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The way I see it, if youve invested in a clarisonic face brush you probably care enough to make sure you use it at its optimal. IMO the brush head of the face brush def needs to be changed every few months ( I stick to 3 months at a time, just like I would a toothbrush) It is the same brush that comes with your face brush originally so there are no issues with fit or compatibility. Using a fresh brush makes all the difference if you are finding yourself not getting the same results you did when you first got your clarisonic.4