Margaret Fonder, MD

First of all: this is not an ad. Not paid. Not gifted. Just an authentic product review.

Sometimes I just want a physical scrub.

Most dermatologists (myself included) advise against regular use of abrasive physical exfoliants. They can create micro-tears, disrupt the skin barrier, and worsen irritation—especially for people with sensitive skin, rosacea, eczema, active breakouts, a compromised barrier, or anyone already using strong actives like retinoids or acids.

That said, every once in a while I still get the urge for a good scrub. When I do, this is the one I reach for: SkinMedica AHA/BHA Exfoliating Cleanser. I use it occasionally (about 1–2 times a week at most), not as an everyday product.

What makes it better than most physical scrubs:
• It combines soft jojoba spheres with AHAs + BHA, so the chemical exfoliation does a lot of the work and you don’t have to scrub hard
• The jojoba spheres are relatively gentle compared to walnut shells or other harsh abrasives
• It cleanses well while still giving that satisfying texture

I use it on damp skin with very light pressure, then go right back to a gentle routine. It does have a mild botanical scent from lavender and citrus oils, so it may not be ideal if you’re fragrance-sensitive. Because of the AHAs, it’s also smart to be consistent with sunscreen, but of course you’re already doing that right?

Not for everyone, but if you’re going to use a physical exfoliant occasionally, this is one of the better ones.

This is just my personal experience—not personalized medical advice.

SkinMedica

Ever found a tiny, soft flap of skin on your neck, under your arms, or along your eyelids and wondered what it is? You’ve likely found a skin tag.

Let’s talk about these common and completely harmless growths.
* What are they? Medically known as acrochordons, skin tags are benign (non-cancerous) growths. They are extremely common!
* Why do they happen? We don’t know the exact cause, but they often develop in areas of friction, where skin rubs against skin or clothing. They’re also linked to genetics, age, and can be more common in individuals with insulin resistance or during pregnancy.
* Are they dangerous? No. Skin tags are harmless. They are not contagious and do not turn into skin cancer. The main reason people want them removed is because they become irritated by clothing or jewelry, or for cosmetic reasons.
* How do you treat them? Please, step away from the DIY “solutions” you see online! These can lead to scarring, infection, and significant bleeding. Safe and effective removal is a quick in-office procedure. A board-certified dermatologist can easily remove them by snipping, freezing (cryotherapy), or burning (electrocautery).

The bottom line: Skin tags are a nuisance, not a threat. If one is bothering you, see a professional!

Have a question about skin tags? Ask away in the comments below! 👇

The most high stakes game in medicine: On Hold Roulette.

The rules are simple: You’re on hold with a patient’s insurance company. Could be minutes. Could be hours. You have an infinite to-do list. How many tasks can you complete before a human voice picks up? It’s a gamble with every step away from the receiver - misjudge it, and you’re back at zero.

My MAs are absolute champions at this sport.

Who else plays this dangerous game every day?