A microdermabrasion system comprising: a console; a hand piece comprising: a tip, coupled to a fluid tube (214, 350, 709, 909) coupled to the console, wherein the tip comprises an abrasive surface formed on a front side of the tip and a plurality of fluid channels (1010a, 1010b, 1010c, 1010d) formed on a back side of the tip, wherein the plurality of fluid channels (1010a, 1010b, 1010c, 1010d) are recessed into a conical surface on the back side of the tip and extend outwardly to terminate on a side surface of the tip, wherein the side surface of the tip is between the abrasive surface and the conical surface and wherein the side surface is perpendicular to the abrasive surface, and an angle between the conical surface and the abrasive surface is less than ninety degrees, a tip holder (903,1006) removably coupled to the tip, wherein the tip holder comprises a recess at a distal end of the tip holder and a plurality of fluid channels (930a, 930b, 930c, 930d) formed on a surface of the recess, wherein the fluid channels (930a, 930b, 930c, 930d) align to mate with corresponding fluid channels (1010a, 1010b, 1010c, 1010d) on the back side of the tip to form complete fluid channel openings (815a, 815b, 815c, 815d), and the complete fluid channel openings are positioned outside a periphery of the tip; a vacuum opening, coupled to a vacuum tube coupled to the console, wherein the vacuum opening is outside a periphery of the tip between an inner surface (835, 921) of the tip holder and the side surface of the tip, and the vacuum opening is positioned at a further distance away from the tip than the complete fluid channel openings; and a plurality of radiation sources (208a, 208b, 208c, 208d, 208e, 208f, 208g, 208h), each radiation source coupled to an electrical wire (236a, 236b, 236c, 236d, 236e, 236f, 236g, 236h) coupled to the console. a console; a hand piece comprising: a tip, coupled to a fluid tube (214, 350, 709, 909) coupled to the console, wherein the tip comprises an abrasive surface formed on a front side of the tip and a plurality of fluid channels (1010a, 1010b, 1010c, 1010d) formed on a back side of the tip, wherein the plurality of fluid channels (1010a, 1010b, 1010c, 1010d) are recessed into a conical surface on the back side of the tip and extend outwardly to terminate on a side surface of the tip, wherein the side surface of the tip is between the abrasive surface and the conical surface and wherein the side surface is perpendicular to the abrasive surface, and an angle between the conical surface and the abrasive surface is less than ninety degrees, a tip holder (903,1006) removably coupled to the tip, wherein the tip holder comprises a recess at a distal end of the tip holder and a plurality of fluid channels (930a, 930b, 930c, 930d) formed on a surface of the recess, wherein the fluid channels (930a, 930b, 930c, 930d) align to mate with corresponding fluid channels (1010a, 1010b, 1010c, 1010d) on the back side of the tip to form complete fluid channel openings (815a, 815b, 815c, 815d), and the complete fluid channel openings are positioned outside a periphery of the tip; a vacuum opening, coupled to a vacuum tube coupled to the console, wherein the vacuum opening is outside a periphery of the tip between an inner surface (835, 921) of the tip holder and the side surface of the tip, and the vacuum opening is positioned at a further distance away from the tip than the complete fluid channel openings; and a plurality of radiation sources (208a, 208b, 208c, 208d, 208e, 208f, 208g, 208h), each radiation source coupled to an electrical wire (236a, 236b, 236c, 236d, 236e, 236f, 236g, 236h) coupled to the console. a tip, coupled to a fluid tube (214, 350, 709, 909) coupled to the console, wherein the tip comprises an abrasive surface formed on a front side of the tip and a plurality of fluid channels (1010a, 1010b, 1010c, 1010d) formed on a back side of the tip, wherein the plurality of fluid channels (1010a, 1010b, 1010c, 1010d) are recessed into a conical surface on the back side of the tip and extend outwardly to terminate on a side surface of the tip, wherein the side surface of the tip is between the abrasive surface and the conical surface and wherein the side surface is perpendicular to the abrasive surface, and an angle between the conical surface and the abrasive surface is less than ninety degrees, a tip holder (903,1006) removably coupled to the tip, wherein the tip holder comprises a recess at a distal end of the tip holder and a plurality of fluid channels (930a, 930b, 930c, 930d) formed on a surface of the recess, wherein the fluid channels (930a, 930b, 930c, 930d) align to mate with corresponding fluid channels (1010a, 1010b, 1010c, 1010d) on the back side of the tip to form complete fluid channel openings (815a, 815b, 815c, 815d), and the complete fluid channel openings are positioned outside a periphery of the tip; a vacuum opening, coupled to a vacuum tube coupled to the console, wherein the vacuum opening is outside a periphery of the tip between an inner surface (835, 921) of the tip holder and the side surface of the tip, and the vacuum opening is positioned at a further distance away from the tip than the complete fluid channel openings; and a plurality of radiation sources (208a, 208b, 208c, 208d, 208e, 208f, 208g, 208h), each radiation source coupled to an electrical wire (236a, 236b, 236c, 236d, 236e, 236f, 236g, 236h) coupled to the console.