As a new esthetician (even a seasoned one) don't expect that you can solve every skin issue on your own; there are times when skin issues become beyond the scope of our license. Obviously, anything that looks suspicious like skin cancers or unusual moles should certainly be referred out to a dermatologist. There are other times when estheticians should refer clients to doctors, if a condition is not improving after several treatments (think melasama or certain acne conditions) refer the client to a dermatologist or cosmetic surgeon.
Sometimes as hard as we try we can't solve all the client's needs and they need a medical intervention to help them. Remember you are not diagnosing anyone; instead you are recommending working with a dermatologist or cosmetic surgeon in conjunction with your treatment.
Every good esthetician should have both a good dermatologist's and cosmetic surgeon's information on hand for clients. You should be familiar with the doctors that you recommend, better yet you are a patient of these doctors and at least can tell your clients what type of general treatments they offer: IPL Laser, Fraxel, Botox, Skin Bleaching Creams, fillers, etc. It would be helpful if you have tried any of these treatments as well.
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