Exfoliation gets trickier, though. The practice of sloughing off dead skin cells is something you should do at least weekly—but there are so many different methods to go about it, with options ranging from a chemical peel to a facial scrub. The thing is, they're not as typically marked as sensitive skin friendly—and that's because exfoliating is a more intense treatment and is more likely to cause irritation than other parts of your beauty regimen.
"Exfoliating can help remove dead cells from the surface of the skin, but you have to be careful not to cause irritation if you have sensitive skin," says Joshua Zeichner, MD, a New York-based dermatologist. He notes that you can go down two basic roads: chemical or manual exfoliating. There are perks to both, you just have to know what to look for.
When using a physical exfoliant, you are the exfoliant, manually working in the scrub to lift away skin cells. With a chemical option, however, you just slather on an assortment on acids and let them get to work. But...some can be a bit much if your skin's really irritable. "Chemical exfoliators like hydroxy acids help dissolve connections between skin cells so they can be more easily shed," explains Dr. Zeichner. "The most commonly used are alpha hydroxy acids (AHAs) like glycolic acid. While effective, they're strong and cause irritation, making them a challenge for people with dry or sensitive skin."
Instead, he recommends turning to a more gentle form of acid. "Stick to one of the newer generation hydroxy acids known as poly hydroxy acids (PHAs)," says Dr. Zeichner. "Ingredients like gluconolactone offer similar exfoliating benefits, but work more slowly and are more tolerable to sensitive skin types." Another perk is that they're a humectant that pulls water into the skin, he adds.
Want a different option? Invest in a trusty retinol serum. While it's not technically an exfoliant, it works in a similar way. "A great way to exfoliate sensitive skin is to use a retinoid, which normalizes skin cell turnover, helps to de-clog pores, and treats and prevents acne," says Melissa Kanchanapoomi Levin, a board-certified dermatologist and founder of Entière Dermatology. However, take note: Retinol can cause irritation, and you kind of have to train your skin to use it. Start off by trying it a few times a week, and when your skin can tolerate it, work up from there.
So, yeah, like I was saying, physical exfoliants are totally dependent on you. A lot of times, they can be abrasive if you're really going to town on your face, but the thing about physical exfoliants is that you have full control over them, so you can also lighten up your touch. "I recommend using a physical exfoliant for sensitive skin because you can control the intensity yourself," says Robert Anolik, MD, a New York-based dermatologist. "If you're getting irritated, you can just stop." Dr. Zeichner agrees, whereas sometimes it take more time to neutralize an acid on skin.
If you're going with this route, Dr. Anolik recommends exfoliating this way one to two times a week. And remember: Be gentle!
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