Facial massage during a service should be avoided or modified if the client has:

Facial massage should be avoided or modified when the client has certain conditions — for example, active inflamed acne, broken or irritated skin, sunburn, or specific medical contraindications — because massage could aggravate the condition, spread bacteria, or cause harm. The analysis and consultation help identify these situations. When in doubt, the cosmetologist should be conservative and may refer the client. Knowing that some skin conditions contraindicate massage or certain facial steps reflects the careful, client-safety-first approach the exam expects.