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According to Dr. Velez, everyone\u2019s sensitivity level is different, so it depends. \u201cThe most gentle form of exfoliation is an alpha hydroxy acid\u2013based cleanser because a serum or other leave-on treatments will provide the highest concentration, but can be irritating if too much is applied,\u201d she says. Whitney Tolpinrud, MD, a dermatologist based in Pocatello, ID, adds that since cleansers get washed off, they don\u2019t spend as much time in contact with the skin, which can help prevent irritation while still offering exfoliating Leave-on exfoliators, like serums, creams, or pads, can also work for some people with sensitive skin, but they should be used carefully, Dr. Tolpinrud says. \u201cBlends that pair gentler acids, like lactic acid, with polyhydroxy acids (PHAs), such as gluconolactone, may be better tolerated by some individuals, as lactic acid is both hydrating and gentle, while PHAs exfoliate more slowly and evenly.\u201d Since these products stay on the skin longer, Dr. Tolpinrud recommends introducing them gradually and paying close attention to how your skin responds. Another tip: \u201cLook for barrier-supporting ingredients like glycerin, ceramides, and niacinamide in the formula to counteract redness and sensitivity,\u201d she says.<\/p>\n
According to Dr. Velez, the best ingredients to look out for in an exfoliator for sensitive skin are lactic and glycolic acid, as they have the smallest, most powerful particle size. New York City-based board-certified dermatologist Angela Lamb, MD, and Pittsburgh-based board-certified dermatologist Lindsey Zubritsky, MD, explained. Lactic acid especially mimics a “naturally occurring group of molecules found in our skin that helps to hydrate and maintain the skin barrier,\u201d adds Aegean Chan, MD, a board-certified dermatologist in Santa Barbara, California, so it\u2019s less likely to irritate sensitive skin.<\/p>\n
\u201cThese alpha hydroxy acids exfoliate without scrubbing (which is awful for sensitive skin),\u201d says Dr. Velez. \u201cAdditionally, avoid physical exfoliants that are gritty or sand- or sugar-like. They can cause small abrasions on the skin\u2019s surface, furthering sensitivity and potentially spreading bacteria.\u201d<\/p>\n
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