CSLB General Building (B) — All Questions

A new client arrives for her first facial. What should happen before any product touches her skin?

• a.The esthetician should begin cleansing and ask questions during the massage
• b.The client should be asked only whether she prefers a light or deep facial
• c.The esthetician should choose a protocol based on the client's age
• d.A consultation should be completed, including a health and medication history, allergies, prior treatments, and the client's goals and expectations✓

A documented consultation identifies contraindications such as photosensitizing medications, recent procedures, or allergies before any product is applied, and it aligns the client's expectations with what is realistic and within scope. Asking questions mid-service is too late to prevent a reaction. Preference and age alone do not reveal the medical history that determines whether a treatment is safe.

At what point in a facial should the formal skin analysis be performed?

• a.Before cleansing, so the esthetician can see the client's makeup routine
• b.After cleansing, using a magnifying lamp and appropriate eye protection✓
• c.At the end of the service, after the mask has been removed
• d.Only at the follow-up appointment

Makeup, sunscreen, and surface oil hide the true condition of the skin, so analysis is performed after cleansing, with a magnifying lamp and eye pads or goggles to protect the client's eyes from the light. Analyzing before cleansing gives a false reading. Waiting until after the mask or until a later visit means the treatment plan was never based on the skin's actual condition.

Which pair correctly describes mechanical versus chemical exfoliation?

• a.Mechanical exfoliation physically lifts dead cells with friction, such as a scrub or microdermabrasion, while chemical exfoliation dissolves the bonds between cells using acids or enzymes✓
• b.Mechanical exfoliation uses acids and chemical exfoliation uses friction
• c.Both types remove tissue from the dermis
• d.Chemical exfoliation is a mechanical process performed with a machine

Mechanical methods work by physical abrasion, including scrubs, brushing, and microdermabrasion, while chemical methods use acids or enzymes to loosen the intercellular bonds holding dead corneocytes together. The two definitions are not reversed. Neither method performed by an esthetician removes dermal tissue, since esthetic exfoliation is limited to the epidermis.

What is the correct approach to extractions during a facial?

• a.Continue extracting until every visible lesion is cleared, regardless of time
• b.Use a lancet to open the skin so the contents release easily
• c.Soften the skin first, use gentle even pressure with covered fingers or a clean extractor, limit the total extraction time, and stop if the skin becomes traumatized✓
• d.Squeeze with bare fingernails for better control

Extractions are performed on softened skin with gentle pressure through clean gauze or a disinfected extractor, kept brief to limit trauma and post-inflammatory pigmentation. Clearing every lesion in one visit causes bruising and scarring. Puncturing skin with a lancet breaks the skin barrier and is outside an esthetician's scope, and bare fingernails cut skin and transfer bacteria.CCR Title 16

During an extraction a closed comedone will not release after several attempts. What should the esthetician do?

• a.Increase pressure until it releases
• b.Use a needle to open the surface
• c.Apply a strong acid directly to the spot to dissolve it
• d.Stop working on that lesion, move on, and schedule a follow-up visit after further softening and home care✓

Forcing a stubborn lesion ruptures the follicle wall into surrounding tissue, causing inflammation, pigmentation, and possible scarring, so the correct choice is to stop and address it at another visit. Puncturing the skin is outside scope. Spot-applying a strong acid without control of depth or contact time risks a chemical burn.

Which mask selection best matches the skin condition?

• a.Clay or kaolin mask for oily, congested skin, and a hydrating gel or cream mask for dry or dehydrated skin✓
• b.Clay mask for dry, sensitized skin and a heavy occlusive balm for oily skin
• c.Any mask can be used on any skin type since masks stay on only briefly
• d.A strong drying mask for rosacea-prone skin to reduce redness

Clay and kaolin absorb excess sebum and are suited to oily, congested skin, while gel and cream masks deliver water and emollients to dry or dehydrated skin. Applying a drying clay mask to already dry or reactive skin worsens barrier damage, and occlusive balms on oily skin encourage congestion. Contact time does not make an inappropriate mask harmless.

Which massage movement is a light, gliding stroke used to begin and end a facial massage?

