Services, Skills, and Modalities Advanced Esthetics

Learn about each medical spa treatment, essential skill, and piece of equipment taught in our Advanced Esthetics program.

AESTHETICS INSTITUTE

Services, Skills, and Modalities Advanced Esthetics

The online skincare theory portion of the Advanced Esthetics program is paired with our in-house, hands-on, technology-supported training, where each student focuses on mastering the services, skills, and modalities included in the course.

Advanced instructor with laser

Alongside our expert instructors, students will learn and operate cutting-edge equipment, utilize professional-rated and FDA-approved technology, and provide high-demand services to real clients at our industry-leading medical spa facilities.

Services, Skills, and Modalities included in Advanced Esthetics:

The Aesthetics Institute provides additional certifications as well as the standard certifications required by the state of Oregon to become an Advanced Esthetician.

We include these certifications in our program at no additional cost because we know these are the skills that are most sought-after by employers.

These additional certifications include:

Here we have created a brief overview of each of the services, skills, or modalities our students are expected to learn to graduate from our Advanced Esthetics program.

Because our focus is hands-on learning and safety, it is essential for current estheticians and prospective students to know what medical spa services, skills, and pieces of equipment they will be expected to be proficient in using upon graduation from our school.

Advanced instructor hands on training
Body countouring leg with student
These services, skills, and modalities include complete treatments that an advanced esthetician can provide to a client in a professional medical spa setting, such as facial laser resurfacing and body contouring and cellulite reduction services, to pieces of equipment and technology that each student will be able to operate with ease, such as a microneedling device or an IPL handpiece.
We have also included in this list specific parts of services that can stand alone, such as different styles of chemical exfoliants, DiamondGlow microdermabrasion protocols, and advanced skin analysis technologies, such as the Optic Slim Aesthetic Imaging Skin Analyzation Machine.
Diamond glow close up
Joan Sands, Masters & Advanced

Each student will learn all of these skills, services, and modalities as a graduate of the Aesthetics Institute, and every single one of them are included in our Advanced Esthetics course at the listed price.

The Aesthetics Institute heavily invests in cutting-edge technology and equipment and stays up on the latest trends in the beauty industry to make sure that our students are learning the services and skills that make them highly competitive in the job market.

For nearly 40 years, this successful teaching model has produced more than 2000 graduates, and we stand behind it. No matter how long you have been an esthetician, our Advanced Esthetics Program was designed to take you to the next level of your career. We welcome you to join us!
Advanced skin tightening service

Services, Skills, and Modalities included in Advanced Esthetics:

Play Video about Body Contouring video

Intense Pulsed Light (IPL) Photorejuvenation & Dyschromia Reduction Treatments

These types of treatments use a light-based skin therapy that targets hyperpigmentation and redness and addresses overall skin rejuvenation.

Broadband light is pulsed into the skin to target melanin for hyperpigmentation and oxyhemoglobin for redness using a variety of wavelengths to reach different depths in the skin. 

The melanin or oxyhemoglobin absorbs the light and converts it into heat, damaging the cells and triggering the body’s wound-healing process.

Over two weeks following the treatment, the treated tissue will be absorbed back into the body or will come up to the skin’s surface to flake off its pigmentation, leaving behind even, radiant skin.

The spectrum of light used in these treatments is lower and has a more gentle level of LED lights than other skin regenerating services. This service is also known as Light Therapy or Photodynamic Therapy. This therapy is recommended to improve the appearance and quality of the skin.

Medical Spa Services at the Aesthetics Institute
Laser service chest
The term photo rejuvenation best describes an all-over improvement in skin tone, pigmentation (including redness and irritation), and texture. It produces skin that is even in tone with a glowing and calm completion.

Dyschromia reduction is different than photo rejuvenation. Instead of focusing on multiple treatment areas, dyschromia reduction is solely used to treat pigmentary issues. 

These conditions include irritation and redness, Angiomas, Couperosed skin, telangiectasia, rosacea, sun damage, sun spots, and melasma.

