Cosmetology (from Ancient Greek κοσμητικός, kosmētikos, "beautifying"; and -λογία, ) is the study and application of beauty treatment. Branches of specialty include hairstyle, skin care, cosmetics, /, non-permanent hair removal such as waxing and sugaring, and permanent hair removal processes such as electrology and intense pulsed light (IPL).
In the United States as of 2008, an occupational license is required in all states to be a cosmetologist, with the average cost of a certificate from a for-profit school being $17,000 and 1,500 required hours (ten times the hours required for an EMT) with cosmetologists making a median wage of $25,000.
An esthetician may undergo special training for treatments such as laser hair removal, permanent makeup application, light chemical peels, eyelash extensions, microblading, and electrology. In the US, estheticians must be licensed in the state in which they are working and are governed by the cosmetology board requirements of that state. Estheticians must complete a minimum 260–1500 hours of training and pass both a written and hands-on exam in order to be licensed in a given state. Utah, Virginia and Washington are the only states at this time to adopt the Master Esthetician License. Additional post graduate training is sometimes required when specializing in areas such as medical esthetics (working in a doctor's office). Estheticians work under a dermatologist's supervision only when employed by the dermatologist's practice. Estheticians treat a wide variety of skin issues that are cosmetic in nature, such as mild Acne vulgaris, hyperpigmentation, and aging skin; therefore, clients with skin disease and disorders are referred to a dermatologist or other medical professional. Estheticians are also referred to as beauticians within North America.
In the beauty and cosmetology industries, some of the products used in hair dyes and nail applications contain chemicals that have been shown to have adverse health effects for cosmetologists. A chemical combination known as the toxic trio is often part of the ingredient list in nail polish, hair dyes, and nail polish removers. The toxic trio consists of formaldehyde, toluene and dibutyl phthalate (DBP). DBP is commonly found in nail polish and is used as a binder to increase the amount of time that the polish stays on the nail. Toluene is an industrial solvent and is usually in nail polish removers. Formaldehyde can be found in a variety of beauty products but is generally found in hair straightening products and hair dyes as well as in some nail polishes. Each chemical member of the toxic trio has independently been found to have adverse reproductive effects in humans, so there concern that the presence of all three chemicals in cosmetologist supplies could pose a detrimental health risk for cosmetologists.
In the United States the Food and Drug Administration (FDA) is responsible for public safety regarding cosmetic products and the Food, Drug, and Cosmetic Act regulates these products. The Cosmetic Ingredient Review (CIR) utilizes an "Expert Panel" to review available data on cosmetic ingredients and determine whether or not chemical ingredients in cosmetic products are safe to use considering how they are currently utilized. However, this protocol is only helpful if applied to all cosmetology workplaces in the United States.
An investigation carried out by the Environmental Working Group revealed only 11% of more than 10,000 cosmetic ingredients documented by the FDA were evaluated in a CIR review. Research studies have shown that although "toxicological considerations play an increasingly significant role in product formulation; reproductive risks are not typically taken into account. It is also known that, "more than 9,000 chemicals are found in cosmetic products". Hairdressers use a wide range of products containing chemicals. "Hair dyes represent the largest segment of chemical products in the hair market today. As such, they are the main source of chemical exposure among hairdressers".
Toluene enters the environment when materials like fingernail polish, paints, paint thinners, and adhesives are used. It rapidly mixes with the air and individuals who work with paint, lacquer, or dyes have greater exposures to toluene via dermal and respiratory routes. Toluene inhalation during pregnancy has led to neonatal effects, including intrauterine growth retardation, premature delivery, congenital malformations, and postnatal developmental retardation.
Dibutyl phthalate has been linked to reproductive issues in humans if the mother is exposed while pregnant and has been banned for use by the European Union and certain phthalate esters have been shown to cause reproductive toxicity in animal models.
Growing evidence reveals that various popular hair-smoothing treatments contain formaldehyde and release formaldehyde as a gas. Formaldehyde is a common ingredient in Brazilian blowouts, Cadiveu, and Keratin Complete Smoothing Therapies. Four laboratories in California, Oregon, and Canada, confirmed a popular hair straightening treatment, the Brazilian Blowout, contained between 4% and 12% formaldehyde. Oregon OSHA demonstrated that other keratin-based hair smoothing products also contain formaldehyde, with concentrations from 1% to 7%.
Formaldehyde may be present in hair smoothing solutions or as a vapor in the air. Stylists and clients may inhale formaldehyde as a gas or a vapor into the lungs and respiratory tract. Formaldehyde vapor can also make contact with mucous membranes in the eyes, nose, or throat. Formaldehyde solutions may be absorbed through the skin during the application process of liquid hair straighteners. Solutions of formaldehyde can release formaldehyde gas at room temperature and heating such solutions can speed up this process. Exposure often occurs when heat is applied to the treatment, via blow drying and flat ironing.