• a.Tapotement
• b.Petrissage
• c.Effleurage✓
• d.Friction

Effleurage is a light, continuous gliding stroke that relaxes the client and distributes product, which is why it opens and closes a massage sequence. Petrissage is kneading, tapotement is a light tapping or percussion movement, and friction is a deeper rubbing pressure, all of which are more stimulating and are used within the body of the sequence rather than at the transitions.

A client requests a full facial massage but has inflamed pustular acne across both cheeks. What should the esthetician do?

• a.Perform vigorous petrissage to break up the congestion
• b.Omit massage over the inflamed areas, since massage over active inflamed lesions can spread bacteria and worsen the condition✓
• c.Massage only with a heavy occlusive oil
• d.Massage the area longer to increase circulation and speed healing

Massage over inflamed pustular acne spreads bacteria across the face and increases inflammation, so those areas are avoided while unaffected areas may still be treated gently. Vigorous kneading and prolonged manipulation compound the damage. Heavy occlusive oils add follicular congestion to skin that is already impacted.

What depth of chemical peel may a licensed esthetician in California perform?

• a.Any depth, as long as the client signs a consent form
• b.Medium-depth peels reaching the papillary dermis
• c.Deep phenol peels under a physician's general instruction
• d.Superficial peels only, which affect the epidermis and do not remove living tissue below it✓

An esthetician's practice is limited to the non-living surface of the skin, so only superficial exfoliating peels acting on the epidermis are permitted. Medium and deep peels wound the dermis, are considered a medical procedure, and must be performed by or under the direct supervision of a licensed physician. A signed consent form does not extend a license's legal scope.CA Business & Professions Code

A client asks the esthetician to perform a 35 percent TCA peel she saw advertised online. How should the esthetician respond?

• a.Explain that a peel at that depth is a medical procedure outside esthetic scope, and refer her to a physician✓
• b.Perform it but shorten the contact time to make it superficial
• c.Perform it if the client signs a liability waiver
• d.Perform it on half the face as a test

A peel at that strength is designed to reach the dermis and is outside an esthetician's scope regardless of technique or paperwork; the correct response is a clear explanation and a physician referral. Reducing contact time does not reliably control depth on a medical-strength agent. A waiver cannot authorize unlicensed practice, and a test area is still the same prohibited procedure.CA Business & Professions Code

A client is scheduled for her first superficial AHA peel. Which combination of steps is most appropriate?

• a.Skip the patch test and begin at the highest available strength for faster results
• b.Advise the client to tan beforehand so the skin is conditioned
• c.Perform a patch test, start at a low strength and short contact time, watch the skin's response, and instruct the client on daily broad-spectrum sun protection afterward✓
• d.Instruct the client to use a retinoid the night before to enhance penetration

A first peel is patch tested and begun conservatively, with close observation during the service and strict sun protection afterward because freshly exfoliated skin is highly photosensitive. Starting at maximum strength invites burns and pigmentation. Tanning beforehand and layering a retinoid the night before both sensitize the skin and increase the risk of injury.

Which client is the poorest candidate for microdermabrasion?

• a.A client with mild surface roughness and dull tone
• b.A client with active inflamed acne, a rosacea flare, or recent isotretinoin use✓
• c.A client with occasional closed comedones on the forehead
• d.A client with mild uneven texture from past sun exposure

Microdermabrasion is mechanical abrasion of the stratum corneum, so it is contraindicated over inflamed acne, an active rosacea flare, or skin fragile from recent isotretinoin use, all of which can be torn or severely irritated. Dullness, mild roughness, and non-inflamed comedones are exactly the concerns superficial mechanical exfoliation is designed to address.

A client discloses that she has been taking isotretinoin (Accutane) for four months and requests a facial wax. What should the esthetician do?

