someone who cares enough to think it through.

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