What about the use of effective AHAs and BHA for menopausal women? Does exfoliating help all skin types? For the most part the answer to this question is yes. Removing built-up layers of dead skin cells gently and without abrading skin (as can happen with scrubs) can be incredibly effective for all ages. How often to exfoliate depends more on the condition of your skin than anything else, including how old you are. Once you’re past age of 70 skin can become so thin it can literally tear when gently scratched or rubbed. This thinning is a result of many factors but primarily it is brought about by a combination of estrogen loss, genetic aging, and sun damage. All of these things cause the skin cells to produce “less skin” as well as less healthy skin. In terms of genetic aging, skin cells seem to have a preprogrammed mechanism that slows down skin-cell turnover, and sun damage causes a buildup of dead skin cells on the surface of skin. AHAs and BHA help the outer layer of skin to shed more normally by removing built-up dead skin cells. For some women in their 70s, 80s, and 90s with extremely fragile skin that may be problematic (they may indeed need the dead skin cells to stick around on the surface for as long as possible). It would thus be important to experiment with frequency to see how the skin responds. Perhaps instead of using the AHA or BHA product every day you should only use it every other day or every few days to get the best results. If AHAs and BHA can be tolerated in some fashion there is a great deal of benefit to be achieved in removing dead skin cells at the surface, as that absolutely helps improve the appearance of skin and allows healthier skin cells to come to the surface. It has also been shown that AHAs and BHA can stimulate the production of collagen, which also has benefit.