Exfoliating heads with an abrasive surface are disclosed for use with a personal care appliance. The personal care appliance is configured to oscillate the exfoliating head to provide improved smoothing and exfoliation of a subjects epidermis with or without the antecedent application of skin care formula. The oscillating action of the exfoliating head may be rotational, translational, or a combination thereof. In use, the personal care appliance oscillates the abrasive surface of the exfoliating head over a subjects skin in order to remove dead skin from the subjects epidermis. The exfoliating heads may be used to treat rough skin conditions, such as calluses or corns, which have developed on a patients hand or foot.