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How to Safely and Effectively Exfoliate Your Skin, According to Dermatologists
Skin Care

How to Safely and Effectively Exfoliate Your Skin, According to Dermatologists

10 June 2024

Plus, find out which type of at-home exfoliant is best for you.

Exfoliators have undergone a remarkable transformation since the ‘90s. These days, the famous Saint Ives Apricot Fresh Skin Scrub has more competition, as exfoliators come in an array of textures and formats. (Some are gritty scrubs, while others are silky liquids you’d never know are sloughing off the top layer of your skin.)

But before you pluck one from the shelf, it’s worth reading this comprehensive guide to how to exfoliate your face and body properly. FYI, it’s not a one-size-fits-all-deal like the once-prominent scrubs led us to believe. Ahead, six board-certified dermatologists answer your pressing questions about the skin-care ritual.

What are the benefits of exfoliating?

Let’s start with the obvious: It helps remove dead cells that can accumulate on the skin’s surface, which — when used correctly — can help brighten and reveal fresher, softer skin underneath, says Alexis Stephens, MD, a board-certified dermatologist and founder of Parkland Dermatology and Cosmetic Surgery in Coral Springs, Florida. But that’s not all. Below are benefits you might not know about.

It can help smooth fine lines.


As skin ages and becomes dehydrated, the enzymes on the outer layer of our skin lose their ability to function, says Jeannette Graf, MD, a board-certified dermatologist and assistant clinical professor of dermatology at Mount Sinai School of Medicine in New York City. “The result is a buildup of dead skin cells,” which can make lines and wrinkles appear more prominent. Since exfoliation promotes cell renewal, it can increase how smooth and even your skin appears.

It can help your products work more effectively.


Dead skin cell buildup can hinder your skin’s absorption of the skin-care products you so-diligently apply. Removing those cells can ultimately help your serums, lotions, and creams “penetrate deeper and work more effectively,” says Dr. Stephens.

It can help prevent breakouts.


“A lesser-known benefit is that exfoliation can prevent acne by clearing pores,” explains Dr. Stephens. But that’s not to say you should rub a face scrub all over your breakouts. Perhaps try a chemical exfoliant.

What is a chemical exfoliant?


Let’s start by clarifying what a chemical exfoliant isn’t: a scrub. Unlike products that manually remove dead skin cells, chemical exfoliation doesn’t provide the immediate gratification of a physical exfoliant (sorry). However, they work gradually and gently, “breaking the bonds between skin cells, which leads to a peeling effect,” explains Macrene Alexiades, MD, a board-certified dermatologist at Dermatology and Laser Surgery Center of New York in New York City.

Alpha-hydroxy acids (AHAs)


Chemical exfoliants fall under two categories: alpha-hydroxy acids (AHAs) and beta-hydroxy acids (BHAs). The major difference between the two comes down to their solubility. AHAs are water-soluble, meaning they work primarily on the skin’s surface rather than penetrating deep into your pores like BHAs.

Popular AHAs you may have heard of include glycolic acid, lactic acid, and mandelic acid, though there are even more that aren’t used in skin-care products as frequently. Below you’ll find editor-approved products that contain three of the most popular AHAS, plus a quick rundown of what sets each apart.

Glycolic acid


Glycolic acid is arguably the most popular AHA. Scientists can create it synthetically in a lab, but it’s also readily available naturally via sugarcane. Glycolic acid has the smallest molecule size compared to lactic acid and mandelic acid, meaning it can absorb into the skin more quickly, says Karan Lal, MD, a board-certified dermatologist and the director of cosmetic dermatology at Affiliated Dermatology in Scottsdale, Arizona. As you’ll see below, there are glycolic acid treatments for both facial and body care.

The Inkey List Glycolic Acid Exfoliating Toner

Naturium The Smoother Glycolic Acid Body Wash

The Inkey List Glycolic Acid Exfoliating Toner not only comes at an affordable price point but also delivers a potent dose of glycolic acid, containing the maximum concentration permitted in an over-the-counter product, which is 10 percent.

Naturium’s The Smoother Glycolic Acid Body Wash is a fragrance-free — and generously-sized —body wash uses glycolic acid to fight rough and bumpy skin, complemented by red algae to hydrate and soften.

