Miso Clinic · Clinical column

Flaky facial skin: why it happens and how often to exfoliate

Many people tell me they exfoliate more often because flakes make their makeup cake. Quite often, though, the flaking got worse precisely because they were exfoliating too much.

Clinical column About 5 min November 2026 Miso Clinic, Daegu · Dr. Lee Chi-Hak, Medical Director

The short answer

Facial flaking is usually dry skin shedding, and frequent exfoliation can weaken the barrier and make it flake more. Cutting back and moisturising more comes first. I found no trial comparing exfoliation schedules. If greasy yellowish flakes with redness keep returning beside the nose, on the brows or along the hairline, it may be dermatitis such as seborrheic dermatitis, and a doctor comes before exfoliation. At Miso Clinic, 4F Bombom Building, 125 Dongdeok-ro, Jung-gu, Daegu (Exit 1, Kyungpook Nat'l Univ. Hospital Station), +82-53-428-2700, I first check whether flaking comes from dryness or dermatitis.

Why does facial skin flake?

The outer layer of skin sheds a little all the time. When it's dry, it lifts in patches you can see. Cold wind, indoor heating, hot water and strong cleansers are common reasons.

Flaking for a few weeks after starting a retinoid or exfoliating ingredient is also common. That can be the skin adjusting, but if it stings or turns red, use it less often.

How often should I exfoliate?

What to look at by type of flaking
What you seeLikely causeWhat to do first
Fine white flakes, tightnessDrynessGentler cleansing, more moisturiser
Stinging and redness after exfoliatingBarrier damagePause exfoliation
Greasy yellowish flakes with redness beside the nose, on brows or hairlineDermatitis such as seborrheic dermatitisSee a doctor first
One spot stays rough and peeling for a long timePossibly another skin conditionSee a doctor first

I found no trial comparing exfoliation schedules. So rather than set a number, I suggest cutting back to the point where your skin doesn't sting or redden. It's fine to skip exfoliation in dry seasons.

How should I moisturise?

The basic step is applying moisturiser right after washing, before the skin dries. Creams with barrier ingredients such as ceramides are an option.

In a 30-person split-face trial after microneedling, both a ceramide cream and its base reduced water loss by 14–16%. I read that as regular application mattering a lot, more than any single ingredient. The trial was run by the manufacturer.

→ More: The skin barrier

How do I tell if it is dermatitis?

Seborrheic dermatitis is an inflammatory skin condition with greasy white-to-yellow scale on red patches of the scalp and face. It can look like atopic dermatitis, psoriasis or rosacea, so it takes an examination to tell.

Exfoliating or scrubbing irritates it further. It may need treatment for the inflammation rather than just removing flakes, so see a doctor first.

What about treatments while my skin is flaking?

I don't rush lasers, RF or injections while skin is stinging and peeling. No RF that day if there's skin inflammation.

Once the barrier has recovered, if texture or fine lines still bother you, that's when I discuss options such as skin boosters.

→ More: Rough skin texture

Flaky facial skin FAQ

Flakes make my makeup cake.

Moisturise well before makeup, and focus on moisturising for a few days rather than scrubbing the flakes off.

Can I use peeling gel or scrubs every day?

Daily use can weaken the barrier. Stop if it stings or reddens.

I keep getting flakes beside my nose.

Greasy yellowish flakes with recurring redness may be dermatitis, so I suggest seeing a doctor.

Where can I get a flaky skin consultation in Daegu?

At Miso Clinic, 4F Bombom Building, 125 Dongdeok-ro, Jung-gu, Daegu (Exit 1, Kyungpook Nat'l Univ. Hospital Station), +82-53-428-2700. Weekdays 11:00–19:00, Saturday 10:00–16:00, closed Sundays and public holidays.

Read next

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Related care: Skin texture · Thin, dry skin

Who wrote this

Written and reviewed by Lee Chi-Hak, MD, director of Miso Clinic, Daegu. The treatment standards and injection design set out here are the ones we use in practice.

Miso Clinic
Medical directorLee Chi-Hak, MD
Address4F Bombom Building, 125 Dongdeok-ro, Jung-gu, Daegu, South Korea · Exit 1, Kyungpook National University Hospital Station
Phone+82-53-428-2700
HoursWeekdays 11:00–19:00 (lunch 13:00–14:00) / Saturday 10:00–16:00 (no lunch break) / Closed Sundays and public holidays
ColumnsAll clinical columns
Reference libraryAll booster and device references

References

  1. Review of seborrheic dermatitis — Turchin I et al. Current Understanding of Seborrheic Dermatitis. J Cutan Med Surg 2025;29(4 Suppl):16S-23S. PMID 40965095.
  2. Split-face trial of a ceramide cream — Nawaz T et al. J Cosmet Dermatol 2025;24(3):e70109. PMID 40099382. 30 people, manufacturer study.
  3. Korean medical advertising law — Korean Medical Service Act Article 56(2) (no treatment testimonials, no comparisons with other clinics, no superlatives). This is why this column carries no prices, reviews or before-and-after photos.
  4. Miso Clinic practice guidelines — dissolvable hyaluronic acid filler is considered first for hollowing and lifting first for sagging; boosters are chosen in the order concern, then layer, then product; no RF treatment that day if there are metal or electronic implants, pregnancy or skin inflammation.

Everything in this column is general information and does not replace medical diagnosis or treatment. Effects and side effects vary with individual skin condition, age and underlying illness, and the same result is not guaranteed for everyone. Any decision to proceed should be made in an in-person consultation with a physician.

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