Watch students learning IPL treatments:

Non-ablative laser resurfacing

Microneedling Treatments and Modalities

Microneedling is also known as collagen induction therapy and utilizes the body’s natural wound-healing process to create new collagen and elastin in the skin and restructure scar tissue.
Microneedling student smiling

The treatment uses a sterile set of tiny needles to create micro-injuries and acute inflammation in the skin. This advanced skin treatment can create as much collagen as you lose in one whole year after just one treatment.

The science behind this service is stated in its name: “Collagen Induction Therapy.” The microneedle device contains tiny needles that oscillate into the skin, creating a “micro-injury” at different depths based on the client’s specific treatment plan and skincare goals.

As an intended side effect, the body’s natural wound-healing response is activated, and as part of that process, the stimulation of collagen and elastin is initiated within the layers of the skin.

Microneedling can be done superficially or more aggressively, depending on the skin condition it addresses. This treatment is great for improving fine lines and wrinkles and creates results that can rival a mild laser resurfacing without the lengthy downtime associated with that service category.

Microneedling nose post treatment
Microneedling close up on face

Microneedling also aids in treating pigmentary conditions such as hyperpigmentation, post-inflammatory hyperpigmentation, and melasma. 

The Aesthetic Institute teaches our Advanced Esthetics students how to treat scarring from injury, acne, surgery, and stretch marks and to aid with mild to moderate skin tightening.

Although the face and neck are the most popular treatment areas, this service is safe to treat most of the rest of the body. Some other suggested treatment areas include the back, arms, and stomach.

Watch students learning microneedling:

Microneedling Video

Radio Frequency Microneedling Treatments

Microneedling creates controlled micro-injuries in the skin, stimulating collagen production.

When combined with Radio Frequency energy, the heat generated further amplifies the collagen-inducing effects.

This synergy leads to more robust and pronounced skin rejuvenation results compared to standalone treatments.

Radio Frequency microneedling is suitable for addressing a wide range of skin concerns, including wrinkles, fine lines, sagging skin, acne scars, and uneven texture.

This versatility makes it a valuable option for individuals with multiple concerns.

Compared to more aggressive laser treatments, Radio Frequency microneedling typically has minimal downtime.

The micro-injuries created by the needles are often less visible than those from resurfacing laser treatments, and the Radio Frequency energy helps to accelerate the skin’s healing process.

The Matrix Pro Radio Frequency Microneedling System by Candela was designed to correct, maintain, and restore skin at various stages of the aging journey. 

This multi-application microneedling machine features the all-new Matrix Pro, Sublime, and Sublative RF applicators to deliver customized treatments based on patient needs.

The Matrix system is designed to resurface the skin and treat wrinkles, all while creating volume and strengthening skin structure.

Radio Frequency Body Contouring & Cellulite Reduction Treatments

Radiofrequency treatments can improve the look of cellulite by smoothing dimples and killing fat cells. 

It uses radiation in combination with suction to heat up the tissue to increase blood flow, stimulate fibroblast production in the skin, and kill fat cells.

instructor-helps-with-body-contouring
Body contouring at the Aesthetics Institute

Radiofrequency works by inducing heat into the skin and adipose tissue. The heating effect in the dermal skin layers leads to connective tissue remodeling, which tightens the skin and helps to keep the results for much longer. 

In addition, the heating of the adipose tissue will cause the adipocytes (fat cells) to sweat and shrink in size, thus its name: “circumferential reduction.”

Viora Radio Frequency Body Contouring and Radio Frequency Skin Tightening treatments were originally created to aid those who had lost a dramatic amount of weight as an alternative to surgery. 

The results and responses from clients were so overwhelmingly positive that it became an incredibly popular service, even for those who have not experienced extreme weight loss.

Radio Frequency Body Contouring is a non-invasive treatment that helps reduce cellulite, reduces excess fat, and tones and tightens loose skin. 

