A device combines skin tissue cooling and microdermabrasion and includes: a source of ice crystals a mechanism for propelling the ice crystals at a plurality of velocities a controller, the controller being programmable to increase or decrease the velocity of the propelled ice crystals the controller controls the velocity of the ice crystals to range from low speed to impinge upon and cool the skin tissue to a higher velocity to cause microdermabrasion of the skin tissue.
