A cleaning head for a personal care appliance includes an elastic bladder having a bladder wall enclosing a fluid. The bladder wall has an inner base portion with a base thickness, which may be non-uniform, and a plurality of spaced projections extending outwardly from the inner base portion. The bladder is fixedly attached to a receiver portion of a bladder support, and a retainer is provided for attaching the bladder support to the personal care appliance such that the bladder support is drivably engaged by the personal care appliance. At least some of the plurality of spaced projections are configured to dynamically engage and disengage with neighboring ones of the plurality of spaced projections during use.