Extractions (if performed within scope) must be done:

If extractions are performed (and where they are within the cosmetologist's scope), they must be done gently and hygienically — with clean technique and care — to avoid damaging the skin or causing infection, and only when appropriate for the skin's condition. Aggressive or unsanitary extraction can scar skin and spread bacteria, and extraction should not be done on inflamed, infected, or contraindicated lesions. Knowing that extractions require gentle, sanitary, judicious technique reflects the safety standards emphasized in the facial content.