VERZO CLINIC · BTS Ekkamai

    Medical Facial Treatments in Bangkok — Multi-Step Hydradermabrasion at VERZO CLINIC, BTS Ekkamai

    A medical facial at VERZO is a sequence of mechanical and topical steps performed on the skin surface: cleansing, exfoliation with a mild acid, suction-assisted extraction of pore contents, and infusion of a serum. It works on the epidermis and the pores — it is not an injectable, not an energy device, and it does not lift or add volume.

    Medical Facial Treatments in Bangkok — Multi-Step Hydradermabrasion at VERZO CLINIC, BTS Ekkamai

    Medical Facial Treatments in Bangkok — Multi-Step Hydradermabrasion at VERZO CLINIC, BTS Ekkamai

    A medical facial at VERZO is a sequence of mechanical and topical steps performed on the skin surface: cleansing, exfoliation with a mild acid, suction-assisted extraction of pore contents, and infusion of a serum. It works on the epidermis and the pores — it is not an injectable, not an energy device, and it does not lift or add volume.

    What a multi-step facial is used for

    The programme is built from a shared set of steps. Which steps run, and how many, is decided from the skin assessment at the visit rather than chosen from a menu in advance:

    • Congested pores and blackheads (exfoliation + suction extraction) — A randomised split-face study found that adding suction to an alpha-hydroxy-acid peel reduced whiteheads and blackheads more than the same peel alone, and reduced measured pore area at one week [3].
    • Active mild-to-moderate acne (clarifying sequence) — In an open-label series of six treatments over twelve weeks, the proportion of patients rated clear or almost clear rose from 20 to 65 percent on investigator assessment. The study had no control arm and no blinding [4].
    • Dull or rough surface texture (exfoliation + serum infusion) — Investigator-rated smoothness, radiance and hydration improved from the first session in a manufacturer-funded series of six biweekly treatments with a topical serum [5].
    • Dry, dehydrated skin (serum infusion) — Antioxidant levels measured in the skin rose after a course of six treatments; applying the same serum by hand produced no detectable change, which is direct evidence that the delivery method matters and not only the product [1].
    • Preparation before another treatment (scheduling) — Because the skin is left clean and free of surface debris, the programme is often scheduled before or between other treatments. Sequencing is decided by the treating doctor.

    Checkable at the visit

    • Performed at VERZO CLINIC, 988-990-992 Sukhumvit Road, beside BTS Ekkamai Exit 1.
    • Single-use tips and consumables; the packaging is opened in front of the patient.
    • The step count is set after a skin assessment, and can be reduced on the day if the skin is not suitable.
    • The facility operates under a Ministry of Public Health clinic licence, displayed on the premises.
    • Serum and acid products used in the programme can be shown to the patient on request.

    How the steps are structured

    The programme is sold by step count rather than by duration, and at VERZO it runs from one step to five. A single step is essentially a cleanse and extraction. Adding steps adds acid exfoliation, a second extraction pass, serum infusion, and a finishing step. More steps is not automatically better: skin that is inflamed, actively peeling, or recently treated with a retinoid or an acid may tolerate fewer steps, and the assessment exists to decide that.

    • Cleansing and softening of the stratum corneum.
    • Exfoliation with a mild acid solution.
    • Suction-assisted extraction of pore contents.
    • Infusion of a serum selected for the skin type.
    • A finishing step, which varies by programme.

    What the evidence supports, and what it does not

    The honest summary is that this is a surface treatment with surface evidence. Imaging studies show real, measurable change in the epidermis: the stratum corneum thins immediately after treatment and is slightly thicker and more evenly structured two weeks later [2]. An earlier randomised study found increased epidermal and papillary dermal thickness after a course of six [1]. But the same imaging study looked at the dermis at two weeks and found no visible change in the quantity or quality of collagen [2]. Nothing in this literature supports describing a facial as a lifting or tightening treatment, and this page does not. The studies are also small — eight, twenty, twenty-three and twenty-nine participants — several are unblinded, and two were funded by the manufacturer of the device or serum used. Those limits are listed against each source below.

    Who performs it and what to disclose

    Tell the clinic before the appointment if you are using a topical retinoid, benzoyl peroxide, or an acid product, have had a chemical peel or laser treatment recently, are taking oral isotretinoin, have active cold sores, or have a history of keloid scarring. Any of these changes what is appropriate, and some of them mean the treatment should be postponed. This programme is not a treatment for a skin disease: persistent or worsening acne, rashes and pigmented lesions need a medical assessment rather than a facial.

    Frequently asked questions

    Is a medical facial the same as HydraFacial?

    HydraFacial is a specific brand of hydradermabrasion device. The category — cleansing, acid exfoliation, suction extraction and serum infusion in one sequence — is what the published research studies, and several manufacturers make devices that perform it. VERZO runs its programmes on an Aquapure platform. When research is cited on this page, the device used in that study is named in the reference.

    How many steps should I have?

    That is decided at the assessment, not in advance. Skin that is inflamed, actively peeling, or recently treated with an acid or retinoid usually gets fewer steps. Asking for the highest step count is not a way to get a better result and can make irritation more likely.