Lactic acid


Lactic acid is “extremely beneficial for sun-damaged skin, dark spots, and hyperpigmentation,” says Gary Goldfaden, MD, a board-certified dermatologist and founder of Goldfaden MD. Its molecules are larger than glycolic molecules, “so they don’t go as deep as fast, therefore targeting the top layers of the skin (where the darkness appears),” he explains.

Sunday Riley Good Genes All-in-One Lactic Acid Treatment

AmLactin Daily Moisturizing Lotion

The Sunday Riley Good Genes All-in-One Lactic Acid Treatment is a fan-favorite face serum is beloved for its multitasking ability as it exfoliates with lactic acid, brightens with licorice root extract and moisturizes with aloe.

The value of the AmLactin Daily Moisturizing Lotion is hard to beat. The non-greasy formula is a two-in-one solution that uses lactic acid to smooth textured skin and glycerin to hydrate.

Mandelic acid


Mandelic acid is an AHA often recommended for sensitive skin because it has a larger molecular size than glycolic and lactic acid molecules, as noted by Dr. Lal. That said, mandelic acid tends to be milder as an active ingredient. (Just be wary that the ingredient list may contain other actives. For example, the NeoStrata cleanser below contains mandelic and salicylic acid, a BHA.)

NeoStrata Clarify Mandelic Clarifying Cleanser

Face Reality Mandelic Face and Body Wash

The NeoStrata Clarifying Facial Cleanser contains mandelic acid that works alongside salicylic acid to gently exfoliate and rid the skin of excess oil.

The Face Reality Mandelic Face and Body Wash is a gel cleanser that is infused with mandelic acid and formulated for both the face and body and is praised by shoppers with acne for helping them maintain clear skin.

Expanding on the latter, some products contain multiple chemical exfoliants. The Shani Darden Triple Acid Signature Peel is a standout example. It’s formulated to help replicate the effects of a professional-level peel at home. But, due to its very potent formulation containing a trio of AHAs, namely glycolic, lactic, and mandelic acid, it’s only recommended you use every other week (at most).

Shani Darden Skin Care Triple Acid Signature Peel

Beta-hydroxy acids (BHAs)


In contrast to AHAs, BHAs (beta-hydroxy acids, remember?) are oil-soluble. Unlike their water-soluble counterparts, BHAs “are able to penetrate oil-filled pores to decrease clogging,” says Graf. Because of this, they’re a superhero ingredient for those with skin that’s “oily, prone to clogging, and (or) acne-prone,” she adds.

Unlike the lineup of ingredient choices you get with AHAS, salicylic acid is the most common and strongest BHA, says Dr. Lal. Worth noting, though: there are derivatives of salicylic acid, with betaine salicylate being one of the most common types. This ingredient combines salicylic acid with betaine (a moisturizing ingredient), making it a gentler option for the skin. Check out two of our favorite BHA exfoliators below.

The Drunk Elephant Bouncy Brightfacial (a 2023 Allure Best of Beauty Award-winner) is a leave-on peel formulated to brighten and even skin tone. It features an exfoliating blend of salicylic acid and azelaic acid, a barley-derived ingredient celebrated for its bactericidal and exfoliating benefits.

The Cosrx Niacinamide 2% + BHA 4% Blackhead Exfoliant Toner not only addresses clogged pores but also hydrates thanks to the aforementioned ingredient, betaine salicylate. This moisturizing ingredient works alongside niacinamide to control excess oil and reduce the appearance of blackheads.

Drunk Elephant Bouncy Brightfacial

Cosrx Niacinamide 2% + BHA 4% Blackhead Exfoliant Toner

It’s also common for skin-care products to use both AHAs and BHAs in its formulations for a more comprehensive exfoliation approach. Kristina Collins, MD, a Texas-based double board-certified dermatologist and co-founder of Austin Skin, “loves” products that contain a blend of chemical exfoliants. She says she appreciates the synergistic effect they have on cell turnover and addresses various concerns, including pore refinement and the reduction of dark spots and wrinkles.

Two standout examples include the Dermalogica Liquid Peelfoliant and Benefit Cosmetics Porefessional Tight n Toned Toner.

