What is the skin doctor called?

Dermatologist or Aesthetician: How Do You Decide Which to See?

Look for a license. When you go to a spa for a service, always look for a certificate from an aesthetician school and a state license, which is usually hanging on the wall. It’s also a good idea to go to a spa that has a medical director. “It needs to have medical oversight and supervision,” Fuller cautions. If you’re not sure, ask.

Give your full medical history. It’s vital to let your aesthetician know if you’re allergic to anything. Someone who is allergic to aspirin may not know that an anti-aging facial contains aspirin.

It’s also important to let the aesthetician know if you have any health conditions. Someone with a history of herpes simplex who gets laser treatment without taking prophylactic (preventive) medication first could get herpes all over the face as a result. And don’t forget to mention medications you take regularly. If you’re on a blood thinner or a medication that makes you sensitive to light, for instance, getting laser treatment could cause severe bruising and irreparable white or dark spots on your skin, Fuller warns.

Keep treatments simple. When you’re at a spa, go for the basic European facial, says Fuller. It’s not complicated and it’s less likely to cause an allergic reaction.

For more complicated procedures, see a dermatologist. More involved, complex procedures, such as laser hair removal and Botox injections, should be performed by a dermatologist.

The bottom line is to always err on the side of caution. If the cosmetic procedure seems like something the aesthetician doesn’t have knowledge of, says Fuller, “it’s always good to be a healthy skeptic.”

Esthetician vs. Cosmetologist: What’s the Difference?

The question “What’s the difference between an esthetician and a cosmetologist?” is common among individuals making decisions about starting their education in the health and beauty industries. If you are one of those people, here are four major differences between an esthetician and a cosmetologist which you should know:

1. Specialization and Licensure

A cosmetologist is a styling professional for hair, nails, skin and general beauty. Although cosmetology students do typically receive a small amount of skin care education, the main focus of a cosmetology training program is hair and hair styling. On average, most cosmetology programs only include 2 weeks of skin care training.

An esthetician, on the other hand, is a professional technician who has undergone specialized training in skin care. An esthetics school focuses on the anatomy and physiology of the skin, chemistry of ingredients, proper skin care techniques, and advanced skin treatments.

Both careers can be very rewarding, but if you’re interested primarily in skin care and becoming an esthetician vs cosmetologist, we recommend seeking out a school that specializes in only esthetics training to ensure you receive a tailored and thorough education.

2. Education Requirements

In order to practice cosmetology in the United States, you’ll need to complete a training program and obtain a state cosmetologist license. To become an esthetician, all U.S. states, except for Connecticut, require that you complete an esthetics program and obtain state licensure.

The time necessary to complete each of these programs will vary by state, however most esthetics programs range from 500 hours to 750 hours and most cosmetology programs range from 1000 to 2000 hours.

In Illinois, individuals must complete 750 hours of training in a state-approved esthetics program or 1500 hours in an approved cosmetology program to be eligible to take the state board licensure examination for the respective profession.

Only after completing a training program and passing the state board examination will you be licensed to practice.

3. Skin Care Treatments

The third difference between an esthetician vs cosmetologist involves the type of treatments they provide. While cosmetologists are styling professionals that address beauty, hair, makeup, and general skin-care, an esthetician performs specific skin care treatments.

Common procedures that an esthetician may conduct, include deep cleansing treatments, microdermabrasion, facial massage, exfoliation, body wraps, waxing, and superficial chemical peels.

A cosmetologist typically performs hair cutting, styling, and coloring services rather than skin care services.

4. Esthetics and the Medical Field

An esthetician may work alongside professionals in the medical field, performing or assisting with a variety of procedures. Estheticians are needed in hospitals, dermatology practices, plastic surgery centers, and other health care facilities.

The duties of an esthetician working in a medical setting may include things like working with burn unit patients, chemotherapy patients dealing with hair loss and skin challenges, or dermatology patients receiving chemical peels for acne scars.

In some states, such as Illinois, there is no separate “Medical Esthetician” license. Therefore, these individuals would be working as unlicensed assistants to a physician when performing services outside the esthetician’s scope of practice.

A thorough esthetics training program will offer the requisite knowledge to ensure your success in when working in a medical setting.

At Estelle Skin Care & Spa Institute, we specialize in offering elite skin care training through our nationally accredited, 750-hour esthetics program. Please feel free to contact us at (847) 329-9174 if you have any questions about becoming an esthetician or to schedule your campus tour.

You Asked: Should I Get a Facial?

Last year, Americans spent nearly $17 billion on spa services. A lot of that money went toward facials: treatments that claim to remove blemishes, combat wrinkles, moisturize, regenerate, tighten and otherwise beautify the skin so that your face looks fabulous.

