What Is an Aesthetician? Duties, Salary, and Requirements

An aesthetician, sometimes referred to as an esthetician, is a licensed professional specializing in cosmetic skin care. These specialists focus on improving the appearance and texture of the skin through various non-medical treatments. Demand for these services continues to increase as more people seek personalized solutions for skin maintenance and anti-aging concerns. The role requires a deep understanding of skin anatomy, product chemistry, and procedural techniques to ensure client safety and desired results.

Defining the Aesthetician Role

The professional practice of an aesthetician is defined by its scope, which centers exclusively on the uppermost layer of the skin (the epidermis). Aestheticians are trained to provide preventative care and routine maintenance, addressing common superficial issues like dryness, oiliness, mild acne, and the visible signs of aging. They achieve this through detailed skin analysis, tailoring treatments to individual needs and conditions.

A significant part of the aesthetician’s job involves educating clients on proper home care practices, recommending cleansers, serums, and moisturizers to maximize results between appointments. These professionals act as maintenance specialists, helping clients preserve the results of cosmetic procedures. Importantly, their scope does not extend to diagnosing or treating serious medical skin conditions, which must be handled by a medical doctor. The aesthetician’s focus remains strictly cosmetic and maintenance-oriented, restricted to the skin’s surface.

Common Services and Treatments Performeda

Facial and Skin Care Treatments

Facial treatments form the foundation of an aesthetician’s daily schedule, focusing on deep cleansing and rejuvenation. Services often begin with cleansing and steam application to prepare the skin. Aestheticians are trained to perform manual extractions, carefully removing impurities from the pores.

Practitioners provide superficial chemical peels, using gentle acids like glycolic or lactic acid to exfoliate the skin and improve texture. They also perform microdermabrasion, a mechanical exfoliation technique. Treatments are completed with a customized mask selected to address the client’s unique skin type, such as for hydration or managing acne.

Hair Removal and Grooming Services

Aestheticians offer several methods of temporary hair removal for the face and body. Beyond hair removal, they also specialize in grooming services that enhance facial features.

  • Waxing, which involves applying and removing warm wax to pull hair from the root.
  • Sugaring, an ancient technique using a natural paste often preferred by clients with sensitive skin.
  • Threading, where cotton thread is used to precisely remove unwanted facial hair, popular for shaping eyebrows.
  • Tinting the eyelashes and eyebrows.
  • Applying semi-permanent eyelash extensions to add length and volume.

Body Treatments and Wraps

The scope of an aesthetician’s work extends beyond the face to include various treatments designed for the body. Exfoliating body treatments, such as salt or sugar scrubs, are offered to remove dead skin cells and improve circulation. This leaves the skin smoother and better prepared to absorb moisturizing products.

Body wraps, which often use ingredients like mud or seaweed, are applied and then wrapped to promote detoxification and deep hydration. Aestheticians may perform light, relaxation-focused massage techniques to apply products, but they do not provide deep tissue or therapeutic massage. These body services contribute to overall skin health and provide a holistic spa experience.

Where Aestheticians Work

Licensed aestheticians find employment in a wide array of settings. Traditional day spas and resort spas are common, focusing on relaxation, basic maintenance, and high-volume treatments. Salons also employ aestheticians, integrating skin care services alongside hair and nail services.

A growing number of aestheticians work in medical spas, which operate under the supervision of a licensed physician, such as a dermatologist or plastic surgeon. This clinical environment permits the aesthetician to perform more advanced procedures, often requiring additional certification. Experienced aestheticians may also operate as independent contractors, managing their own clientele and business operations.

Becoming a Licensed Aesthetician

Entry into the profession requires meeting specific regulatory requirements, as the aesthetician role is licensed by individual state boards. The path begins with completing an education program at an accredited cosmetology or aesthetic school. The minimum number of required training hours varies significantly across the country, ranging from 260 hours to over 1,500 hours, depending on the state where the license is sought.

After completing the required coursework, prospective aestheticians must pass state board examinations, which typically consist of both a written theory test and a practical skills test. The licensing process is not standardized nationally, meaning that a license obtained in one state may not be automatically recognized in another without additional steps or testing. Maintaining the license requires periodic renewal, which often involves paying a fee and completing continuing education hours. These requirements ensure practitioners remain current on industry trends, sanitation protocols, and changes in state regulations.

Aesthetician vs. Related Professionals

Distinguishing the aesthetician from similar professionals clarifies the specific role and its limitations. Cosmetologists hold a broader license encompassing hair styling, nail technology, and basic skin care. Aestheticians are more focused specialists, dedicating their education and practice entirely to the skin, resulting in deeper expertise in skin analysis and specialized cosmetic treatments.

The term “Medical Aesthetician” or “Clinical Aesthetician” refers to an aesthetician who works in a medical setting, such as a dermatologist’s office, often performing higher-level treatments like deep chemical peels or laser procedures. While the base state license may be the same, the medical setting allows them to work collaboratively with physicians and receive specialized training. The dermatologist, conversely, is a medical doctor who diagnoses and treats skin diseases and conditions, while the aesthetician provides cosmetic support, maintenance, and adjunctive care.

Career Outlook and Salary Expectations

The career path for aestheticians shows a positive trajectory, driven by an increasing public focus on personal wellness, anti-aging solutions, and sun protection. Job growth projections indicate a demand for skin care specialists that is faster than the average for all occupations. This expansion is supported by the continuing growth of the spa industry and the proliferation of medical spas.

Earnings for aestheticians are structured uniquely, often relying on a combination of a base hourly wage, customer tips, and commission on product sales or services rendered. The median annual salary is influenced heavily by geographic location, the type of establishment (such as a luxury resort versus a small salon), and the practitioner’s specialization. Additional training in advanced procedures or working in a medical setting can significantly elevate earning potential beyond the national median.