Dermabrasion is a sanding of the skin to injure the top layers and rebuild new tissue. It is done under anesthetic and performed by a doctor. Microdermabrasion is performed in spas on certain areas by certified operators but the treatment does not allow deep penetration. Only the top layer of skin. Dermabrasion is expensive. Microdermebrasion is not so expensive. LAser as I understand it does not work and is subject to burns. For skin lightening there is Esoterica which has been around for years. Embrace yourself with the pleasure of this unique skin product. Esoterica gently moisturizes for healthy-looking skin. This luxurious fade cream is light, non-greasy, and gradually lightens dark areas of your skin. Esoterica contains a sunscreen to help prevent darkening from reoccurring. The active ingredient, hydroquinone, gradually and effectively lightens dark areas, blemishes, freckles and spots in the skin that occur from age, pregnancy, and the use of oral contraceptives.