Nurse Jamie's Dermascrape is a unique 3-in-1 ultrasonic beauty tool that helps cleanse, unclog pores, and enhance your favorite skincare products by gently exfoliating the skin. The three specialized settings help to temporarily improve skin's overall appearance and glow..Cleanses, enhances, and extracts with ultrasonic technology.Uniquely-shaped spatula head gently lifts dirt without harsh scrubbing.Convenient USB charging - no batteries required.Portable & easy to use.Remove makeup before using device. Hold power button down for 3 seconds to power on and power off device. To change modes while device is on, just click the power button.Cleanse: Use to cleanse skin with your favorite cleanser Enhance: Use to enhance delivery of your favorite skincare products Extract: Use to help extract surface dirt from your pores - should be used on moistened or wet skin.If you have metal allergies or any medical concerns, please consult your medical professional before using this beauty tool