But is there evidence to support the claims (and costs) of these treatments? Experts say it depends on the type of facial, where you have it performed and the skin benefit you’re hoping to get out of it.

“I was at this beautiful spa in Santa Fe, and the esthetician giving me a facial said the next citrus emollient she was going to apply would help cleanse my liver,” recalls Ushma Neill, editor-at-large of the Journal of Clinical Investigation and vice president of scientific education and training at Memorial Sloan Kettering Cancer Center. “I almost sat up in disbelief.”

That experience, Neill says, prompted her to investigate the existing science on spa facials. She published her findings in a 2012 report. Her conclusion? “I realized just how useless it all was,” she says. “I haven’t had a facial since I wrote that article.”

Neill says she doesn’t dispute claims that facials can temporarily revamp the skin by “moisturizing it to the max” and removing pimples and other blemishes. But when it comes to many of the fancier, pricier services that claim to combat aging or inflammation—everything from ozone and antioxidant treatments to stem-cell extract applications—most of that stuff is “complete malarkey,” she says.

Get our Health Newsletter. Sign up to receive the latest health and science news, plus answers to wellness questions and expert tips.

Thank you!

For your security, we’ve sent a confirmation email to the address you entered. Click the link to confirm your subscription and begin receiving our newsletters. If you don’t get the confirmation within 10 minutes, please check your spam folder.

Other experts reiterate that point. “As a dermatologist, I see a lot of patients with misperceptions about different creams and procedures and the whole concept of facials,” says Dr. Joel Cohen, an associate clinical professor of dermatology at the University of Colorado and director of AboutSkin Dermatology and DermSurgery near Denver.

Apart from moisturizing the skin, Cohen says most topical creams are unlikely to provide much lasting benefit—especially if applied sporadically and only in a spa setting. And while some chemical peels that use substances like salicylic or glycolic acid can help stimulate skin cell turnover and repair, Cohen says proper daily skin care—regular cleansing and applying moisturizer and sunscreen—are a lot more likely to be helpful.

It’s also important to differentiate among the many different types of facial treatments.

“If you’re talking about a standard facial”—usually a deep cleaning, followed by some kind of pimple/blemish extraction, a massage and steam treatment, a mask or peel, and a final application of some type of moisturizer—“those are about improving the appearance of skin here and now,” says Dr. Adam Friedman, an associate professor of dermatology and director of translational research at George Washington University. “But when you get into microdermabrasion treatments and microneedling and a lot of the other stuff, you’re getting into the world of anti-aging treatments,” he says. Here, the evidence is mixed or non-existent.

MORE: Want to Look Younger? Your Eyebrows May Be the Key, Study Says

“My own impression of microdermabrasion treatments is that they’re a total hoax,” Friedman says. “It’s basically a physical exfoliant”—similar to a store-bought scrub that mechanically removes the top layer of dead skin—“that costs a lot of money.”

Microneedling facials, in which short, very thin needles puncture the skin in order to increase collagen, may actually come with some benefits, he says. Studies have shown microneedling—by triggering collagen formation and skin remodeling—is an effective treatment for reducing the visibility of wrinkles and scars. “Because they’re punching all the way through the top layer of the skin, they create these channels of injury that may allow better penetration of topical treatments,” Friedman explains.

Better penetration is crucial, because some of the things science says can benefit your skin—from vitamins C and E to retinoids and collagen-stimulators—break down when exposed to oxygen and UV light. “The skin is an amazing barrier, and so it takes a long time for things to get through it,” Friedman says. The longer your creams are sitting on your skin and exposed, the less likely they are to do any good. (For this reason, he says most topical skin creams are unlikely to do much more than moisturize.)

But while microneedling could allow better penetration of helpful skin vitamins and nutrients, it also opens up your skin to irritants or allergens. “There’s always the potential to do more harm than good,” Friedman says. “Aftercare is as important as the treatment itself.”

For all these reasons, both he and Cohen say that people who really want to address skin issues—from wrinkles to age spots, acne and pigmentation flares—should spend their money at a dermatologist’s office, not at a spa. While spas are mostly about pampering and short-term skin improvements, Cohen says a cosmetic dermatologist will provide an informed medical evaluation and the most effective method of treatment—whether that’s microneedling, a specific retinoid cream or some combination of treatments. A trained dermatologist can also identify skin cancers and other issues that go beyond cosmetic imperfections.

“I have people who come in and say, ‘My sister had a treatment that made her skin look incredible for a few weeks, and I want that,’” Cohen says. “But everyone’s skin is different, so it’s not that simple.”