Dermalogica Liquid Peelfoliant

Benefit Cosmetics The Porefessional Tight ‘N Toned: Pore-Refining AHA + PHA Toning Foam

Dr. Stephens recommends the Dermalogica liquid exfoliant for those looking for a potent facial exfoliant that packs a punch. It contains a trio of exfoliants, namely glycolic acid, salicylic acid, and lactic acid, making it more “suitable for more experienced users or less frequent use,” she says.

The texture of the Benefit Cosmetics toner might pleasantly surprise you. It comes in a lightweight foam that you simply pat onto your skin to absorb the brightening benefits of glycolic acid and gluconolactone (a type of PHA known to simultaneously exfoliate and hydrate).

How to exfoliate with a chemical exfoliant


“It’s best to start by cleansing the skin,” says Dr. Stephens. After that, she recommends applying it to the face, avoiding sensitive areas such as the area right around the eyes and lips. She recommends following the directions outlined on your product of choice since it can vary by product; some require you to rinse them off, while others advise you to leave them on.

What is a physical exfoliant?


The effects of a physical exfoliant are much more immediately obvious than chemical exfoliants that go to work under the skin’s surface. This type “utilizes a hard substance to remove the dead skin cells manually,” says Dr. Goldfaden.

If you’re erring towards a physical exfoliant over a chemical one, here’s some food for thought: “People with oilier complexions have larger sebaceous glands, which makes their skin thicker and better able to tolerate more abrasive particles,” says Dr. Goldfaden. “Those with drier, sensitive skin should generally use products with smaller granules, which are less likely to irritate, cut, or rub your skin.”

How to exfoliate with a physical exfoliant


“With a physical exfoliant such as a scrub, apply it as directed, usually in a small circular motion, and then rinse off and apply moisturizer,” says Dr. Graf. But before you grab that scrub, remember: “The most important factor when using a physical exfoliant is the amount of force and pressure,” the expert continues. “Any product using mechanical exfoliation can create issues if used forcefully.”

As for product recs, Dr. Graf suggests Image Skincare’s Intense Brightening Exfoliating Cleanser for the face and the brand’s Exfoliating Body Scrub. “They’re both gentle enough to not irritate skin while still aiding your chemical exfoliants in schlecking off dead skin cells and leaving skin smoother and more radiant,” she says. Our editors love the Dr. Loretta Resurfacing Enzyme Polish, which uses pomegranate and radish root buffers to dissolve flakes — and it can even double as a skin-softening mask by leaving it on for five or so minutes before rinsing.

Image Skincare Intense Brightening Exfoliating Cleanser

Image Skincare Body Spa Exfoliating Body Scrub

Dr. Loretta Resurfacing Enzyme Polish

Other physical exfoliants include exfoliating brushes (what you’d use to dry brush), sponges, and textured facecloths. All involve manually rubbing the product onto the skin, which can easily venture into the realm of irritation. “If you choose a physical scrub, let the product do the work for you,” advises Dr. Golfaden, adding that “a good scrub should not have to be rubbed in aggressively.”

Just know that not all board-certified dermatologists stand by mechanical exfoliants. Dr. Collins is among them. “I recommend against using physical exfoliants at home, especially on the face,” she explains. The pro adds that they can cause small micro-tears in the skin that could lead to a bacterial infection. “If you do use a physical exfoliation scrub, I would follow up immediately with a barrier protection oil or dense balm,” she advises.

Are exfoliating devices worth it?


Exfoliating devices aren’t a mandatory investment, as effective skincare products alone can achieve similar results. However, beauty enthusiasts often find value in these devices not just for physical exfoliation but also for additional features like customizable settings and multifunctional benefits, such as LED therapy and soothing massage functionalities. Adding to the appeal, many come in fun, colorful designs, like toys for skincare-loving adults.

If you’re committed to adding an exfoliating device to your skincare routine, Dr. Lal advises choosing silicone-based options because this material is skin-friendly and bacteria-resistant. Two of the most popular silicone-based options on the market are the Foreo Luna Play Plus 2 and the PMD Clean Smart Facial Cleansing Device. Both offer vibration modes for cleansing and pulsing modes for massage and as promised, they’re visually compelling in their own unique way.

