This microdermabrasion machine sounds like it could tear the skin right off your face. But I am sure that it has a lot more finesse to it than that. What does this microdermabrasion machine really accomplish for facial skin? It obviously cleans the skin to the minutest detail. Basically, it uses little crystal tips with suction to rejuvenate the skin. It is a simple but painless procedure. It could be quite time consuming and expensive to have the procedure done. You can either have it done in a beauty salon or do it yourself at home. There are a million and one microdermabrasion machines available for personal use at home.