If you do choose to try dry brushing, “it should be gently and infrequently,” explains Henry, who also encourages a careful risk–benefit assessment. “Dry brushing offers minimal proven benefits beyond relaxation or self-care, and for patients at high risk of PIH, it may not be worth that risk,” she says. “It’s not inherently dangerous, but it’s also not risk-free, despite how it’s often portrayed on social media.”
Karp generally recommends skipping dry brushing altogether in favor of gentler, barrier-supportive approaches when exfoliation is necessary. “Mandelic acid, lactic acid, and urea are other alternatives,” says Karp, and they are often better tolerated because they work without repeated mechanical stress.
Not every wellness trend deserves a trial run. I’m going to sit this one out—and if you have melanated skin, experts say you should consider doing the same.
