The terms “aesthetician” and “esthetician” often cause confusion because they’re used so interchangeably. While both refer to licensed skincare specialists, there can be a subtle difference in common usage, though this often varies by region, state regulations, and even the specific workplace.

Here’s how we typically understand the distinction:

Esthetician: This is the most common term in the United States, usually referring to skincare professionals who work in spa, salon, or wellness settings. Their focus is on cosmetic treatments designed to improve skin appearance, promote relaxation, and maintain overall skin health. Services often include facials, skin analysis, waxing, body treatments, and makeup application.

Aesthetician: While it’s sometimes just an alternative spelling, “aesthetician” can imply a role in a more clinical or medical environment, such as a dermatologist’s office, plastic surgery clinic, or medical spa. These professionals might perform more advanced procedures, often working alongside medical doctors, to address specific skin conditions or issues related to medical treatments (like advanced chemical peels, microneedling, or laser treatments). They might be called “medical aestheticians.”

In short: The primary difference often comes down to the setting and the types of procedures performed. An esthetician typically focuses on cosmetic services in a spa, while an aesthetician might perform more medically-oriented procedures in a clinical setting.

It’s important to remember that many states don’t legally distinguish between the two titles. However, licenses like Utah’s “Master Esthetician” bridge this gap, allowing professionals to perform a wider range of services, blending cosmetic and advanced treatments.

Ultimately, both titles represent dedicated, licensed skincare professionals committed to helping clients achieve healthy, beautiful skin.