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Esthetics · State Board

Esthetics Client Consultation and Contraindications

Client consultation process and identifying treatment contraindications tested on state esthetics board exams.

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What are the three essential components of a client consultation?
Health history, skin analysis, and treatment recommendations
Why must you obtain a complete medical history before esthetic treatment?
To identify contraindications, medications, allergies, and medical conditions that affect treatment safety
Isotretinoin (Accutane) is contraindicated for which esthetic treatments?
Chemical peels, laser treatments, and microdermabrasion (causes severe skin fragility)
What is a patch test and what does it assess?
Application of a small amount of product to a small skin area to detect allergic reactions or sensitivities
Pregnancy is a contraindication for which cosmetic injectables?
Botulinum toxin and dermal fillers (potential risks to fetus are unknown)
How long should a client avoid sun exposure after a chemical peel?
Minimum 48-72 hours; strict SPF 30+ protection for 2-4 weeks
Why is informed consent critical in esthetic treatment?
Protects both client and esthetician by documenting understanding of risks, benefits, and aftercare requirements
Which skin types are most prone to post-inflammatory hyperpigmentation?
Skin types IV, V, and VI (darker complexions)
Tretinoin (Retin-A) use requires modification of which treatments?
Chemical peels, laser treatments, and microdermabrasion (increased sensitivity and irritation)
What is the Fitzpatrick scale and its role in consultation?
Classification system for skin types I-VI based on sun sensitivity; guides treatment selection and risk assessment
Clients with a history of keloid formation should avoid which treatment modality?
Laser treatments, aggressive microdermabrasion, and deep chemical peels (may trigger keloid response)
How long after a waxing service should other treatments be deferred?
Minimum 24-48 hours (skin is sensitized and prone to inflammation)
Anticoagulant or antiplatelet medications affect which procedures?
Waxing, extractions, microneedling, and any treatment causing skin trauma (increased bleeding and bruising)
What does a skin sensitivity assessment determine?
Client's tolerance level and likelihood of adverse reactions to products or treatments
Recent Botox or filler injections require waiting how long before other treatments?
14 days (allows product to fully integrate and reduces inflammation)

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