Why should I see an esthetician?
Esthetics is the application of various treatments to the skin, to maintain its health and vitality. Estheticians are trained in skin wellness, helping their clients balance oil and moisture content and achieve a healthy, youthful complexion. As well as various facial treatments, they commonly also perform body treatments such as salt or sugar scrubs, moisturizing or slenderizing body wraps, hair removal techniques such as waxing or threading, and hand/foot treatments to rejuvenate the skin.
A variety of treatments and products are used to protect skin from environmental hazards and combat fine lines, wrinkles, and a dull, uneven skin tone. Estheticians are also skilled in managing conditions such as acne, rosacea, eczema, and dry skin, to name just a few. And finally, skin care treatments are wonderfully relaxing and rejuvenating. If smooth, healthy skin is your goal, visiting a skin care professional can benefit you.
Products and techniques
Techniques used by estheticians include facial steaming, wrapping, exfoliation, waxing, pore cleansing, extraction, and chemical peels. Creams, lotions, wraps, clay or gel masks, and salt scrubs are used. Machines may also be used to help deliver high-tech services.
Some common therapies:
Chemical peel: An exfoliation process, very effective in treating a large range of skin concerns such as aging, sun damage, acne, mild scarring, improving overall skin brightness and evening skin tone. Peels can be light, moderate or deep. Light peels require no down time from work or normal activities. Moderate peels may require a day or two of down time, and deep peels can require a week or more to allow the skin to fully heal. Estheticians who are not working in a medical setting perform light to moderate peels only. Deep peels are performed by a physican, or under a physician’s supervision, for your safety.
Exfoliation: The removal of dead skin cells manually (scrubbing, brushing, or using a system such as microdermabrasion), with a chemical peel (a product that causes dead skin cells to shed) or with an enzymatic product that digests dead skin cells.
Extraction: This is the process of deep cleansing the pores, either manually (using gloved hands and cotton or tissue around the fingers, with gentle pressure to remove the impacted pore) or using a metal extraction implement designed to clear blocked pores. This can also include the use of a lancet (a small sharp blade to lift the dead cells of the skin prior to extraction).
Facial: A facial is the most popular treatment performed by estheticians. It is a good way for your therapist to get a good understanding of your skin prior to suggesting more aggressive treatments. A facial generally includes makeup removal and skin cleansing, exfoliation by mechanical, enzymatic or chemical means, steaming, extractions, facial massage, a treatment mask, serum/moisturizer and sunblock. For most people, facials can be scheduled every four weeks, although your therapist may recommend a different schedule based on your individual needs.
What is a chemical peel?
A chemical peel is an acid solution that is applied to the skin. It dissolves the outermost layer of skin cells, which then peels off over the following days to reveal the fresher, younger layer below. Peels are very effective in treating a large range of skin concerns such as aging, sun damage, acne, mild scarring, improving skin brightness, and evening skin tone.
Peels can be light, moderate or deep. Light peels require no down time from work and your normal activities. Moderate peels may require a day or two, and deep peels can require a week or more of down time to allow the skin to fully heal. Estheticians who are not working in a medical setting perform light to moderate peels only. Deep peels can only be performed by a physician, or under a physician’s supervision, for your safety.
Preparing for treatment
Most skin colors and types can benefit from chemical peels, though it is best to check with your esthetician about which peel might be right for you. If you’re taking acne medication, Retin-A or Accutane, talk to your esthetician and/or doctor about stopping the medication before and during treatment to avoid complications. Your esthetician can review any other contraindications with you prior to your treatment to determine if a chemical peel is right for you. Be sure to answer all questions honestly and completely on your consultation form prior to your peel.
