What Do Aestheticians Do: Services, Training, Career

The aesthetician profession focuses on enhancing and maintaining the appearance and health of the skin through specialized cosmetic treatments. These licensed professionals play a significant role in the personal care industry, helping clients address various superficial skin concerns and develop effective long-term skincare habits. Their work is centered on the art and science of skin beautification, ranging from routine care to advanced, non-invasive procedures. Understanding their specific services, training, and work environments clarifies their position in the broader field of personal wellness.

Defining the Aesthetician Role

An aesthetician is a licensed skin care specialist who provides cosmetic treatments to improve the skin’s appearance, texture, and overall condition. They are trained to perform procedures that target the skin’s surface layers within a strictly non-medical scope of practice. Aestheticians analyze a client’s skin to identify concerns like dryness, oiliness, mild acne, or signs of aging, then recommend appropriate treatments and products. Their primary function involves preventative and maintenance care, focusing on external appearance. Aestheticians cannot diagnose medical skin conditions, prescribe medications, or perform invasive procedures such as injections or surgery.

Core Services and Treatment Specialties

Facial Treatments

Facial treatments form the foundation of an aesthetician’s service menu, often beginning with a detailed skin analysis to customize the session. A standard facial includes deep cleansing, exfoliation, steam application, and manual extractions to clear congested pores. Specialized treatments include microdermabrasion, which uses an abrasive tip or crystals to gently resurface the topmost layer of the epidermis. Aestheticians also apply light chemical peels, typically using alpha or beta hydroxy acids, to promote cell turnover and improve skin tone. Corrective masks, serums, and moisturizers are then applied to address specific issues like dehydration or redness, often accompanied by a relaxing massage of the face, neck, and décolleté.

Body Treatments

The aesthetician’s expertise extends beyond the face to offer treatments designed to improve the skin on the rest of the body. Services such as body scrubs utilize granular exfoliants to remove dead skin cells and reveal smoother skin. These treatments often incorporate nourishing oils or lotions to hydrate and soften the skin. Body wraps are another popular service, where the client is covered in a specialized mixture—such as clay, mud, or seaweed—and then wrapped to promote detoxification or deep hydration.

Hair Removal Services

Aestheticians are skilled in various methods of temporary hair removal, which is a frequent request from clients. Waxing is the most common technique, involving the application of warm wax to the skin, which is then quickly removed to extract the hair from the follicle. Other methods include sugaring, which uses a natural paste to remove hair in the direction of growth, and threading, a precise technique using twisted cotton thread for facial hair. In some states and under specific supervision, aestheticians with advanced certifications may also perform light-based hair removal procedures.

Makeup and Consultation Services

Many aestheticians provide professional makeup application for special events, utilizing their knowledge of skin tones and product chemistry. Beyond application, product recommendations and retail sales are a significant part of the role. Consultation services are a foundational element of the aesthetician’s practice, involving the development of personalized skincare routines. After analyzing the skin, the aesthetician advises the client on proper cleansing, toning, and moisturizing techniques, along with recommending specific products for home use to maintain the benefits of professional treatments.

Necessary Training and Licensing Requirements

A career as a licensed aesthetician requires completing a specific educational pathway and passing a state-mandated examination. Prospective aestheticians must first obtain a high school diploma or equivalent before enrolling in a state-approved program. The required instructional hours vary significantly by state, typically ranging from 260 to over 1,000 hours. These programs combine classroom instruction in anatomy, physiology, and skin science with hands-on practice in cosmetic techniques and sanitation protocols. Licensing is mandatory in almost all states, and some states offer advanced or “Master Aesthetician” licenses requiring additional education for more complex procedures.

Work Environments for Aestheticians

Aestheticians practice their profession in a diverse range of settings, which often influences the specific services they provide. Day spas, salons, resort spas, and luxury hotels are traditional workplaces focusing on relaxation-based treatments like facials and waxing. A growing number of aestheticians work in medical settings, such as medical spas or dermatology offices. In these clinical environments, they often assist physicians by performing advanced, technology-driven treatments under medical supervision. Self-employment is another option, with many professionals operating private studios or offering mobile services.

Key Differences Between Related Professions

The roles of aestheticians, cosmetologists, and dermatologists are frequently confused, but they differ significantly in training, scope of practice, and legal authority. Aestheticians specialize exclusively in the cosmetic care of the skin, while cosmetologists have a broader license encompassing hair, nails, and makeup. Dermatologists, by contrast, are medical doctors who have completed extensive medical school and a specialized residency. They can diagnose and treat over 3,000 conditions, prescribe medication, perform surgery, and administer injections like Botox, none of which an aesthetician is legally permitted to do. The aesthetician’s work is limited to the surface of the skin for appearance improvement, whereas the dermatologist provides medical care for underlying skin health issues.

Career Outlook and Compensation

The employment of skincare specialists, including aestheticians, is projected to grow 7 percent from 2024 to 2034, faster than the average for all occupations. This positive career outlook is driven by an increasing consumer focus on personal wellness and preventative skin maintenance. Compensation varies widely based on location, experience, and work setting. The median hourly wage for skincare specialists was $19.98 in May 2024, with the highest 10 percent earning over $37.18 per hour. A significant portion of income often comes from gratuities and commission on product sales. Professionals working in high-end spas, medical settings, or metropolitan areas generally command higher salaries.