Brushes Asians have used this method for centuries with the loofah sponge and other brushes. You can do it too. Try it and see if you like this method. Almost every line of cosmetics sells a scrub. Scrubs can contain oatmeal or bits of almond.
Uniformity is also an issue with scrubs.
Some warn about abrasive damage to the skin, but the benefits of removing dead cells most likely outweigh the effects of abrasion. Again, see if this works for you. These physician-administered treatments can create a radical new complexion. If you are impatient and want the rapid appearance of new baby skin, and you have time to take off for recovery, this might be a good option for you. Your dermatologist can tell you more about these procedures.