If you're having a consult before a microdermabrasion procedure, and the esthetician says she's already picked out

Yes, it is concerning if an esthetician plans to proceed with a microdermabrasion procedure without first conducting a thorough consultation. It is essential to review your medical history, discuss any concerns, medications, and allergies before any dermatological procedure. This ensures that the treatment is safe and tailored to your specific needs. Choosing the appropriate tools and techniques should be based on an individualized assessment. If such an evaluation is not performed, it is advisable to seek a second opinion or consult with a licensed dermatologist to ensure your safety and the effectiveness of the treatment.