Date: 07/25/2025

FIRST highlights that bathing and even hydrotherapy—such as soaking in tubs with circulating water and air—helps soften thickened, flaky skin typical of ichthyosis, making exfoliation more effective.

Quick Checklist for a Safe Exfoliation Routine

1. Soak First
   Step into a warm bath (hydrotherapy if possible) to soften the skin’s surface – this preps it for a gentler exfoliation.

2. Choose the Right Tool

   • Mechanical: Soft loofahs, gentle cloths, or exfoliating gloves.

   • Chemical: Mild alpha or beta hydroxy acid products—Hyram’s video covers this well!

3. Be Gentle
   Apply light pressure in circular motions. Avoid aggressive scrubbing, which can irritate or damage skin.

4. Rinse Thoroughly
   Wash off both the exfoliant and loosened dead skin cells with clean, lukewarm water.

5. Moisturize Immediately
   After patting dry, apply an emollient to lock in hydration and soothe the skin barrier.

6. Follow a Routine
   For chronic conditions like ichthyosis, exfoliation may be needed daily or several times a week—but start slow and observe how your skin reacts.

Additional Tips Tailored to Ichthyosis Management

• Hydrotherapy enhances softening—even simple bath jets can help loosen scales 

• Sanitation of tools is crucial: rinse and fully dry your loofah or gloves after each use to prevent bacteria buildup.

• Consult with a dermatologist: to personalize exfoliation choices—especially if using chemical exfoliants.