California Cosmetology Written ExamEyelash and Eyebrow ServicesHard

A client mentions she has been taking oral isotretinoin (Accutane) for acne within the past six months and requests eyebrow shaping. Which service should the technician avoid due to risk of skin tearing?

  1. AEyebrow waxing
  2. BEyebrow threading
  3. CEyebrow tweezing
  4. DEyebrow tinting
Show answer & explanation

Correct answer: A. Eyebrow waxing

Isotretinoin thins the skin and makes it highly sensitive and fragile for months after use. Waxing removes the top layer of skin along with hair and can cause tearing, burns, or scarring in clients using this medication, so it is contraindicated. Tweezing or threading are safer alternatives.

Why the other options are wrong

  • B. Threading, like tweezing, does not remove skin layers and is a safer alternative.
  • C. Tweezing is generally considered safer since it does not pull off skin layers.
  • D. Tinting does not involve skin removal and is not typically contraindicated by isotretinoin alone.

Isotretinoin & Waxing Contraindication

Clients using oral isotretinoin (Accutane) have thinned, fragile skin, making waxing services contraindicated due to risk of tearing or scarring.

  • Effect can persist up to 6 months after stopping medication
  • Tweezing or threading are safer alternatives
  • Always ask about recent medication use during consultation

Memory trick: Accutane thins skin — wax spins risk in.

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