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Esthetics · State Board

Esthetics Advanced Treatment Modalities

Microdermabrasion, chemical peels, and LED therapy basics, and their scope of practice limits, tested on state esthetics board exams.

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What does microdermabrasion physically remove from the skin?
The stratum corneum (outermost dead skin layer) and superficial layers of the epidermis
How does microdermabrasion work?
Fine crystals or a diamond tip is rapidly applied to the skin surface to abrade and exfoliate dead cells
Name the two main equipment types used for microdermabrasion.
Crystal (aluminum oxide or sodium bicarbonate) and diamond tip (diamond-coated wand)
What skin concerns can microdermabrasion treat?
Fine lines, mild acne scarring, sun damage, age spots, and rough texture
How often can a client safely receive microdermabrasion treatments?
Every 2 to 4 weeks (allowing 14 to 28 days between sessions)
What is the typical downtime or recovery period after microdermabrasion?
Minimal; mild redness and flaking for 1 to 3 days, with normal activities resumable immediately
Name three contraindications for microdermabrasion.
Active acne, rosacea, eczema, psoriasis, sunburn, or open wounds
Can an esthetician perform deep microdermabrasion on the delicate eye area?
No; only very light, superficial treatment around the eyes, with extreme caution or avoidance
Define a chemical peel.
The application of a chemical solution to the skin to exfoliate and remove outer layers, promoting cell turnover and renewal
What are the three depth classifications for chemical peels?
Superficial (exfoliates stratum corneum and upper epidermis), medium (reaches the dermis), and deep (penetrates deeper dermis)
Which acid is considered an alpha hydroxy acid (AHA)?
Glycolic acid (derived from sugar cane) and lactic acid (derived from milk)
What is a beta hydroxy acid (BHA) commonly used in chemical peels?
Salicylic acid
What are the main benefits of a superficial chemical peel?
Improved texture, brightness, mild hyperpigmentation reduction, and minimal downtime
What is the typical healing time after a superficial chemical peel?
3 to 7 days of mild flaking and redness; skin returns to normal quickly
What does a medium-depth chemical peel treat?
Moderate hyperpigmentation, acne scars, fine lines, and sun damage

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