• a.Perform the wax but use a gentler hard wax
• b.Perform the wax and apply a soothing gel afterward
• c.Perform the wax on a small test area first
• d.Decline the waxing service, explain that the medication makes skin fragile and prone to lifting and scarring, and rebook only after the client is off the medication for the period her physician specifies✓

Isotretinoin thins the epidermis and weakens its attachment, so wax can strip living skin and cause tearing, prolonged healing, and scarring; the service is declined and rebooked after the client's physician clears her, commonly around six months off the drug. Hard wax, aftercare gel, and a test patch do not change the underlying fragility of the skin.CCR Title 16

What is the correct technique for soft wax removal?

• a.Apply the wax in the direction of hair growth, hold the skin taut, and remove the strip quickly against the direction of growth, close and parallel to the skin✓
• b.Apply against the growth and remove in the direction of growth
• c.Apply and remove in the same direction, pulling straight up away from the skin
• d.Apply thickly in any direction and peel slowly for less discomfort

Applying with the growth coats each hair from base to tip, taut skin prevents lifting and bruising, and a fast removal against the growth close to the skin snaps hair out at the root. Pulling straight up or slowly increases pain and breaks hairs at the surface. Reversing the application and removal directions leaves hair behind and increases the chance of ingrowns.

Which of the following is a contraindication to waxing?

• a.Coarse terminal hair on the upper lip
• b.Hair that is at least one quarter inch long
• c.Recent sunburn, an active chemical peel, or topical retinoid use in the treatment area✓
• d.Client anxiety about discomfort

Sunburned skin, recently peeled skin, and skin treated with topical retinoids are all compromised and can lift or tear during wax removal, so those areas must be avoided until they recover. Coarse hair and adequate hair length are normal indications for waxing, not contraindications, and client nervousness is addressed with explanation and technique rather than by cancelling the service.

Before applying wax to a client's skin, what must the esthetician do with the wax temperature?

• a.Assume the thermostat setting is accurate and begin
• b.Test the temperature on her own inner wrist or another approved test site, and confirm it is comfortable before contact with the client✓
• c.Ask the client to touch the wax pot to judge the heat
• d.Heat the wax as hot as possible so it spreads more easily

Thermostats drift and wax heats unevenly, so a temperature test on the practitioner before every client is the safeguard against burns. Trusting the dial alone has produced many injuries. Asking the client to touch the pot exposes her to the burn risk directly, and deliberately overheating wax is the most common cause of thermal injury during hair removal.CCR Title 16

A client requests a lash and brow tint. What is the correct precaution?

• a.No precaution is needed because tints are cosmetic products
• b.A patch test is needed only for clients who report allergies
• c.The tint should be tested on the lash line itself
• d.A patch test should be performed at least 24 to 48 hours in advance, per the manufacturer's directions, and the service refused if any reaction occurs✓

Lash and brow tints and adhesives are common sensitizers that can cause severe reactions near the eye, so a patch test placed away from the eye and read 24 to 48 hours later is standard practice for every client. Self-reported allergy history does not identify first-time sensitization. Testing on the lash line defeats the purpose by exposing the eye to the very product in question.

Two days after a lash extension service a client calls reporting a swollen, red, painful eyelid with discharge. What should the esthetician advise?

• a.Tell her to stop using the lashes, seek medical evaluation promptly, and document the incident✓
• b.Tell her to apply an over-the-counter steroid cream to the lid
• c.Tell her to come in for a fill and the irritation will settle
• d.Tell her the reaction is normal and will pass in a week

Swelling, pain, and discharge around the eye suggest an infection or a significant allergic reaction and require a physician or eye doctor, not an esthetician; the incident should also be documented. Recommending a medication is prescribing, and applying more product or dismissing the symptoms delays care and can lead to permanent eye damage.CCR Title 16

Which combination of makeup practices is both technically and sanitarily correct?

• a.Dip the applicator directly into the jar and use green concealer to cover dark under-eye circles
• b.Use a lip brush directly from the client's mouth back into the lipstick tube
• c.Scrape product from the container onto a clean palette, use disposable or freshly disinfected applicators, and use a green-based corrector to neutralize redness✓
• d.Blow on brushes to remove excess powder before applying

Product is decanted onto a palette with a clean spatula so the bulk container is never touched by a used applicator, and single-use or disinfected applicators are used for each client. In color theory, green sits opposite red and neutralizes redness, while peach or yellow tones counter bluish under-eye shadows. Double-dipping and blowing on brushes both contaminate product directly.CCR Title 16

A client asks her esthetician to tattoo her eyebrows for a permanent result. What is the correct response?

