So, What Exactly Happens During a Facial? (2025)

If your idea of self-care involves slathering on a sheet mask while binge-watching reality TV, it might be time to upgrade to the real deal: a professional facial. While at-home skincare has its place, facials provide deeper exfoliation, hydration, and targeted treatments that your bathroom counter simply can’t replicate. But what exactly happens during a facial, and is it worth the hype (and price tag)? We spoke to top dermatologists and an esthetician to break it all down.

Meet the Experts

  • Marisa Garshick, MD, is a board-certified dermatologist at MDCS Dermatology and a clinical assistant professor at Cornell University.
  • Dr. Nathan Newman is a board-certified dermatologist and cosmetic surgeon based in Beverly Hills.
  • Sean Garrette is a licensed esthetician and founder of Sean Garrette Skin, based in New York City.

What Are Facials?

Facials are professional skincare treatments designed to cleanse, exfoliate, and nourish the skin. According to Dr. Marisa Garshick, a board-certified dermatologist, “They may incorporate professional-grade products and deeper exfoliation to help with extractions while minimizing irritation and scarring.”

Esthetician Sean Garrette adds that facials go beyond your standard skincare routine by using professional tools and techniques. “A facial can address concerns like acne, hyperpigmentation, and dryness. Extractions, for instance, are done safely and efficiently in a facial, unlike at home.”

What Are the Benefits of Facials?

The benefits of facials are more than just glowing skin post-treatment. “Facials can boost hydration, remove dead skin cells, improve texture, clear clogged pores, and enhance radiance,” says Dr. Garshick. “Some also stimulate collagen for anti-aging benefits.”

Aside from a fresh, post-facial glow, Garrette highlights the long-term benefits: “Facials help resolve dryness, dehydration, inflammation, acne, and hyperpigmentation when done with the right protocols and tools.” Dr. Nathan Newman, another board-certified dermatologist, agrees, noting that certain facials can promote circulation and provide deep hydration.

As for frequency? The experts recommend opting for a treatment every 3-6 weeks, depending on your skin type and goals. “Once a month is ideal for most people since that’s the average skin cell turnover cycle,” notes Dr. Garshick.

What to Expect

It is important to note that two facials are never the same. “Every facial is customized to each client’s needs,” notes Garrette. “For example, acne-prone skin may require more extractions, while dry skin gets extra hydration and barrier support.” That being said, a typical facial will follow the general structure below. Here’s what to expect:

  1. Cleansing – The skin is cleansed to remove makeup, dirt, and oil.
  2. Skin Analysis – The esthetician or dermatologist assesses your skin concerns.
  3. Exfoliation – A resurfacing treatment (using AHAs, BHAs, or enzymes) removes dead skin cells.
  4. Extractions (if needed) – Blackheads and congestion are carefully removed.
  5. Massage – Helps with circulation and relaxation.
  6. Mask – A treatment mask tailored to your skin type is applied.
  7. Moisturizer & SPF – Hydration and sun protection are the final steps.

Potential Side Effects

While facials are generally safe, they’re not without potential side effects. “Redness, irritation, or breakouts can occur, especially after extractions or strong exfoliants,” warns Dr. Garshick. Sensitive skin types should opt for gentler treatments and avoid harsh actives.

“If you have open wounds or lesions, it’s best to skip a facial,” adds Garrette. Dr. Newman also emphasizes that those with active rosacea, eczema, or sunburn should consult with a professional before booking a treatment.

Popular Treatments

Beyond the standard facial, there are specialized treatments that target specific concerns. Here are three of the most in-demand options:

Hydrafacial

Best for: All skin types, especially dehydrated skin.
Using a vacuum-like device, Hydrafacials deeply cleanse, exfoliate, and infuse the skin with hydrating serums. “It’s great for hydration, hyperpigmentation, and uneven skin texture,” says Dr. Newman.

Microcurrent Facial

Best for: Lifting and toning the skin.
Microcurrent technology uses low-level electrical currents to stimulate facial muscles, resulting in a firmer, more sculpted appearance. “It can leave the skin looking lifted and toned,” Dr. Garshick notes.

Chemical Peel

Best for: Hyperpigmentation, acne scars, and uneven texture.
Chemical peels use acids to exfoliate the skin and improve tone and texture. “There’s not just one type of peel—you can customize them based on individual needs,” says Garrette.

The Final Takeaway

Facials can be a game-changer for your skin if done correctly. “Start with a consultation to determine the right treatment for your needs,” advises Dr. Garshick. While they’re beneficial, facials don’t replace a solid skincare routine. “Consistency in home care is key,” adds Garette. And perhaps most importantly, choose your provider wisely. “Go to a reputable esthetician with a valid license,” warns Dr. Newman. “Your skin is an investment, not a trend.” So, is a facial worth it? If glowing, healthy skin is your goal, consider it a yes.

So, What Exactly Happens During a Facial? (2025)

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