New Jersey State Board Esthetics Practice Exam

Is it true that skin lighteners can be safely used at high levels?

1. Yes, they are always safe

2. Yes, but only in a clinical setting

3. No, they should not be used at high levels

4. No, only certain products are safe

The correct answer is: No, they should not be used at high levels

Skin lighteners, often used to address hyperpigmentation and other skin discolorations, can pose significant health risks when used at high levels. At elevated concentrations, these products may lead to adverse effects, including skin irritation, thinning of the skin, and potential systemic toxicity. Many skin lightening agents, such as hydroquinone, are effective at lower concentrations but may become harmful if overused. High concentrations can disrupt the natural barrier function of the skin, making it more susceptible to environmental aggressors, and could potentially lead to conditions like ochronosis, a blue-black discoloration of the skin associated with prolonged use of certain lightening agents. Because of these risks, it is crucial for estheticians and other skincare professionals to recognize that high-level use of skin lighteners is not safe for clients. This understanding emphasizes the importance of recommending appropriate concentrations and ensuring that skin lighteners are used in a manner that prioritizes client safety, often under professional supervision in a clinical setting when necessary.