More information on microneedling can be found in the AmSpa treatment directory. Before performing a microneedling procedure, the skin is cleansed with alcohol and topical collagen-boosting products are applied. Depending on the patient`s comfort, an anesthetic may also be used. Once the microneedling process is complete, a number of topical moisturizing and/or healing agents and masks can be applied to aid in skin recovery. It sounds cumbersome, and it`s certainly more complicated than a facialization service or other cosmetologist service, but it doesn`t have to be a deciding factor in offering microneedling services in your medical spa. The attending physician does not need to be in the room and watch the beautician perform the procedure, and in many states he does not need to see the patient before any treatment – only the first. LET`S LOOK AT ILLINOIS As another example of how laws can vary from state to state, let`s look at Illinois. In short, there are no advanced services other than superficial microdermabrasion that are allowed to be performed by cosmetologists or cosmetologists in the state of Illinois. Below is a list of prohibited services for cosmetologists in Illinois and not fall under the practice of a cosmetologist or cosmetologist: Microneedling courses and programs prepare cosmetologists for this: In short, according to FDA guidelines, cosmetologists can only use microneedling devices smaller than 0.3mm and only those that do not make medical claims. If a device measures less than 0.3 mm, but has medical claims, it also cannot be approved for sale or use.
LET`S TAKE A LOOK AT OHIO The scope of practice varies from state to state, so it`s important for a professional to know the requirements of their own state. For example, in Ohio, professionals who work for a doctor often have the misconception that they can do anything a doctor tells them to do. Many salon owners, spas and spas who have integrated medical spa services with beauticians or cosmetologists are not willing to recognize that there is a limit to what cosmetologists and cosmetologists can do, even if they work under the direction of a doctor. Below is a statement about cosmetologists and cosmetologists working under the direction of a physician from the Ohio State Board of Cosmetology and Barbering. Although the medical delegation rules in chapter 4713-23 of the Administrative Code allow a physician to delegate certain medical duties, Council licensees still have restrictions on the practices they may engage in while carrying on their activities under their Board licence. In particular, Rules 4713-8-03 and 4713-8-04 state that beauticians working under the direct supervision of a licensed physician „may provide services in their field of practice only in accordance with Chapter 4713 of the revised Code and the rules published therein.“ For example, council licensees would not be permitted to provide services outside their scope while carrying out their activities under their licence, including under medical supervision. However, it would not be a problem for them to do so as a layman if it is allowed by the rules of the medical delegation, but care must be taken to avoid publicity or otherwise involve that the services are provided by a cosmetologist or licensed cosmetologist. If a professional works for a medical doctor or spa and works under the Ohio State Board of Cosmetology and Barbering under the title of cosmetologist or cosmetologist, they cannot perform restricted services such as microneedling, using machines larger than 180 nanometers, or using peels greater than 30% at pH below 3.0. The reason you can`t do it in Ohio, even if you work for a doctor, is that if someone in Ohio calls themselves a cosmetologist or cosmetologist, all the rules of the board fall on that title as an umbrella and for that reason, cosmetologists and cosmetologists are limited to what they can do under their respective license titles. When it comes to chemical peels in Ohio, the restriction does not exceed 30% acid at a pH of 3.0. The problem is that few manufacturers make a chemical peel so superficially, and for this reason, many professional cosmetologists in Ohio use chemical peels that do not meet the State Board`s mandate, meaning these professionals practice outside their area of practice. Illinois and California, for example, specifically listed microneedling as a medical treatment in 2016 because they classified the device as a medical device.
At an American Med Spa Association medical spa boot camp in San Jose, California, Kristy Underwood, executive director of the California Board of Barbering and Cosmetology, provided additional details during a 30-minute Q&A session. In Florida, licensed cosmetologists are allowed to perform microneedling, while in Utah, master cosmetologists are allowed to perform microneedling, provided the needle depth does not exceed 1.5 mm. General supervision by a licensed health care professional is required if needle penetration exceeds 1.5 mm. If you are legally authorized to perform microneedling under your cosmetic license, or if your license requires you to follow a microneedling program, you will find a variety of training programs and courses at cosmetic schools as well as manufacturers and distributors of microneedling equipment. Microneedling is not included in any initial cosmetologist program leading to government approval. Also known as micropuncture or collagen induction therapy, skin bearing, dry cosmetic needling and percutaneous collagen induction, microneedling involves the use of tiny needles to create precise microperforations where the dermis and epidermis meet. The result is a controlled wound that stimulates the production of collagen and elastin, as well as skin renewal and repair. It is also often used to prepare the skin for topical ingredients, as micro-perforations allow skin care ingredients to penetrate the skin more effectively. Customer service is an important aspect of this process. Those with active acne lesions, skin cancer, or other serious health problems are not candidates for microneedling. Regulations can vary greatly depending on where a business operates, so it`s very important to know the laws that apply to medical-aesthetic businesses in your state.
When in doubt, consult a lawyer in your state who is familiar with aesthetics. For example, in Washington State, only cosmetologists are allowed to perform microneedling, while in California, microneedling is considered an invasive procedure by the Board of Barbering and Cosmetology and therefore cannot be performed by licensed cosmetologists under any circumstances. This means that if the patient is first examined by a doctor or intermediate practitioner – a nurse or medical assistant – a person working in a medical spa can perform microneedling. However, it is very important to note that if beauticians perform this procedure under this warning, they will not be able to present themselves as beauticians. This means that cosmetologists will have to hand over their cosmetologist name tags and remove any certifications they may hang on the wall. In 2015, the Food and Drug Administration (FDA) determined that microneedling devices with needles larger than 0.3 mm should be classified as a Class 1 medical device. As a result, the FDA has filed injunctions against several companies that sell microneedling devices larger than 0.3 mm in length for cosmetic purposes. Traditional microneedling tools include punches and rollers attached to needles arranged at fixed depths. Although these devices are still widely used, many cosmetologists today gravitate towards automated microneedling devices with adjustable needles on a pen-shaped magic wand.