California Cosmetology Written ExamEyelash and Eyebrow ServicesHard

Two days after a lash extension service, a client calls the salon reporting itchy, red, and swollen eyelids that were not present immediately after the appointment. What most likely caused this reaction?

  1. AAn immediate reaction to eye makeup applied by the client
  2. BNormal shedding of natural lashes
  3. CA delayed allergic reaction to the cyanoacrylate adhesive
  4. DOverexposure to sunlight after the appointment
Show answer & explanation

Correct answer: C. A delayed allergic reaction to the cyanoacrylate adhesive

Allergic reactions to cyanoacrylate lash adhesive can be delayed, sometimes appearing 24-72 hours after exposure, rather than immediately. Symptoms such as itching, redness, and swelling of the eyelids indicate a hypersensitivity reaction, and the client should be advised to have the extensions removed and see a physician if symptoms persist or worsen.

Why the other options are wrong

  • A. Makeup reactions typically occur at time of application, not two days later as a new onset.
  • B. Natural lash shedding does not cause itching, redness, or swelling.
  • D. Sunlight exposure is not a typical cause of sudden delayed eyelid swelling after lash services.

Delayed Adhesive Allergy

An allergic reaction to lash adhesive that may not appear until 24-72 hours after application, presenting as itching, redness, and swelling.

  • Caused by sensitivity to cyanoacrylate in adhesive
  • Can occur even after multiple prior uneventful services
  • Client should remove extensions and seek medical care if severe

Memory trick: The itch doesn't always come quick — allergies can be a late trick.

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