This treatment can be performed over most of the body, with the exception of bony areas, tattoos, and breasts.

Watch students learning body contouring:

Advanced Esthetics

Radio Frequency Skin Tightening Treatments

Radio-frequency skin tightening uses heat generated by radiation to stimulate collagen production in the skin.
Advanced instructor hands on training

Viora Reaction is a quick treatment that tightens and firms the skin on the face and body. 

It utilizes Viora’s proprietary and revolutionary multi-RF technology, CORE (Channeling Optimized Radiofrequency Energy), to increase blood flow and stimulate fibroblast production in the skin. 

By increasing fibroblast production, we increase the amount of collagen being produced in the skin. Thicker skin means tighter skin and less visible dimples.

As we age, we produce less collagen in the skin, which leads to skin laxity and the formation of wrinkles. 

Skin tightening can be done as a stand-alone treatment or in combination with other collagen-stimulating treatments to address skin quality on the body. 

Common areas include but are not limited to, the neck, abdomen, arms, and inner thighs.

Joan Sands
Skin tightening and body contouring

Viora Reaction is a quick treatment that tightens and firms the skin on the face and body. 

It utilizes Viora’s proprietary and revolutionary multi-RF technology, CORE (Channeling Optimized Radiofrequency Energy), to increase blood flow and stimulate fibroblast production in the skin. 

By increasing fibroblast production, we increase the amount of collagen being produced in the skin. Thicker skin means tighter skin and less visible dimples.

Radio-frequency technology works by inducing heat into the skin and adipose tissue. 

The heating effect in the dermal skin layers leads to connective tissue remodeling, which tightens the skin and helps to keep the results for much longer.

Radio frequency skin frequency

Non-Ablative Fractional Laser Resurfacing Treatments

Non-ablative fractional laser resurfacing is a laser-based skin treatment that targets all signs of premature skin aging and scarring on the face and body. 

With this treatment, we can focus on fine lines and wrinkles, deep pigmentation such as sun damage and melasma, and uneven skin texture from acne scarring, stretch marks, or surgical scarring.

Laser skin service

A collagen-stimulating laser beam is broken up into tiny micro-channels and then fired into the skin to create micro-injuries. 

The body recognizes these channels of coagulated tissue as an injury and triggers the body’s natural wound-healing process to produce new collagen and elastin in the treated area.

Similar to Microneedling, fractional laser resurfacing creates micro-injuries to the skin while leaving healthy untreated skin in between. 

This process allows the skin to heal and regenerate faster (typically 5-14 days) compared to traditional laser resurfacing, which has a downtime average of 30 days. 

Although this service can be similar to microneedling, in many cases, it can be used in a far more aggressive manner.

Rejuvenation and dyschromia

Watch students learning laser treatments:

Non-ablative laser resurfacing

Laser & IPL Hair Removal Treatments

Laser & IPL hair removal (also known as laser hair reduction) is the most common form of semi-permanent hair removal on the market. 

Light is pulsed into the skin to target the melanin inside the hair follicle and deliver destructive energy to the cells inside the follicle.

Laser hair removal
Laser underarm hair removal

When determining the ideal candidate for laser hair removal, many factors come into consideration. This technology works by focusing on the pigment of the hair located within the skin. 

Because of this, coarse dark black or brown hair on fair skin will typically have the best clearance; however, lasers can be used safely on darker skin types.

Non-ablative Laser Tattoo Removal Treatments

This treatment uses a non-ablative laser to remove unwanted tattoos. 

The laser breaks up the large particles in the tattoo into much smaller particles that can then be carried away by the skin’s immune system.

Laser tattoo removal

Watch students learning tattoo removal:

Laser Tattoo Removal Video

Laser tattoo removal works best on older tattoos that are black or darker in color. The number of treatments the client will need will depend on the tattoo’s age, size, and color(s). 

The pigment of the client’s skin and how deep the tattoo pigment penetrates into their skin will also affect the removal technique and the number of treatments to achieve their desired results.

