
Weâve all been there. You buy that new scrub, you feel the grit, and suddenly youâre scrubbing like youâre trying to erase 10 years of regret off your face. But as a wound and ostomy care nurse in her 40s (aka: someone whoâs seen what real skin damage looks like), Iâm here to break the tough love newsâover-exfoliating is not the flex you think it is. đŹ
Letâs talk about what exfoliation does, how too much of it wrecks your skin barrier, and what to do insteadâwhile keeping it fun, real, and gut-skin connected, of course.
đ§´ What is Exfoliation, Really?
Exfoliation helps remove dead skin cells, unclog pores, and boost glow. Sounds great, right? It isâin moderation. There are two main types:
- Physical exfoliation: Scrubs, brushes, loofahs (a.k.a. the sandpaper method)
- Chemical exfoliation: AHAs, BHAs, and enzymes that dissolve dead skin gently (and yes, thatâs science magic)
đ¨ Signs Youâre Over-Exfoliating
If your skin feels like itâs in witness protectionâhiding behind flakiness, redness, and irritationâyou may be doing too much. Look for:
- Tightness, burning, or stinging
- Red patches or breakouts (yes, over-scrubbing can cause acne)
- Dryness and peeling
- Skin that feels waxy or overly shiny
- Heightened sensitivity to other products
Your skin barrier is like a bouncer at a clubâit knows who to let in and who to keep out. Over-exfoliating weakens that bouncer, letting in irritants and kicking out moisture. đŤđŚ
đ The Gut-Skin Link (Yes, Again!)
Your skin barrier and your gut lining are actually pretty similarâboth protect from invaders and need the right balance of bacteria, hydration, and nutrients to thrive. Overdoing it with scrubs is like taking antibiotics daily with zero probiotics: youâre throwing everything off.
If youâre seeing inflammation on your skin, your gut might be inflamed too. Remember, skin is often a messenger of whatâs happening inside!
â Solutions (Because We Love a Fix!)
1. Respect the Barrier
Use exfoliants only 1-3x a week depending on your skin type. Sensitive or dry skin? Once is plenty. Acne-prone or oily skin? Max three timesâwith a gentle formula.
2. Switch to Chemical Exfoliants (Gently)
AHAs like glycolic acid or lactic acid work deeper, smoother, and kinderâespecially in a serum or toner form.
3. Moisturize Like Your Skinâs Life Depends On It (Because It Kinda Does)
Use barrier-repair moisturizers with ceramides, niacinamide, and hyaluronic acid. Bonus if itâs fragrance-free and doesnât make your skin hiss at you.
4. Check Your Gut
Eat gut-friendly foods (hello, yogurt, fermented veggies, fiber). Add probiotics or prebiotics if needed. Healthy gut = less inflammation and stronger skin barrier.
5. Simplify Your Routine
Cleanse, treat, moisturize, protect. Thatâs it. You donât need a 12-step K-beauty routine to have good skinâyou need balance and consistency.
đ§Ş A Nurseâs Note: Exfoliation + Wound Healing?
Youâd be surprised how many minor skin injuries I see from overly enthusiastic exfoliators. Skin with microtears canât heal wellâitâs more prone to infection and delayed recovery. If you have an ostomy or sensitive skin from medical issues, this is extra important.
â ď¸ Disclaimer (Because Iâm a Nurse, Not Your Nurse đ)
This blog is for general education and entertainment purposes only. Always consult with your doctor, dermatologist, or wound/ostomy care specialistâespecially if you have specific skin conditions, allergies, or sensitive skin.
⨠Final Scrub (er, Thought)
Exfoliation should be like wineâenjoyed in moderation and never on an empty stomach. đ Keep your gut happy, your skincare simple, and your exfoliation gentle. Your skin (and your mirror) will thank you.
