Exfoliating brush heads are disclosure for use with a personal care appliance. The personal care appliance is configured to oscillate the exfoliating brush head to provide improved smoothing and exfoliation of a patient's epidermis with or without the antecedent application of skin care formula. The oscillating action of the exfoliating brush head may be rotational, translational, or a combination thereof. In use, the personal care appliance oscillates the exfoliating brush head over a patient's skin in order to remove dead skin from the patient's epidermis. The exfoliating brush head may include first and second groups of tufts, wherein the first and second groups of tufts have different bristle heights and/or stiffness.