Has anyone seen results from exfoliation care?

I've been really worried about dead skin cells lately. Even though I build up my skincare routine quite well, my makeup doesn't apply properly and feels like it cakes. It even feels incredibly rough to the touch when I wash my face! It feels especially bad around the sides of my nose and on my chin below my lips. At first, I didn't think much of it, but seeing this persist is actually causing me quite a bit of stress. I thought it would get better after winter, but it doesn't seem to be improving much... Is a cosmetic procedure really the only answer to get proper exfoliation results?

I've tried taking care of my skin at home by myself using an exfoliator several times, but it feels like the exfoliation effect is only temporary...?

I asked around, and people told me that to see real exfoliation results, it is best to get regular treatments at a dermatologist rather than doing home care.

Which treatment would be the most effective? Ideally, I would prefer my skin to brighten overall rather than just having an exfoliating effect. What would you recommend?