Facial Treatments and Client Care
What the exam tests
Facial treatment questions test sequencing, contraindications, informed consent, draping, and client communication. The exam expects a safe, organized service that respects privacy and scope of practice.
Core sequence
Consultation and consent, handwashing, cleansing, skin analysis, exfoliation as indicated, extractions only when appropriate, massage, mask, and finishing products with sun protection. Each step should be adjusted to the client's barrier, sensitivity, and medical history.
Contraindications and precautions
- Active infection, fever, open wounds, or contagious conditions: postpone.
- Recent surgery, laser, or chemical peel: follow the provider's restrictions.
- Isotretinoin use: fragile skin; avoid waxing, aggressive exfoliation, and extraction.
- Pregnancy: avoid high-risk ingredients and heat modalities unless cleared.
- Clients with pacemakers or implanted devices: avoid electrical modalities.
Worked example
A client books a facial and mentions starting isotretinoin two months ago. Reasoning: the drug reduces sebum and thins the barrier, so skin is fragile and slow to heal. The esthetician should skip extractions, strong acids, and massage that could damage skin, provide gentle cleansing and barrier support, and document the decision. Waxing is also contraindicated.
Traps that cost marks
Extracting without softening the skin; massaging over active inflammation; diagnosing disease; failing to drape and protect the client's clothing; using a modality without checking for implants; and treating every client with the same protocol.