Another big caveat when it comes to spa facials is the lack of regulation surrounding the industry. Friedman says it’s impossible to make blanket recommendations because there’s no way to know what procedures or protocols an individual spa is following.

Put all this together, and you get a lot of unknowns and ambiguities around facials.

“I think there’s very little benefit you could glean from a facial that you couldn’t get on your own from cleaning the skin twice a day and applying moisturizer,” Neill says. And no, she’s not talking about expensive topical ointments and French under-eye creams. “I use Oil of Olay and St. Ives—that’s about it,” she says.


Friedman says a lot of consumers are lured by niche products featuring exotic ingredients from far-flung places. But he has more faith in big, well-known brands. “They have the resources to evaluate their products in clinical and preclinical settings,” he says.

“I’m also fastidious about wearing sunscreen,” Neill adds. In contrast to the science on facials, there’s a huge body of evidence showing that sun exposure ages skin. One recent study found that UV-light exposure accounts for 80% of visible facial aging.

None of this is to say that facials don’t feel great and won’t improve the appearance of your skin for a few hours—or even a few days or weeks. It’s also possible that research will eventually prove the worth of some popular treatment methods.

But if you want to look your best and maintain the youthful appearance of your skin without spending a fortune, regular washing, moisturizing and applying sun protection are what matter most.

Contact us at [email protected]

What’s the Difference Between a Cosmetologist and an Esthetician?

What is the difference between a cosmetologist and an esthetician? This is a common question asked by those interested in a beauty career and by those receiving beauty services. Though these two careers in beauty can be similar and overlapping, there are many fundamental differences. These differences are important for potential students and clients to note.

Cosmetology is an area of study and a career that focuses on hair, skin, and nails. Cosmetologists can do both hair and nails, or focus their careers in one area. In comparison, esthetics focuses on skin care only. An esthetician is not qualified to perform pedicures, cut hair, or work with hair chemicals. With additional training and education a cosmetologist can also be an esthetician.

However, estheticians are generally not cosmetologists. Most states require separate licensing for each career. Estheticians have training, experience, and education in facial treatments, skin treatments, the application of various kinds of makeup, waxing and other hair removal techniques.

Some estheticians even specialize in certain areas such as:

  • Microdermabrasion
  • Permanent makeup
  • Chemical resurfacing
  • Electrolysis
  • Massage and reflexology

Cosmetologist and Esthetician Job Fields

The pros and cons of each of these careers are similar. Cosmetologist and estheticians can both have successful and similar careers. Both can work out of salons and spas, start their own practice, or even work on cruise ships or in hotels. However, a cosmetologist who also becomes an esthetician may be more in demand and experience more business. This is because they can add a lot more to their scope of practice by becoming an esthetician as well.

In both career fields, it can be difficult to establish a client base when first starting out. Being qualified to do additional services can help. Another drawback that can be experienced by both fields is the potential for frequently working evenings and weekends, which is when typical clients need services. Both cosmetologist and estheticians get job satisfaction from helping their clients look and feel better about themselves and they both enjoy helping other people.

Find Out About More Differences at Evergreen Beauty College

At Evergreen Beauty College, we are here to assist you with whatever career you choose. Our school offers esthetics and cosmetology courses. Our instructors are among the best in their fields and pride themselves in providing the best training to their students.

Students receive classroom and practical training that can help them become licensed and qualified professionals in the beauty industry. Whether you want to pursue the field of cosmetology or become an esthetician, our school can help you achieve your goals. Let our school answer the question: What’s the difference between a cosmetologist and an esthetician?

Who to See When: Dermatologist vs. Esthetician

Dermatologists are trained and authorized to:

  • Diagnose and treat skin disorders, diseases and abnormalities such as:
    • Acne
    • Skin cancer
    • Rosacea
    • Psoriasis
    • Skin infections as the result of viruses (such as herpes)
  • Write prescriptions based on knowledge of skin care pharmaceuticals
  • Perform surgery on skin abnormalities
  • Perform cosmetic procedures including:
    • Lasers
    • Injection of fillers
    • Botox
    • Prescription-strength chemical peels
    • Spider vein treatment
    • Medical micro-needling (if they complete special training)

When should you see a dermatologist?*

  • Once a year for a skin exam. Everyone should visit a dermatologist annually for early detection and treatment of skin diseases, particularly skin cancer, even if you don’t have any current skin concerns. Go more often if you see any new or changing lesions/moles/birthmarks.
  • If a rash is painful or spreading, especially if it starts after taking a new medication
  • If you have severe acne that isn’t clearing up after a couple months of over-the-counter treatments
  • If you have skin cancer, psoriasis, rosacea or skin infections
  • Before scheduling a procedure such as microdermabrasion, to be sure the procedure is healthy for your skin. Microdermabrasion may contain products such as salicylic acid that can cause an allergic reaction.
  • For more complicated cosmetic procedures such as Botox or laser hair removal

*When in doubt, please consult your doctor.