    Will it tighten or lift my face?

    No. This is a treatment of the skin surface and pores. Imaging of the dermis two weeks after treatment found no visible change in collagen [2]. Lifting and tightening are the province of energy devices and injectables, which are separate treatments with separate risks — ask the doctor at consultation which, if any, is appropriate for you.

    How often can it be repeated?

    The published studies used a course of six treatments spaced one to two weeks apart. Beyond that, frequency depends on the skin and on what else is being done to it. The doctor sets the interval; more frequent is not better, and over-exfoliated skin is a common reason to space treatments further apart.

    Is there any downtime?

    Usually none in the sense of needing to stay home. Transient redness and a warm feeling for a few hours are common, and skin can look slightly flushed. Extraction can leave small marks where a blocked pore was cleared. Tolerability scores in the published series were low across parameters, but individual reactions vary, and skin treated with more steps reacts more.

    Can I have it if I have active acne?

    Sometimes, and it depends on the type. Comedonal congestion often responds well. Inflamed nodules and cysts are a different problem: dermatology guidelines treat these with topical and oral medication, and list injecting a corticosteroid into a large individual lesion as good practice — none of which is a facial. Bring active acne to a doctor for assessment first.

    Assessment and booking via LINE @verzo. VERZO CLINIC is beside BTS Ekkamai station Exit 1, Bangkok, open 10:00-19:00 daily.

    Sources(5)

    Retrieved from PubMed. Each entry states what it is cited for and what limits it. Numbers match the citations in the text above.

    1. [1]
      Freedman BM. Hydradermabrasion: an innovative modality for nonablative facial rejuvenation. J Cosmet Dermatol. 2008;7(4):275-80. doi.org/10.1111/j.1473-2165.2008.00406.x

      Cited for: Six hydradermabrasion treatments increased epidermal and papillary dermal thickness and raised skin antioxidant levels; applying the same serum by hand, without the abrasion and pneumatic delivery, produced no detectable change.

      Limitations: Randomised, 20 female volunteers aged 34-56, two groups of ten. Single centre, no sham arm, and the comparison was serum-by-hand rather than an untreated control.

    2. [2]
      Razi S, Truong TM, Khan S, Sanabria B, Rao B. Hydradermabrasion through the lens of Line-Field Confocal Optical Coherence Tomography. Skin Res Technol. 2024;30(4):e13684. doi.org/10.1111/srt.13684

      Cited for: Imaged non-invasively, the stratum corneum thinned immediately after treatment (9.42 to 6.67 micrometres) and had returned slightly thicker at two weeks (9.75 micrometres), with more even structure. At two weeks there was no visible change in the quantity or quality of dermal collagen.

      Limitations: Eight volunteers, Fitzpatrick II-V, no control group, imaging endpoints rather than clinical ones, and follow-up stopped at two weeks — too early to say anything about collagen either way.

    3. [3]
      Kim SJ, Baek JH, Koh JS, Bae MI, Lee SJ, Shin MK. The effect of physically applied alpha hydroxyl acids on the skin pore and comedone. Int J Cosmet Sci. 2015;37(5):519-25. doi.org/10.1111/ics.12244

      Cited for: Adding suction to a 4 percent alpha-hydroxy-acid peel reduced whiteheads and blackheads significantly more than the same peel applied alone, and reduced pore area at one week and measured sebum at four weeks.

      Limitations: Randomised split-face, 23 healthy women, mean age 30, single treatment followed for four weeks. Conducted by a contract skin-research laboratory.

    4. [4]
      Storgard R, Mauricio-Lee J, Mauricio T, Zaiac M, Karnik J. Efficacy and tolerability of HydraFacial Clarifying Treatment series in the treatment of active acne vulgaris. J Clin Aesthet Dermatol. 2022;15(12):42-46. pubmed.ncbi.nlm.nih.gov/36569524

      Cited for: Across six clarifying treatments over twelve weeks in mild-to-moderate acne, the proportion of patients rated clear or almost clear rose from 20 to 65 percent on investigator assessment. Treatments were generally well tolerated.

      Limitations: Twenty patients, open label, no control arm and no blinding of investigators or patients — the authors state blinding was not feasible. One author is employed by the device manufacturer.

    5. [5]
      Huang P, Mehta R, Emmerich T, Jiang LI, Makino E. Efficacy and tolerability of a novel cosmetic growth factor serum when used as part of biweekly diamond tip hydradermabrasion treatments on facial skin. J Cosmet Dermatol. 2024;23(4):1304-12. doi.org/10.1111/jocd.16229

      Cited for: Six biweekly hydradermabrasion treatments combined with a topical serum improved investigator-rated smoothness, radiance and hydration from the first session, with tolerability scores below one across all parameters.

      Limitations: Twenty-nine women, no control group, and the study was designed and funded by the manufacturer of both the device and the serum, with four of five authors employed by it.

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    VERZO CLINIC — 988-990-992 Sukhumvit Road, Ekkamai, Bangkok 10110, Thailand. Open daily 10:00–19:00 (Bangkok time). Staff can assist in Thai, English, Japanese and Chinese.

    Contact: LINE @verzo · WhatsApp +66 95 326 6644