Microdermabrasion is a terrific medical spa service. Multiple treatments are necessary to acheive results. Freckles should not change significantly from this treatment. Depending upon the depth in the skin, which your skin care professional can evaluate, other treatments may help like fractional laser. Blackheads can be treated with a combination therapy that includes microdermabrasion. Your skin care professional may combines this with other treatments like Aesthera PPX ; glycolic peels; and at home regimen.