Medical facials are custom tailored to your skin's needs and generally follow the same steps as a spa facial—cleansing, exfoliating, extractions, and moisturizing—but on a more intense level. A Med facial will incorporate treatments such as the microdermabrasion, a chemical peel, micro current LED light therapy, or photo rejuvenation, etc. Each spa treatment may take up to 60 minutes or more depending upon the skin type and the skin condition for the treatment to be implemented. "Other popular components of a medical facial may include dermaplaning, which uses a surgical knife to remove the top layer of skin, or micro current, ultrasound, and radio waves for firming and lifting the skin,". With such a variety of methods, tools, and products available, a medical facial can be customized to accommodate your skin needs, whether it be rectifying aging, dehydrated, sun damaged, or acne prone skin.