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While dry skin can appear on any type of skin at any age, the elderly and individuals who frequently expose their skin to soaps or detergents are more prone to developing this condition. In addition, a thorough medical history and review of the family history can help support the diagnosis of dry skin. Based on the medical history, other medical conditions may be ruled out or considered. In more difficult cases, a skin biopsy may be helpful to confirm the diagnosis and direct the treatment plan. The Pore Perfecting Cleansing Gel smells delicious, feels rich in its gel-like form and then light and gentle as a lather, and works exceptionally well — so well I've had to fight the urge to use it less because it almost feels like a luxury item, like my grandmother's "good china." It's also natural, plant-based, vegan, cruelty-free, pH-balanced, and formulated without soap and fragrance. I never thought I'd happily spend $38 on a face wash, but now I just hope they never stop making it. 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