Advanced Dermaplaning Procedures

Advanced dermaplaning techniques provide a deep manual exfoliation of the skin using a sterile surgical blade to gently remove dead skin from the epidermis. 

This service is a safe and quick way to improve the skin’s overall appearance and texture.

Dermaplaning

While students in our Masters Esthetics program learn dermaplaning skills, the techniques and procedures taught in our Advanced Esthetics program go beyond those general skills. 

For estheticians in our Advanced Esthetics program that did not learn basic dermaplaning skills at their previous school in their general esthetics course, we also provide additional training and practice to those who need to learn and build their proficiency at dermaplaning.

Using a disposable surgical-grade scalpel, you will learn to thoroughly go over the client’s desired treatment area and remove any dull and lackluster skin. 

This treatment leaves the skin soft and smooth with the added benefit of removing peach fuzz.

Although the face and neck are some of the more popular areas for dermaplaning, some other suggested treatment areas are the backs of the arms, legs, and buttocks.

Dermaplaning
Dermaplaning
This service is suitable for most skin types, with the exception of inflammatory acne, coarse hair, and overly irritated skin conditions such as rosacea, eczema, psoriasis, and dermatitis, to name a few.

Watch students learning dermaplaning:

Dermaplaning Video

DiamondGlow Microdermabrasion Treatments

DiamondGlow microdermabrasion is a gentle, non-invasive skin resurfacing treatment that exfoliates, extracts, and infuses a custom serum into the skin when it’s most receptive. 

It uses suction and a real diamond-crusted tip to gently remove dead skin cells from the surface of the skin for a radiant, healthy-looking glow.

Diamond glow close up

DiamondGlow is great for anyone looking to target acne, signs of aging like fine lines and wrinkles, pigmentation, or overall skin rejuvenation. 

This treatment includes a full skin analysis, DiamondGlow treatment, hydrating mask, and custom product choices.

Benefits from this service include smoothing rough skin, softening fine lines and wrinkles, reducing the appearance of scars and dark spots, and reducing the look of pores. 

It’s suitable for most skin types and skin conditions because it uses physical exfoliation rather than acid-based exfoliation.

The DiamondGlow device applies suction to the skin to lift it to the diamond-crusted tip and then glides along the skin to remove dead skin cells. 

As the dead skin is being removed, it is bathed in hydration, antioxidants, and growth factors when it’s most receptive.

Diamond glow

Watch students learning microdermabrasion:

Microdermabrasion video

One or two passes may be performed on the skin depending on what is being targeted and what the specific client’s skin can handle. 

After the treatment is complete, the skin will feel glowy, hydrated, and fresh.

Advanced Skin Analysis Technologies

Advanced skin analysis technologies include machines that can take clinical photos from multiple angles and also see below the surface of the skin. 

This can be helpful in showing clients sun damage that exists below the surface of the skin that they may not be able to see with their naked eye.

Skinscope

It can also be helpful to long-term treatment planning because it helps providers decide in which order to stack client treatments. 

Often, these technologies can store original clinical photos and updated clinical photos to show clients their “before and after” photos and track success.

One piece of technology used to gather this client data in our Advanced Esthetics program is the Optic Slim Aesthetic Imaging Skin Analyzation Machine. 

This device utilizes more than ten different skin indications to best provide the most accurate recommendations for client facial care.

These areas of indication include pores, blemishes, wrinkles, texture, UV porphyrins, UV pigmentation, UV moisture, sensitive skin areas, brown areas, UV damage, skin aging simulation, and result simulation.

Jessner's Advanced Chemical Exfoliation

Jessner’s Chemical Peel combines some of our favorite acids into one treatment. 

It contains a combination of 14% Resorcinol, 14% Lactic, and 14% Salicylic Acid to target acne, fine lines and wrinkles, hyperpigmentation, and overall skin tone and texture.

Liquid chemical peel in blue bottles

Advanced chemical peels are in a league all of their own and should not be confused with some of the lower-level chemical peels that general estheticians can perform. 

