NIC Cosmetology Written (Theory) ExamSkin Care and ServicesHard
A client is scheduled for a full face waxing service. Upon consultation, the cosmetologist observes that the client is currently using isotretinoin (Accutane) for acne treatment. What is the appropriate course of action for the cosmetologist?
- APerform a patch test on a small area before proceeding with the full service.
- BAdvise the client to discontinue isotretinoin for 24 hours prior to waxing.
- CRefuse the waxing service and recommend alternative hair removal methods.
- DProceed with the waxing service, but use a gentler wax.
Show answer & explanationAnswer & explanation
Correct answer: C. Refuse the waxing service and recommend alternative hair removal methods.
Isotretinoin (Accutane) significantly thins the skin and increases its sensitivity, making waxing highly risky due to the high likelihood of skin lifting, tearing, or severe irritation. Waxing is contraindicated for clients using this medication.
Why the other options are wrong
- A. A patch test is insufficient as the entire treated area will be compromised, and severe reactions can still occur.
- B. Discontinuing isotretinoin for only 24 hours is insufficient; the skin remains compromised for an extended period after cessation.
- D. Even gentler wax can cause severe damage to skin compromised by isotretinoin.
Waxing Contraindications (Isotretinoin)
Clients using isotretinoin (Accutane) are contraindicated for waxing services due to extreme skin thinning and fragility, which can lead to severe skin damage.
- Isotretinoin thins skin significantly
- High risk of skin lifting/tearing
- Contraindicated for waxing
- Alternative methods (e.g., sugaring, threading) may also be risky
Memory trick: When skin's thin from Accutane, waxing brings only pain!