Aestheticians Aestheticians are trained skin care specialists working in day spas, salons and, increasingly, in the offices of dermatologists and plastic surgeons. Aestheticians working under physicians are commonly referred to as paramedical aestheticians. Generally, they have more extensive training and education than those employed in spas and salons. They are also able to perform stronger exfoliating treatments, usually referred to as peels, under the supervision of a physician. Peels utilize a variety of acids ranging in strength and depth of penetration. While facials are more relaxing in nature, affecting the skin only superficially, peels are generally more effective at addressing specific skin conditions such as acne, pigmentation irregularities, sun damage and overproduction of oil. They also help improve the texture of the skin and smooth out fine lines. To find an aesthetician in your area, look in the yellow pages or call the nearest dermatologist 's or plastic surgeon's office. Don't hesitate to ask about experience, especially when considering acid peels. Also consider a consultation, which is typically complimentary, prior to undergoing a treatment. This will allow the aesthetician to analyze your skin based on the information you submit, provide you with options, and help you choose the best treatment.