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Estheticians, also called skin care therapists, work in salons, day spas, and medi-spas. Estheticians are trained in the cosmetic treatment of the skin. They perform various cosmetic procedures including facials, body treatments, and waxing. Most estheticians offer a variety of specialty spa treatments. All estheticians must be licensed in the state in which they work. They must complete 260 to 600 hours of training (depending on the state) and pass both a written and a practical, or hands-on, exam. A good esthetician also completes many hours of post-graduate education, and strives to stay in tuned with the latest developments in skin care. Estheticians are not medical doctors and therefore can\'t diagnose skin conditions, prescribe medications, or suggest treatment for any skin condition outside of cosmetic products. They can, however, perform treatment complementary to a doctor\'s treatment. Some estheticians may work closely with dermatologists, either in-office or through a referral system.

The top paying cities for cosmetologists are San Francisco, Santa Cruz and Sacramento. Cosmetology school students in San Francisco join 1,180 working cosmetologists and hairdressers in the city. The average income for San Fransisco cosmetologists is $32,050. CA.gov reports that as of 2009, personal care workers make-up 50% of California's employment. US Census Bureau reported that in 2000 San Francisco is home to 776,773 people. 49% women and 50.8% men. About 41% of the population is between the ages of 25-44. There are 1,624 Cosmetology Schools, 498 Manicurist Schools, 378 Cosmetology Instructor, 268 Esthetic/Skin Care, 196 Barber, 54 Hair Styling, 34 Facial, 18 Salon Management, 12 Electrolysis Technician.