Foreo Luna Play Plus 2

PMD Clean Smart Facial Cleansing Device

While these respective brands deem these devices safe and gentle enough for daily and nightly use, Dr. Lal disagrees with this frequency. He considers such routine use unnecessary, cautioning that overdoing it may compromise your skin barrier and increase your risk of eczema or dryness.

Instead, he recommends a more conservative approach, suggesting using your exfoliating device once a week with a mild cleanser like the Cetaphil Gentle Skin Cleanser to help the tool easily glide over the skin. It’s important to avoid pairing the device with a chemical exfoliant-based cleanser, which may be too harsh. During application, he suggests gently moving the device in circular motions across your entire face, completing one to two passes. And once finished, he recommends moisturizing the skin to replenish moisture and restore the skin barrier.

Above all, Dr. Lal underscores that silicone brushes “definitely don’t penetrate as deeply as salicylic acid,” which can infiltrate your sebaceous glands and exfoliate within to remove oil and dead skin cells. That said, if you’re searching for a device to help with gentle weekly physical exfoliation, these will serve that purpose. However, salicylic acid is likely the more fitting choice for those seeking an effective treatment for acne-prone and oily skin.

Are there any risks when exfoliating?


For those with sensitive skin, it’s crucial to consult your dermatologist for guidance on safe and effective exfoliation. If your skin type is normal, the key consideration is avoiding excessive exfoliation. “Doing so can disrupt your natural skin barrier, stripping away oils that help skin repair,” says Dr. Graf. This can cause the skin to overcompensate and produce excess oil, potentially leading to breakouts and irritation.

Exfoliating can also cause sun sensitivity, which makes your skin more susceptible to sunburn, says Dr. Graf. While it’s no secret that you should wear face sunscreen every single day, it’s extra important that you do so when you’re regularly exfoliating. Be sure to follow the American Academy of Dermatology’s recommendations by choosing a formulation with broad-spectrum protection (meaning it protects against both UVA and UVB rays), and is SPF 30 or higher. We’re willing to bet you’ll love the EltaMD UV Clear Broad-Spectrum SPF 46 even more than we do (which is a lot, FYI).

EltaMD UV Clear Sunscreen

Sadly, exfoliation isn’t a good idea for everyone. “Those with extremely sensitive skin and those with skin conditions like rosacea, active eczema, a sunburn, or other active skin infections should skip,” says Dr. Stephens. If you’re intent on still giving exfoliation a try, it’s best to consult with your dermatologist for their expert recommendations before giving any product a try.

How often should I exfoliate?


There’s no cut-and-dry answer to how often you should exfoliate your face and body; it varies from person to person. According to Dr. Graf, a general guideline for your face and body is one day per week. Dr. Collins noted that this frequency is particularly ideal for facial exfoliation “to balance the effects with the potential for irritation, especially for those also using retinoids.”

While some individuals can tolerate more frequent exfoliation (as much as three times per week), Dr. Collins advises starting slowly to gauge your skin’s tolerance. “If you have used a product once per week with no irritation for about three or four weeks, you can definitely consider boosting that to twice a week or three times per week,” she says, adding that she recommends using a retinoid on “AHA off nights.”

If you’re curious about how exfoliating and using retinol might fit into your facial skin-care routine, consider exploring skin cycling. This concept gained traction on TikTok in 2021, masterminded by board-certified dermatologist Whitney Bowe, MD. This routine involves using a chemical or physical exfoliant on night one, retinol on night two, and focusing on moisturizing on nights three and four with products free of active ingredients (such as Vanicream Daily Facial Moisturizer).

Remember, if you have sensitive skin, it might not be thrilled with two active ingredients in one week. In such case, consider fully committing to either retinol or chemical exfoliation. And again: not to sound like a broken record, but your dermatologist is truly your go-to expert for crafting a personalized routine.

Exfoliating: The TL;DR


Two major takeaways when it comes to exfoliation: There’s no universally simple solution on how to go about it and products certainly don’t adhere to a one-size-fits-all approach. The right exfoliation method depends on your specific skin type and desired skin-care outcomes.

