Send us Fan Mail The extraction is the part of the facial clients remember, for better or worse. This episode, part of our extraction series, is the hands-on part: how to prep skin so extractions are easy, which modality to use when, and when to stop. We start with the one goal behind every extraction technique: empty the follicle through its opening without rupturing the follicle wall. Then prep: cleansing, warmth, and softening the sebum plug with enzymes, desincrustation solutions, or galvanic desincrustation (with the contraindications to screen every time). Plus an honest look at the ozone button on your steamer. Then the techniques. The wrapped-finger method, with finger placement and the down-then-in-and-up motion that keeps pressure off the follicle wall. Cotton swabs, the loop extractor, and why it's easy to overdo. Lancets, why scope varies so much from state to state, and why milia can't be pressed out. Vacuum suction and ultrasonic spatulas, and where each one fits. Finally, the two stop rules that prevent most extraction bruising, which lesions to leave alone, post-extraction care, and word-for-word scripts for the client who wants you to "get everything." In this episode: The one goal of every extraction, and what happens when the follicle wall rupturesThree jobs of skin prep, including desincrustation and saponificationGalvanic desincrustation contraindicationsSteamer ozone: what's known and what isn'tThe wrapped-finger technique: placement, motion, and changing anglesCotton swabs, loop extractors, lancets, suction, and ultrasonic spatulasLancet scope by state, and why milia need oneThe two-attempt rule and the 10–15 minute time capExtraction on deeper skin tones and PIH riskPost-extraction care and client aftercareScripts for "get everything," the stubborn comedone, inflamed lesions, and milia referralsProfessional education for licensed estheticians, not medical advice. Always follow your state board's scope of practice, your insurance carrier's requirements, and your product and equipment manufacturers' protocols. Resources & Links Real Skin Pro Treatment Room Companion App Become a subscriber for instant access to skin analysis guides, treatment room resources, consultation tools, ingredient education, skin condition references, and continually updated professional education designed for licensed estheticians and esthetics students. 🔗 Subscribe here: https://www.realskinpro.com/app-landing-page Website Learn more about education, resources, workshops, coaching, and upcoming opportunities. 🔗 https://www.realskinpro.com 🎙 Connect with Me Instagram: @real_skinpro Private Facebook Group for Pros: https://www.facebook.com/groups/930389736385647 Email: lisa@realskinpro.com 📚 Free Resources Download free cheat sheets, educational tools, and other esthetics resources here: 🔗 https://www.realskinpro.com/app-landing-page ⭐ Enjoying the podcast? If this episode helped you become a more confident esthetician, I'd truly appreciate it if you would: • Follow the podcast • Leave a rating and review • Share this episode with another esthetician or esthetics student Every share helps grow our professional community and allows me to continue creating free educational content for our industry. Real Skin Pro Education is dedicated to helping estheticians think differently, treat skin intentionally, and create real, lasting results. Follow along for more advanced skin education and insights. Instagram: @real_skinpro