Provided is a beauty treatment appliance capable of simultaneous sensing and care of a skin abnormality, and also capable of intensive care of an abnormal portion of a skin surface. The beauty treatment appliance pertaining to the present invention is provided with a skin stimulator (3) including a stimulation surface for coming in contact with a skin surface and imparting stimulation, a skin stimulation source for imparting a physical beauty treatment stimulation to the skin stimulator (3), and a skin abnormality sensing part (88) for optically sensing a skin surface abnormality, the skin abnormality sensing part (88) including a measurement part (143) which faces a skin surface part to be measured. In a front view facing the stimulation surface, the measurement part (143) is disposed on the inside of an outline of the stimulation surface. The term "physical beauty treatment stimulation" is a generic term for electric current stimulation, vibration stimulation, thermal stimulation (heat stimulation and cold stimulation), and other stimulation.