California Cosmetology Written ExamHair RemovalMedium
A client mentions she has been taking isotretinoin (Accutane) for acne for the past two months and wants her legs waxed. What should the cosmetologist do?
- ASubstitute a stronger hard wax to reduce pulling force
- BProceed with waxing but use extra wax to compensate for thin skin
- CRefuse the waxing service because isotretinoin thins the skin and increases risk of tearing and scarring
- DPerform the service only on areas without visible acne
Show answer & explanationAnswer & explanation
Correct answer: C. Refuse the waxing service because isotretinoin thins the skin and increases risk of tearing and scarring
Isotretinoin significantly thins and sensitizes the skin, making it prone to tearing, burning, and scarring when waxed; this is a well-established contraindication, and waxing should be avoided while the client is on this medication and for a period after discontinuation.
Why the other options are wrong
- A. A stronger wax increases pulling force, worsening the risk of skin damage.
- B. Using more wax does not address the skin fragility caused by isotretinoin.
- D. The contraindication applies to overall skin fragility, not just acne-affected areas.
Isotretinoin Contraindication
Isotretinoin (Accutane) thins the epidermis and impairs healing, making waxing unsafe due to risk of tearing, burns, and scarring.
- Wait period recommended after stopping medication (often 6 months per manufacturer guidance)
- Applies to both hard and soft wax
- Alternative methods like tweezing may still carry risk; consult client's dermatologist
Memory trick: 'Retin' skin is thin — no wax within.