Microsuction demands an increased stage of training than irrigation, a very good eye and a gradual hand. Some clinics say they do microsuction, but use inferior procedures and products and in the event the wax is deep from the ear they give up and irrigate. It doesn't make a difference https://www.google.com/maps/d/u/0/edit?mid=1B_ki6iGD2MKV5dopZWGHK1GbqE2d_rU&usp=sharing