These chemical peels are typically more aggressive and, depending on the chemical and the client’s skin type, can have a dramatic peeling phase during the recovery and healing process.

Chemical peels have been the traditional go-to for anti-aging treatments. However, they offer benefits to many different skin conditions and can help improve acne, texture irregularities, pigmentation, and overall skin tone. 

Acids typically break down into one of three different categories: Alpha Hydroxy Acids (AHAs), Beta Hydroxy Acids (BHAs), and designer peels.

Alpha Hydroxy Acids have a smaller molecular size, allowing them to penetrate into the deeper layers of the skin and treat anti-aging conditions such as thinning skin, fine lines, wrinkles, pigmentation, and elasticity.

Beta Hydroxy Acids have a larger molecular structure and treat more superficial conditions, such as acne, tone, texture, and superficial pigmentations, such as post-inflammatory hyperpigmentation due to acne or injury.

Chemical peel solution in blue bottles

The last category of acid is considered “designer” or combination chemical peels, which consist of a combination of multiple acids.

This combination could contain an AHA and BHA together and is meant to treat particular skin conditions or skin types.
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MandeliClear Advanced Chemical Exfoliation

Mandelic Acid is our go-to peel for treating darker skin types and skin of color. 

This gentle Alpha-Hydroxy peel is amazing for lightening melasma, acne scarring, and post-inflammatory hyperpigmentation (PIH).

Advanced chemical peels are in a league all of their own and should not be confused with some of the lower-level chemical peels that general estheticians can perform. 

These chemical peels are typically more aggressive and, depending on the chemical and the client’s skin type, can have a dramatic peeling phase during the recovery and healing process.

Chemical peels have been the traditional go-to for anti-aging treatments. However, they offer benefits to many different skin conditions and can help improve acne, texture irregularities, pigmentation, and overall skin tone. 

Acids typically break down into one of three different categories: Alpha Hydroxy Acids (AHAs), Beta Hydroxy Acids (BHAs), and designer peels.

Alpha Hydroxy Acids have a smaller molecular size, allowing them to penetrate into the deeper layers of the skin and treat anti-aging conditions such as thinning skin, fine lines, wrinkles, pigmentation, and elasticity.

Beta Hydroxy Acids have a larger molecular structure and treat more superficial conditions, such as acne, tone, texture, and superficial pigmentations, such as post-inflammatory hyperpigmentation due to acne or injury.

Acid and face chemical peel

The last category of acid is considered “designer” or combination chemical peels, which consist of a combination of multiple acids. 

This combination could contain an AHA and BHA together and is meant to treat particular skin conditions or skin types.

DermaFrost Advanced Chemical Exfoliation

Salicylic acid at 25% is a beta-hydroxy acid that is antibacterial, anti-inflammatory, and cuts through the oil in the skin. 

The advanced strength of this peel makes it a deeper exfoliation and can target problems deeper in the skin.

This peel is especially helpful for dealing with active acne, overall skin tone and texture, deeper wrinkles, hyperpigmentation, and a loss of elasticity.

Student applying chemical peel
blue chemical peel bottle on top of an open book

Advanced chemical peels are in a league all of their own and should not be confused with some of the lower-level chemical peels that general estheticians can perform. 

These chemical peels are typically more aggressive and, depending on the chemical and the client’s skin type, can have a dramatic peeling phase during the recovery and healing process.

Chemical peels have been the traditional go-to for anti-aging treatments. However, they offer benefits to many different skin conditions and can help improve acne, texture irregularities, pigmentation, and overall skin tone. 

Acids typically break down into one of three different categories: Alpha Hydroxy Acids (AHAs), Beta Hydroxy Acids (BHAs), and designer peels.

Alpha Hydroxy Acids have a smaller molecular size, allowing them to penetrate into the deeper layers of the skin and treat anti-aging conditions such as thinning skin, fine lines, wrinkles, pigmentation, and elasticity.

