I use the manual microdermabrasion "Epidermx". Let me tell you, it is the best thing I've ever used. In fact, it's the only thing that cleared up my Acne totally, diminishing my scars a lot and making my forehead wrinkles hardly noticeable. Here are my before and after photos that my husband just took with our digital camera. My before photo is one I took by myself in front of my webcam. I've been using the Epidermx for over a year now. I also started using Emu oil about a month ago. Oh btw, I tried Elicina 1.5 years ago, but didn't notice any change after a month and sent it back. Maybe I didn't give it long enough.