You have to exfoliate skin.  Whether you have sensitive skin or hardy skin or otherwise think that you shouldn’t have to do it or that your skin can’t handle it, you have to realize that it doesn’t quite work that way.  You have to exfoliate your skin.  You have to wash away dead skin cells that may be clogging the pores, or otherwise you will end up with dull skin and quite frankly acne prone skin in general.  So you don’t really get a choice.  However, especially if you are using something like Accutane, I can understand how your skin might get really sensitive and therefore might start experiencing problems in general terms. 

So I’ve found that the best way to go is to opt for a natural fiber washcloth.  Obviously, this isn’t metal or anything and doesn’t really come with ingredients that could cause side effects in general.  But you can also just make sure to use natural exfoliators such as shells from nuts and otherwise or for example just avoid ingredients that could even potentially be irritating such as benzoyl peroxide or glycolic acid.  This will do wonders in helping you to achieve the exfoliating effects you want, even with the most sensitive of skin in general terms.