What to expect during a chemical peel
The skin is cleansed and a prep solution will be applied to remove surface oils and allow the peel to penetrate the skin evenly. Any sensitive areas that cannot be treated will be protected with a thin film of petroleum jelly. Your eyes will be covered to protect them. One or more chemical mixtures will be applied, such as glycolic acid (from sugar cane), trichloroacetic acid (similar to bleach), salicylic acid (wintergreen—good for acne), lactic acid (from milk), or a combination peel called a Jessners peel. The peel will be applied in 1–3 layers, depending on the depth of penetration intended. The acids react with the skin to produce a “controlled wound,” allowing fresh skin to regenerate and emerge. A tingling, burning or hot sensation is normal. Most peels remain on the skin only a few minutes, and are closely watched by the esthetician. A fan may help you stay more comfortable. After some peels, a neutralizing solution is applied to stop the peel. Other peels are self-timed and stop on their own.
After the peel
After most peels, the skin will be pink to red, and look shiny and tight. It is vital to apply sunscreen of SFP 30 or greater to the skin for the next 48 hours, minimum. You must also stay out of the sun, as your skin will be very sensitive to UV rays and could be damaged by sun exposure. The skin will begin to flake or peel within 2–3 days after the treatment, unless you had a lactic acid peel—these encourage moisture retention and may not produce any actual peeling. Sun-damaged areas of your skin will appear darker at first, then will lighten. This is normal. Deeper peels can produce peeling for a week or more. To assist in removing the flaking skin, an enzyme peel or light microdermabrasion treatment is sometimes scheduled a week or so after the initial peel. For maximum results, a series of peels is usually recommended, and may be necessary for treating challenging issues such as hyperpigmentation.
Home care after a chemical peel
Your esthetician will recommend healing products to use for the week or two following your peel. These will soothe and nourish your skin, and aid in its recovery. Usually it is best to avoid makeup during this time, to allow the skin to heal and function without interference. However, if you must wear makeup, mineral makeup will not adversely affect the skin.
What is a facial? Why do I need one?
A facial is a professional cleansing, purifying, and beautifying treatment of the skin on the face and neck. Facials are the number one treatment performed by estheticians, and a good way for your therapist to get a good understanding of your skin prior to suggesting more aggressive treatments.
For most people, facials can be scheduled every four weeks, although your therapist may recommend a different schedule. There are many variations of facials based on different needs, as well as different lengths of time. A mini facial may be only 20–30 minutes in length, while a more luxurious version may be 75–90 minutes in length. Tell your esthetician exactly what you want to get out of your facial, and she/he will be able to recommend a facial to meet your needs.
Preparing for a facial
Be sure to allow enough time to fill out a comprehensive intake prior to your treatment. Plan to arrive a little early so you will not feel rushed and can enjoy the entire length of your treatment. Remember that your hair may become damp during the facial, and will usually be held back from your face with a soft wrap or headband, so you may not want to schedule a public appearance right after your facial! There is no need to remove your makeup prior to the appointment, as it will be cleansed off during the facial.
What to expect
Facials are generally very relaxing and soothing. Your esthetician will explain to you what the treatment steps will be. Be sure to communicate with your esthetician during the facial if any product burns, itches, or if you need anything or have any questions. Otherwise, just lie back and enjoy the experience. A basic facial generally includes the following steps:
Makeup removal and cleansing of the skin.
Skin analysis.
Exfoliation by mechanical, enzymatic or chemical means.
Massage of the face and neck, to aid in relaxation and stimulate blood and oxygen flow to the skin.
Extraction of blackheads and other impurities, either manually (using gloved hands and cotton or tissue around the fingers with gentle pressure to remove the impacted pore) or using a metal extraction implement designed to clear blocked pores. This can also include the use of a lancet (a small, sharp blade to lift the dead cells of the skin prior to extraction).
Application of products targeted to your skin type (dry, oily, mixed, sensitive, or mature).
After the facial
After a facial, your skin will probably be soft, smooth and well hydrated. However, if multiple extractions were needed or if you required a fair amount of exfoliation, your face may be somewhat rosy for one to two hours or more, depending on how sensitive your skin is. This is quite normal. You can apply mineral makeup after your facial if there is some redness you want to conceal.
What about home care?
Your esthetician will go over which professional home care products for you to continue the improvement in your skin following your professional treatment. This way, you will be using products that maximize benefits and prolong the effects of your treatment. Your therapist can explain how, when and how much of the products to use. Feel free to call the therapist later, if you have any questions.