Stylists and clients have reported acute health problems while using or after using certain hair smoothing treatments containing formaldehyde. Reported problems include nose-bleeds, burning eyes and throat, skin irritation and asthma attacks. Other symptoms related to formaldehyde exposure include watery eyes; runny nose; burning sensation or irritation in the eyes, nose, and throat; dry and sore throat; respiratory tract irritation; coughing; chest pain; shortness of breath; wheezing; loss of sense of smell; headaches; and fatigue.
Case studies on toluene exposures have found increased incidences of urogenital, gastrointestinal, and cardiac anomalies among children of mothers who were exposed to organic solvents, such as toluene. Associations were found between pregnant women who inhaled Formaldehyde, phthalates, and toluene and adverse reproductive outcomes such as intrauterine growth retardation and premature delivery. Hairdressers report premature ovarian failure five times more frequently than women in non-cosmetologist occupations.
In contrast, the European Union requires cosmetic products to undergo premarket safety testing and requires mandatory cosmetology product and ingredient registration. In general, the European Union approaches cosmetics and their production under the precautionary principle. The EU has banned 1,328 chemicals from use in cosmetics and does not permit animal testing for cosmetics.
Salon owners and stylists are advised to look closely at the hair smoothing products they use (read product labels and SDS sheets) to see if they contain methylene glycol, formalin, methylene oxide, paraform, formic aldehyde, methanal, oxomethane, oxymethylene, or CAS Number 50-00-0. According to OSHA's Formaldehyde standard, a product containing any of these names should be treated as a product containing formaldehyde. OSHA's Hazard Communication standard (Right to Know) states that salon owners and other employers' must have a SDS for products containing hazardous chemicals. If salon owners or other employers decide to use products that contain or release formaldehyde they are required to follow the guidelines in OSHA's Formaldehyde standard.
The Occupational Safety and Health Act (OSHA), is responsible for inspections of worker health and safety. It is estimated 375,000 nail technicians work in nail salons in the United States. Yet in 2005, OSHA inspected only 18 nail salons because businesses are exempt from inspection if they have 10 employees or less. According to the Asian American Resource Workshop, Vietnamese nail salon workers hold 40% of nail technician licenses in the United States. "It's long hours, low hourly pay, and fierce competition from every corner of the block" and with such fierce competition between businesses, salaries are reduced even further. As a result, a majority of these immigrants are subject to low socioeconomic status; which subsequently reduces opportunity to be educated about the occupational chemicals they are exposed to in the workplace and reduces opportunity to seek health care if adverse health effects are experienced from chemical exposure.
For example, the State of Illinois Department of Financial and Professional Regulations requires each candidate to complete their hours through a licensed cosmetology school program where new skills are taught and learned such as hair coloring, styling, hair cutting and the usage of hazardous chemicals. After completing the minimum hours to obtain a state license, an online examination is required and is submitted via mail with other supported documentation. Bureau of Labor Statistics states that the median salary for a licensed cosmetologist is $28,770 as of May 2015. Illinois Metropolitan Division Areas, Chicago-Naperville-Arlington Heights has one of the highest employment rates with an annual rate of $27,750. Being a licensed cosmetologist opens the door to becoming self-employed and working at high-end salons. As a licensed cosmetologist, each has the option to choose which salon fits best to work in but a self-employed salon will bring more income as long as having the right business plan for it to succeed. Each candidate registering for a salon has to obtain a certificate of registration and present all required paperwork with the FEIN, Federal employer identification number to Illinois Department of Labor.
However, according to The New York Times, cosmetology schools are expensive and train students for low-paid jobs that do not allow students to pay back the debt. Iowa has the strictest requirements for a cosmetology degree: 2,100 hours of instruction. The Times interviewed over twenty former students. One typical student paid $21,000 for tuition and supplies at the Iowa School of Beauty. After getting her license in 2005, she was hired at a local Great Clips, at $9 an hour. Thirteen years after graduating, she owes more than $8,000 on her loans. In contrast, an Iowa emergency medical technician certification at a community college requires only 132 hours, according to the Times. Iowa is particularly expensive, but for-profit beauty schools across the U.S. charge an average of $17,000 for a cosmetology certificate.
Community colleges would be cheaper, but when Iowa Central Community College applied to the state cosmetology board in 2004 to start a program, the Iowa Cosmetology School Association and Laʼ James International College sued, arguing that the state code prohibits public entities from competing with private entities. The community college agreed not to give certificate programs. According to The Times, the cosmetology schools have prevented efforts to lower the number of hours required for a certificate.
In the United Kingdom, typically there are two routes to training in cosmetology. An NVQ (National Vocational Qualification) is a backbone qualification designed for those starting out in the industry. Short courses are bolt-on courses that specialise into further fields of cosmetology. Both of these options allow a qualified beautician to gain public liability insurance cover.
Similarly, in India, there are many beauty and wellness training academies that provide a foundation and advanced courses in cosmetology. On graduating, students in India can work as professional cosmetologists in cosmetology schools, spas and wellness centres, beauty parlours, skin clinics, cosmetic companies, film and fashion industry, or as independent cosmetologists.
Regulation of cosmetics in the U.S.
OSHA requirements regarding formaldehyde
Cosmetology careers
Notable cosmetologists
External links
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