Beta Hydroxy Acids have a larger molecular structure and treat more superficial conditions, such as acne, tone, texture, and superficial pigmentations, such as post-inflammatory hyperpigmentation due to acne or injury.

Chemical peel facial

The last category of acid is considered “designer” or combination chemical peels, which consist of a combination of multiple acids. 

This combination could contain an AHA and BHA together and is meant to treat particular skin conditions or skin types.

Medical Terminology & Charting

Advanced estheticians often work closely alongside medical providers and can even share clients in the same facility. 

It is important for estheticians to understand medical terminology for continuity and clarity between the different fields. 

Using medical terminology is also a way to protect providers in the event of an adverse reaction because it can be easily understood if a client needs to be referred out.

Charting is an important part of client care because it protects both the client and the providers. 

We teach our Advanced estheticians to take careful notes with clients and to use terminology that can be understood by all providers in a professional setting.

Pre & Post-Client Care Protocols

In advanced esthetics, pre and post-client care is just as important as the treatment itself. 

Not only can improper preparation or follow-up to a treatment produce lackluster results, but it can also even lead to adverse reactions, such as hyper or hypopigmentation and scarring.

Student taking notes
Students in the Advanced Esthetics program will learn the correct pre and post-care procedures and protocols for all advanced services to ensure they can feel confident their clients are receiving the utmost care and the most successful treatment possible.

CPR & First Aid Certification

In this portion of the course, you will become certified in both CPR and First Aid. 

Protecting yourself and your clients from exposure to bloodborne pathogens is important to keeping your business safe and hygienic.

Instructor in front of classroom
Students taking notes
CPR is important to know and saves lives. Getting trained in both CPR and First Aid is proven to be invaluable in emergency situations and, as a graduate, sets you apart in the industry as someone who takes the safety of your workplace and your clients very seriously.

Clinical Photography Skills

Clinical photography is used for facials, body treatments, and advanced skin treatments. 

This is used as a tool to both track progress for client success and to protect providers in the event that an adverse event occurs.

Being able to take high-quality clinical photographs is a great skill and can be used as an invaluable tool to show before/after photos to potential clients, both in-house and online. 

Being able to show people what they can expect is a great tool for selling packages and also to help show them what continued treatments can achieve.

Additionally, clinical photos can be a helpful tool to showcase large and small changes that have been made during the progression of the treatments over the duration of the time you have been seeing your client.

Some advanced esthetics services can have dramatic results after one treatment, and some take time to provide the results your client may be seeking. 

Clinical photographs, taken in a very specific style and sequence, can help you provide visible evidence to your clients of how far they have progressed in their treatments from their initial consultation.

Client Consultations & Procedures

Client consultations are important for multiple reasons, both from a client and provider standpoint.
Client looking at paperwork
A client filling paperwork

For clients, this can be a great opportunity for them to see a realistic timeline for their desired results, see a realistic budget of how much they should expect to spend, see what skincare they may need for long-term results, and to see what other treatments they may need in addition to the ones they are interested in.

Having a professional lay out a treatment plan can be helpful for clients who have a specific timeline or are unsure of what they want to accomplish first.

From a provider’s perspective, consultations are a great way to get to know your client and make smart client selections. Not every client will be a good candidate for every treatment, even if they believe they would benefit from it. 

Some clients will be very good at following post-care, and some will not, which should be a factor in client selection. This helps protect providers and overall client satisfaction.

Client at the front desk

Laser Safety Training Officer Guide

Safety is the number one concern throughout the entire Advanced Esthetics program. 

Learning the proper safety protocols when it comes to lasers is absolutely imperative when becoming an advanced esthetician.

Advanced Chemical Peel Wrap Aesthetic Institute Admissions
Students are trained to follow the safety standards and protocols set by American National Standard Institute (ANSI) to ensure safe and successful laser treatments for their clients.

Services, Skills, and Modalities included in Advanced Esthetics: