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    Dermatologists Explore the Many Options for Cleaning the Face

    WebMD Health News

    How to Get the Most Out of Facial Cleaning

    Feb. 22, 2005 (New Orleans) -- Soap or not? Cleansing bars or pads? Exfoliate? Dermatologists can help you sift through the choices and find what works best for you.

    "There are an overwhelming number of facial cleansing products, implements, and tools available today," says Zoe D. Draelos, MD, clinical associate professor of dermatology, Wake Forest University School of Medicine in Winston-Salem, N.C. "Dermatologists agree that there are many acceptable methods for removing oil and dirt from the face, but each individual's needs are different and what works for one person may not work for another."

    Speaking at the American Academy of Dermatology annual meeting here, Draelos explains that there are three ways to cleanse the face: facial cleansers, cleansing implements, or the use of a cleansing product along with a supplemental tool.

    "There are an incredible number of successful products out there today," says Alexa Boer Kimball, MD, PhD, an assistant professor of dermatology at Harvard Medical School in Boston. "But many in the general public can't distinguish between them."

    Cleansing can remove oil, sweat, dirt, bacteria, fungus, and dead skin cells, Kimball says.

    But what it should not do is remove the fat between cells that make the skin soft and supple, nor should scrubbing be so rigorous that it removes the skin barrier that protects the skin, Kimball says. One rule of thumb: "Facial cleansing should not be painful."

    Many dermatologists advise patients not to use soap on the face, depending on the skin's sensitivity, she says. Some soaps, typically a deodorant or highly fragranced cleaners, are too harsh for the face.

    Many of these soaps -- "like grandma made in the backyard" -- are alkaline detergents that dry out the skin, Draelos says. "This is why soaps can remove oil between the skin cells and make the skin tight and flaky."

    Soap-free cleansers are more appropriate for use on the face, depending on the skin's sensitivity. These include beauty bars, mild cleansing bars, sensitive skin bars and liquid facial cleansers. While the bars are closer to the skin's natural pH level, the cleansers aren't as able to remove oil from the skin in individuals troubled by oily skin.

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