3J. Matthew Knight, MD, of the famous Knight Dermatology Institute, is a dermatologist who encourages us to ditch the puffs, and he tells us why and the whole secret. According to Dr Knight. Immediately after using puffs to exfoliate your skin, these dead skin abilities get trapped in the many layers of the puff material. This is the last straw: When you leave that beanbag in the shower after doing your job completely, the moisture remaining after the warm and fresh water causes bacteria to multiply in the fluffy layers over time. This causes much more yeast and mold formation. Unbelievable!