I think you need to be careful with microdermabrasion though, even though it is fairly gentle as compared to dermabrasion. You can still get injuries, like broken blood vessels, from it, especially if you are prone to them, like many people with rosacea are.
I have a lot of very fine lines from facial sweeling due to allergies/dehydration/medications and a rough skin texture. I also have a zillion clogged pores beneath the surface, but that's not my main concern, as I can get rid of those pretty rapidly with topicals.
I was also given some NeoStata products for sort of a home peel. I'm wondering if a mild retinoid would be better...I was given a script for Ziana last year that I never used.
do you have a spinning brush like a Clarisonic? that might help more with the clogged pores and it would cost about the same as one microdermabrasion treatment.
and definitely try the retin-A prescription.
Clarisonic doesn't spin...it vibrates (they say it uses "ultrasound technology", but it's not really ultrasonic). While I liked and used my Clarisonic for years and felt it did clear clogged pores pretty well, I always felt like the dirty brush set me back...and you can't really clean those brushes.
So, when my second Clarisonic finally died, I bought a spatula-type skin scrubber. Called Bellaire Ezzi-Peel...same price as Clarisonic...about $200. It's a cordless little spatula that vibrates (closer to ultrasound technology than Clarisonic) and clears pores and exfoliates very gently. It's gentler and works better than Clarisonic, and you can actually clean it.
I liked it so well that I bought a professional spatula model, called Bellaire Skin Spatula, with real ultrasonic technology. They run about $600, but I found one on Craigs List still under warranty for $400. The Ezzi-Peel is fantastic, but the Skin Spatula is even more fantastic. I can really flog my pores into submission now.