Although ONLY licensed professionals should be performing cosmetic procedures for patients, there are often news stories of unlicensed individuals performing procedures with serious consequences, from severe scarring to hospitalization to even death in some cases. The American Academy of Dermatology (AAD) defines cosmetic dermatology as treatment of the skin, hair, or nails that is meant to improve a patients appearance rather than treat a disease. Such treatments include injection of fillers to add fullness; injection of botox for wrinkles; laser surgery for blemishes, scars, and hair removal and chemical peels for acne. Medical aesthetic services should only be delegated to an Aesthetician when competency can be established based on education, clinical training and experience. These licensed professionals should only perform delegated medical aesthetic services under the direct, on site supervision of a board-certified dermatologist.

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