Estheticians guide

An Estheticians Guide to Skin Assessments in 2024

Want to know which of your products to toss?

Or how to deal with hyperpigmentation or acne breakouts?

Or perhaps you’re an esthetician looking for a thorough consultation guide.

Great, then you’ve come to the right place.

This consultation is what we use in our clinic to build a customer profile.

We’d love to share it with you so you can determine the best treatment outcome for yourself or your clients.

Why perform skin assessments?

Lifestyle habits, health concerns, medication, previous treatments, and what you currently use on your skin can all affect the outcome of your treatment.

Things like diabetes or Roaccutane can thin the skin and contra-indicate a treatment.

Why conduct skin assessments? Lifestyle choices, health conditions, medications, prior treatments, and current skincare routines significantly affect treatment outcomes.

Factors like diabetes or Roaccutane usage can thin the skin and present contraindications for specific treatments.

Take photos of the patient’s skin and provide informed consent forms for signing.

Skin Assessments Questions

Here are some crucial questions to consider:

Skin Type and Condition

How would you characterise your skin type and its current state?

Specific Concerns

Are there any particular sensitivities or issues you’re grappling with, like rosacea, acne inflammation, or psoriasis?

Dark Circles and Bags Under Eyes

These can indicate various health concerns, including potential thyroid issues. Sagging in the lateral brow or eyebrow hair loss may also be linked to thyroid imbalances, especially in the outer third.

Pale Skin

Pale skin may suggest low iron levels, which are common in pre-menopausal women experiencing anemia. Low iron stores can impact collagen production, contributing to premature ageing. If you are concerned about iron levels, it is advisable to consult a doctor for a diagnosis.

Skincare Routine

Sharing your current skincare routine and products is essential.

Previous treatments

They should also disclose their experiences with laser or microneedling treatments.

Clear Understanding of the Treatment

Thoroughly discuss the treatment type with the patient to ensure they understand clearly.

Skin Type Assessment

Assess the patient’s skin type, potentially using the Fitzpatrick scale, and address any contraindications, especially for darker skin tones.

Discontinue Certain Products

Recommend discontinuing certain products 4 to 6 weeks before treatment, including vitamin A creams, acid-based formulas like vitamin C or peels, and steroids.

Hyaluronic Acid Skincare Routine

Recommend a simple skincare routine with pure hyaluronic acid for at least four weeks before treatment.

Sun Exposure and Sunscreen

Advise avoiding sun exposure for at least four weeks before treatment and stress the importance of sunscreen and sun protection.

Avoid Certain Hair Removal Methods

Instruct patients to avoid waxing, depilatory creams, or electrolysis on the face for at least two weeks before dermaroller treatment.

Intrinsic and Lifestyle Factors

Consider inherited traits (genetics) and lifestyle choices such as exercise, stress management, and sun exposure.

Diet and Hydration

Discuss dietary habits and hydration levels, including specific diets or supplements.

Risk Factors

Any allergies, previous adverse reactions, medications, or specific skin conditions like melasma should be highlighted.

Medical History

Significant medical conditions, surgeries, allergies, or prescription medications must be disclosed. For users of acne medication, the duration of usage and topical steroid use should also be discussed.

Cosmetic Procedures

Past or recent cosmetic procedures and any associated reactions should be recorded.


It is important to consider food allergies during skin assessments.

Food allergies or thyroid imbalances (present in seaweed, marine collagen, and kelp found in spa body wraps and almonds in massage oil and certain products must be logged in case of a reaction).

Hormonal Issues

Do you or the client have any ongoing hormonal concerns?

While this list isn’t exhaustive, it covers many of the primary consultation requirements that should be covered to ensure nothing contraindicates a treatment.

Next, let’s delve deeper into specific factors that could prevent or influence treatment outcomes.


Clients who underwent a hysterectomy with ovary removal before the age of 35 should be noted in your skin assessments, as this can induce premature menopause, potentially affecting collagen production.


During the consultation, inquire about past chemotherapy experiences and the age at which they occurred. Chemotherapy, significantly before age 30, can trigger premature menopause and significant stress on the body, impacting overall health, including the skin.


Clients’ smoking history is of interest. Quitting smoking is crucial for skin health, as it improves oxygen flow and prevents premature ageing by ensuring proper delivery of antioxidants and nutrients. Smoking restricts oxygen supply to the skin, contributing to premature ageing.

Alcohol Intake

For clients who consume alcohol, understanding their weekly intake of standard glasses is valuable. Consuming more than four glasses a week can stimulate estrogen receptors in the skin, potentially increasing the risk of breast cancer. Excessive alcohol consumption can have adverse effects, emphasising the need to detoxify regularly.


During a facial assessment, think about stress. Chronic stress can significantly affect the skin by breaking down collagen and accelerating ageing. Assessing stress levels and coping mechanisms is essential. We offer guidance on stress management, smoking cessation, and moderating alcohol intake for skin health.

Thyroid Disorders

Dry or moist skin, volume loss in the cheeks, or loose jowls can be signs of thyroid disorders. Discuss any observed signs with a doctor for a comprehensive evaluation and appropriate guidance.

Consider Blood Thinners

Evaluate the use of blood thinners as they may contraindicate treatment. Advise patients to avoid blood-thinning medications like Advil or Ibuprofen before the procedure. Discuss potential contraindications based on the patient’s health and skin status.

These guidelines ensure a comprehensive and well-informed approach to Morpheus8 treatment, reducing the risk of complications or side effects.

Here is a free PDF form for a facial consultation that may be useful.

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