Client Consultation, Skin Analysis and Treatment Planning
Core concepts
Consultation begins with a client record and consent, followed by a structured skin analysis. Know the Fitzpatrick scale for skin phototype and its relevance to sun sensitivity and treatment caution. Understand skin types (normal, dry, oily, combination) versus skin conditions (dehydration, sensitivity, acne, pigmentation, ageing) - type is relatively stable, condition is changeable. Use observation, palpation, and questioning to gather data, then record findings objectively. Treatment planning matches goals, skin findings, product actives, and contraindications. Know common contraindications: active infection, open lesions, recent cosmetic procedures, certain medications, pregnancy-related cautions, and sunburn.
Traps in questions
- Confusing skin type with skin condition.
- Diagnosing medical conditions - estheticians identify and refer, they do not diagnose.
- Skipping contraindication checks before selecting products.
- Recording subjective opinions rather than observable findings.
- Ignoring client goals and lifestyle when planning.
Worked example / rule of thumb
A client with tight, flaky cheeks and an oily T-zone: type is combination, condition includes dehydration. Plan gentle cleansing, hydration-focused products, and avoid aggressive exfoliation. Rule of thumb: describe what you see, ask what you feel, confirm what they want - then plan.
Key terms to recognise
Fitzpatrick scale, skin type, skin condition, contraindication, patch test, informed consent, SOAP-style notes, referral.