Skin Analysis
Domain 2 tests whether you can carry out a structured skin analysis, distinguish skin type from skin condition, and justify product and treatment choices from evidence you have observed.
A repeatable method
- Cleanse and remove make-up; wash hands and wear gloves; use good lighting and a magnifying lamp.
- Observe hydration, oiliness, pore size, texture, sensitivity, pigmentation, vascularity and lesions.
- Palpate gently only where appropriate; ask about tightness, stinging and reactivity.
- Classify skin type (normal, dry, oily, combination) separately from condition (acne, rosacea, dehydration, hyperpigmentation, ageing, sensitivity).
- Record Fitzpatrick type for UV response and patch-test where a product or tint requires it.
From analysis to plan
Match cleansing to oiliness, moisturiser to hydration and barrier status, and sun protection to Fitzpatrick risk. Avoid aggressive exfoliation on inflamed or barrier-damaged skin. Record baseline findings so progress can be compared.
Worked example: A client has an oily T-zone, dry cheeks, visible comedones and Fitzpatrick III. Reasoning: this is combination skin with an acne condition, not simply “oily skin”. Choose a gentle foaming or gel cleanser for the T-zone, a non-comedogenic moisturiser, and gradual salicylic acid rather than a coarse scrub. Advise daily SPF and review.
Traps: diagnosing a medical condition; basing the plan on one glance; ignoring prescribed retinoids or antibiotics; missing pregnancy and allergy questions; recording subjective labels without evidence.