Skin SciencesQuestion 39 of 100

A client presents with deep, painful, interconnected nodules and cysts across the jawline and back with visible scarring. What is the appropriate esthetic response?

a.Perform aggressive extractions to drain the cysts
b.Recognize this as severe (grade IV) acne, refer the client to a physician, and offer only gentle supportive care within scope
c.Apply a strong chemical peel to dry the lesions
d.Advise the client to stop all skin care until the acne clears

Explanation

Grade IV cystic acne is a medical condition that requires physician management, and cysts must never be extracted by an esthetician because incising or draining them is outside scope and causes scarring and infection. Aggressive peels on inflamed skin worsen the condition. Telling a client to abandon all care is neither helpful nor within the practitioner's role.

Law Reference: CCR Title 16

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