DQH Can I use salicylic acid first and then vitamin C? It’s easy to create a skincare routine, but knowing how to use it is another thing entirely. In most cases, if you’re not getting the desired skin results, it could be due to the layering of conflicting ingredients. So, is it possible that salicylic acid and vitamin C are such ingredients? Or are these active ingredients the duo that’s been missing from your skincare routine? If you want answers, stick around because today we are going to explain the benefits of salicylic acid and vitamin C and how they can be used in your daily life. What are the benefits of salicylic acid for skin? Salicylic acid is one of the most commonly used beta hydroxy acids and is favored by many people with oily, acne-prone skin. This acid is derived from willow bark, and unlike its water-soluble relatives (called alpha-hydroxy acids), salicylic acid is oil-soluble, which means it can penetrate deeper into the lower layers of the skin. Once it reaches the lower layers, it can help unclog pores of excess sebum, dirt, bacteria, debris, and impurities. This results in clearer skin tones and greater definition. Not only does salicylic acid benefit the underlying layers, but the outer surface of the skin benefits as well. When applied to the skin, salicylic acid removes the buildup of dead skin cells. This is accomplished by breaking the bonds that hold dead cells to the surface. Over time, this can cause the complexion to look dull and prone to acne, blackheads, and other blemishes. If you’d like to learn more about salicylic acid and how it can improve your skin, check out this dedicated blog post from a beauty insider. What are the benefits of vitamin C for skin? Vitamin C is considered one of the most powerful antioxidants, which means it is very effective at fighting free radicals and preventing them from causing further skin damage. Examples of free radicals include pollution, central heating, UV rays and harsh climate. They attack proteins, fats and cell membranes as soon as they come into contact with the skin, causing signs of premature aging such as fine lines and wrinkles as well as hyperpigmentation, flaky patches of skin and loss of elasticity. Many people usually prefer to use vitamin C in their morning routine as this ingredient gives the complexion a radiant glow. You’ll also find that vitamin C can target areas of hyperpigmentation, plumping the skin and reducing the appearance of fine lines and wrinkles. The thing about vitamin C is that there are a lot of outdated studies going back to the 1950s that describe vitamin C as an unstable skin component. Thanks to improvements in modern technology, this is no longer the case as all products now contain a stable form of vitamin C. Visit The Beauty Insider to learn more about vitamin C. So please check out our blog post. Can I use salicylic acid first and then vitamin C? Yes, you absolutely can. In fact, it’s thought that using salicylic acid before using vitamin C ensures it penetrates faster and works faster. This is an efficient way to utilize two power sources, and the reason has to do with pH. For example, the skin’s natural pH is about 4.7, making it slightly acidic. Salicylic acid and vitamin C are also both acidic, and you’ll find that vitamin C is absorbed quickly into the skin. Therefore, using salicylic acid beforehand can increase the acidity of the skin and allow vitamin C to penetrate into the skin faster. While this is considered an effective way to combine two powerful ingredients, you need to be aware of your skin type and how it reacts to certain active ingredients. Even people with perfect, normal skin can experience skin sensitivity and irritation. Therefore, always consult a doctor or dermatologist before using any new products on your skin. It’s also important to follow skin application rules. In this case, you need to use the product correctly to ensure you get the best results for your skin. If you’re not sure what I mean, the basic rule for skin is to start with the thinnest consistency and work your way up to the thickest consistency. This prevents a barrier from forming on the surface, preventing other active ingredients from penetrating the skin. Can I use salicylic acid at night and vitamin C in the morning? Yes, absolutely, this is considered the most effective way to get returns without any adverse side effects. This is because there is enough time between applications to ensure that the skin’s pH levels return to balance. You’ll also find that Vitamin C is rich in antioxidants and is perfect for use in the morning to ensure your skin is protected and looking its healthiest. Due to the small size of salicylic acid molecules, it is an acid that is able to reach the deepest parts of the skin. While this is effective at keeping skin clear, it also increases the risk of irritation and photosensitivity. Therefore, many people prefer to use powerful BHAs in their evening routine without exposure to UV rays, pollution, or harsh weather. Warning: If you avoid using sunscreen every day, none of these ingredients will do what your skin needs. The combination of chemical peels and powerful ingredients increases the risk of further damage to the skin’s surface. Use SPF 50 every day to keep your skin protected and your lipid barrier healthy, even on cloudy days, keeping your skin in top condition.
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