• a.Perform it, since brow shaping is within an esthetician's scope
• b.Explain that permanent makeup involves puncturing the skin and is not authorized by an esthetician license, and refer the client to an appropriately permitted practitioner✓
• c.Perform it using a topical numbing prescription
• d.Perform it if the client has had it done elsewhere before

Tweezing, waxing, and tinting brows are within esthetic scope, but permanent makeup penetrates the skin with a needle and is regulated separately from the esthetician license, so it must be referred out. Prior experience elsewhere does not authorize the service, and obtaining or applying a prescription numbing agent is itself outside scope.CA Business & Professions Code

What is the purpose of properly draping a client and covering the eyes during a facial?

• a.It is only a matter of the salon's visual presentation
• b.It substitutes for cleaning the treatment bed between clients
• c.It allows the esthetician to skip the consultation
• d.It protects the client's clothing and hair, maintains modesty and comfort, and shields the eyes from steam, bright lamps, and LED or other light sources✓

Draping keeps product off clothing and hair, preserves the client's comfort and dignity, and eye protection prevents injury from steam, magnifying lamps, and light-emitting devices. Draping is a hygiene and safety measure, not decoration, and it never replaces cleaning and re-covering the treatment bed with fresh linens or a consultation.

How should a facial steamer be positioned and used during a treatment?

• a.Positioned an appropriate distance from the face, aimed so the vapor is comfortable, used for a limited time, and never directed at a client with a rosacea flare or heat sensitivity✓
• b.Placed as close to the face as possible for maximum penetration
• c.Aimed directly at the eyes to hydrate the delicate area
• d.Used for the entire duration of the facial for best results

Steam is kept at a comfortable distance and duration so it softens the skin without burning or overheating the client, and it is omitted entirely for rosacea flares, heat-reactive skin, and asthma-triggered clients. Close positioning and extended use cause thermal injury and excessive vasodilation, and aiming steam at the eyes is never appropriate.

Three minutes into a superficial peel the client reports intense burning and the esthetician sees blanching. What is the correct action?

• a.Reassure her and complete the full timed application
• b.Add a cool towel over the peel and continue
• c.Remove or neutralize the product immediately per the manufacturer's directions, cool the skin, and document the reaction✓
• d.Apply a second layer to even out the result

Intense burning with blanching signals that the peel is going deeper than intended, and the correct response is immediate removal or neutralization per the manufacturer's protocol, cooling, and documentation. Continuing the timed application or covering it while it keeps working allows further injury, and a second layer increases depth on skin already showing a warning sign.

What is the most important home care instruction after a superficial exfoliating treatment?

• a.Exfoliate again at home that night to extend the result
• b.Apply broad-spectrum SPF 30 or higher daily, avoid additional exfoliants and heat exposure for several days, and keep the skin hydrated✓
• c.Use a facial scrub twice daily for a week
• d.Avoid all moisturizer so the skin can breathe

Freshly exfoliated skin has a thinner protective layer and is highly susceptible to UV damage and pigment changes, so daily broad-spectrum sun protection plus a pause on other exfoliants and heat is the core aftercare. Additional scrubbing compounds the exfoliation and damages the barrier, and withholding moisturizer slows barrier recovery.

A client asks her esthetician for a dermal filler injection to soften a nasolabial fold. What is the correct response?

• a.Perform it if the esthetician has completed a manufacturer's training course
• b.Perform it under a physician's telephone instruction
• c.Perform it and record it as a 'volumizing facial'
• d.Decline, explain that injections penetrate the skin and are a medical procedure outside esthetic scope, and refer the client to a licensed medical professional✓

Any procedure that injects a substance beneath the skin is the practice of medicine and can never be performed under an esthetician license, regardless of manufacturer training, remote instruction, or how the service is labeled on a receipt. The correct response is a clear explanation and referral to a licensed medical professional.CA Business & Professions Code