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I use the Cashmere heads and they are the only ones that don't come in the four pack so I have written to Clarisonic suggesting they change that for all of us older ladies with very sensitive skin. I do however highly recommend buying two of the Cashmere heads and doing what I do to increase the longevity of both heads. I alternate the two heads, which lets the one I'm not using rest and dry out so that on the next night it's dry enough for me to use without any problems like mold setting in. So far I have been using my two heads for about six months nightly and they are still in great shape, so I think the alternating system works well.5