An esthetician is a skin care professional who has attended a trade school and passed a state board exam. Passing the state board exam gives the individual a license to practice in that state as a standard or medical esthetician. Most esthetician programs take three to six months to complete 250 to 1,500 hours of training, depending on the state. Estheticians may work in spas, salons or medical settings under the direction of dermatologists.

Estheticians are well equipped to handle skin cleaning and facials. Estheticians are trained and authorized to do:

  • Skin analysis
  • Facials
  • Microdermabrasion
  • Aromatherapy
  • Body wraps
  • Makeup application

Masters licensing requires more training and prepares the master esthetician to perform laser hair removal, some types of chemical peels and laser skin resurfacing. Master estheticians may work under a dermatologist in a medical facility.

When should you see an esthetician?

  • To determine your skin type and establish an appropriate skin care regimen accordingly
  • For facials, aromatherapy, microdermabrasion or body wraps
  • To maintain your skin following assessment and treatment of a skin condition (such as acne) by a dermatologist

Dermatologists and estheticians often collaborate, and their practices complement each other. Dermatology practices may employ an esthetician for facials or assistance with skin care recommendations. Patients who start by seeing a dermatologist for assessment and treatment of acne or other skin conditions may then visit an esthetician for maintenance, such as facials. Estheticians who recognize skin abnormalities such as lesions refer their clients to a dermatologist for evaluation and treatment. Some large dermatology practices may have a medical spa associated with them. In this case, the dermatologists have probably trained the estheticians. Medical spas combine the luxury of a spa with the medical oversight and expertise that promote healthy skin.

SkinPen Micro-needling Providers

SkinPen providers are skin care professionals who are specially trained to use the SkinPen micro-needling tool to help reduce the signs of aging and improve the appearance of acne scars. Contact your SkinPen provider to learn how medical micro-needling and the Skinfuse post-micro-needling protocol work together to promote healthy, beautiful skin.

Choosing a Cosmetology School

How do you choose the right skincare training school for you? First, you want to become familiar with licensing requirements for your state. You can find information on state licensing processes from organizations like the Association of Skin Care Professionals (ASCP), Professional Beauty Association, the American Association of Cosmetology Schools and the National-Interstate Council of State Boards of Cosmetology. License requirements vary from state to state but typically include practical and written examinations, the BLS reported. Make sure the program you choose satisfies your state’s eligibility requirements, like the minimum number of education hours.

Because many skincare training schools are privately owned, it’s difficult for prospective students to assess the quality of these programs. One way to be sure you’re selecting a quality program is to choose an accredited institution. The following organizations accredit skin care and esthetic therapy programs, according to the ASCP:

  • Accrediting Council for Continuing Education & Training
  • Accrediting Commission for Career Schools and Colleges of Technology
  • Council on Occupational Education
  • Distance Education and Training Council
  • National Accrediting Commission of Cosmetology Arts & Sciences

U.S. News & World Report included esthetician on its lists of the Best Health Care Jobs and the 100 Best Jobs. While it doesn’t correspond to an exceptionally high salary – $13.77 per hour, according to the BLS, or $28,940 per year, according to U.S. News – the job offers flexibility. About 27 percent of estheticians work for themselves, the BLS reported. Job opportunities are increasing rapidly, with the BLS expecting a 40 percent rise in opportunities over just a decade.

Dermatologists: What do they do?

Share on PinterestLaser hair removal is one of many dermatological procedures.

Dermatologists use a range of medical and cosmetic surgical procedures.

Many dermatological conditions can be treated with medication and non-invasive therapy, but some require surgical intervention or more invasive treatment. Dermatological procedures can take place in an outpatient setting, such as a doctor’s office, or during a hospitalization.

Biopsies: Skin biopsies are primarily carried out to diagnose or rule out certain skin conditions. There are three commonly-performed types of skin biopsy. Shave biopsies remove small sections of the top layer of skin, punch biopsies remove a small circular section including deeper layers, and excision biopsies remove entire areas of abnormal-looking skin.

Chemical peels: A chemical solution is applied to the skin. It causes a layer of skin to peel off, leaving a layer of regenerated skin underneath that is typically smoother. Dermatologists use this procedure to treat sun-damaged skin and some types of acne. It can also address complaints of a more cosmetic nature, such as age spots and lines under the eyes.

