A hand held exfoliation device suitable for repeated use on a facial skin surface is provided. The exfoliation device includes a body and an exfoliating material attached thereto that is sized for application to a facial skin surface. The exfoliating material includes a substrate and an exfoliating surface. The exfoliating surface is formed from a plurality of particles, wherein the plurality of particles are attached to the substrate to form peaks and valleys thereon. The exfoliating material has a surface roughness Sa from about 2 mum to about 16 mum and the particles have an average Mohs hardness from about 4 to about 8.