Cosmetic injections: Wrinkles, scarring, and lost facial fullness can be temporarily reduced with injections. A dermatologist can inject botulinum toxin therapy, or fillers such as collagen and fat, during an office visit. Results of this treatment tend to last for a few months, and injections need to be repeated periodically. Some people can develop antibodies to Botox that make repeat treatments ineffective.

Cryotherapy: This is a quick and common form of treatment for many benign skin conditions, such as warts. Skin lesions are frozen to destroy the affected skin cells, often using liquid nitrogen.

Dermabrasion: Using a high-speed rotating brush, a dermatologist removes the top layer of skin, surgically eroding scar tissue, fine wrinkles, tattoos, and potentially precancerous skin patches.

Excisions of lesions: Skin lesions are excised for several reasons. They are removed to prevent disease from spreading, for cosmetic reasons, to prevent repeat infection, to alleviate symptoms, and for diagnosis. Depending on the size of the lesion, local or general anesthetic can be used to numb the area before removal.

Hair removal and restoration: Hair loss can be treated with hair transplantation or surgery to the scalp. Unwanted body hair can be removed with laser hair epilation, or electrolysis that destroys hair follicles.

Laser surgery: Dermatologists can use a special light beam to treat a variety of skin complaints. These include tumors, warts, moles, tattoos, birthmarks, scars, wrinkles, and unwanted hair.

Mohs surgery: This is a specific type of surgery for skin cancer. Layers of skin are removed and examined under a microscope to get rid of cancerous cells. Successive layers are removed until the surgeon can find no more cancer cells. Mohs surgery is only performed by Mohs surgeons and requires additional medical training.

Psoralen combined with ultraviolet A (PUVA): Psoralen is a drug that makes the skin more sensitive to radiation treatment. PUVA is used to treat severe skin diseases, such as psoriasis, dermatitis, and vitiligo.

Skin grafts and flaps: Dermatologists can repair missing skin using skin from elsewhere on the body. Skin can be grafted from a free piece of tissue without its own blood supply, or a skin flap can be created from skin tissue near the area of skin loss.

Tumescent liposuction: Dermatologists use a process called tumescent liposuction to remove excess fat from the body. Large volumes of local anesthetic are injected into the fatty tissue, which is then sucked from the body. Tumescent liposuction is not a treatment for obesity but a cosmetic procedure for body contouring. Dermatologists can also use lasers to selectively burst fat cells and help remove tumescent fluid.

Vein therapy: Superficial leg veins are small, dilated surface veins. They are also known as spider veins and are often removed for cosmetic reasons. Sclerotherapy is usually the preferred treatment for spider veins. Dermatologists insert either foam or a solution into the vein. This irritates the lining, causing it to shut. The vein then becomes less distinct or disappears completely.

SATURDAY, Sept. 15 (HealthDay News) — People with acne who scrub their skin or use abrasive skin care products can actually aggravate their condition, an expert warns.

Opting for a gentle cleanser is just one of several simple changes acne sufferers can make to improve their complexion, noted Dr. Amanda Friedrichs, a dermatologist in private practice in Sycamore, Ill.

“It’s very common for patients with acne to scrub their skin and to use harsh products, yet doing so often makes acne worse,” Friedrichs said in a news release from the American Academy of Dermatology. “In order for acne to improve, people with acne must be gentle when touching their skin and use gentle products, such as those that are alcohol-free.”

Friedrichs also suggested other tips for healthy skin, including:

  • Wash your face twice a day and immediately after sweating.
  • Avoid astringents, toners and exfoliants, which can irritate the skin. Also, apply facial cleanser with your fingertips instead of a washcloth, sponge or brush.
  • Use lukewarm water, not very hot water.
  • Because oily hair can make acne worse, wash your hair every day if needed.
  • Do not pick at your face or squeeze your acne. Letting your skin heal naturally allows it to clear up quicker and prevents scarring.
  • Avoid touching your face, which can increase the risk of flare-ups.
  • Do not use indoor tanning beds, which can damage your skin and increase your risk for skin cancer. Keep in mind certain acne medications make the skin extra sensitive to ultraviolet (UV) light.

“Make an appointment to see a board-certified dermatologist if your acne makes you shy or embarrassed, the products you’ve tried haven’t worked, or your acne is leaving scars or darkening your skin,” Friedrichs advised. “Today, virtually every case of acne can be successfully treated.”

— Mary Elizabeth Dallas

Copyright © 2012 HealthDay. All rights reserved.



Acne is the result of an allergy. See Answer

About the author

Leave a Reply

Your email address will not be published. Required fields are marked *