Can a Nurse Perform a HydraFacial at a Medical Spa?

Brian Lett
By Brian Lett
11 Min Read

Can a registered nurse perform a Hydrafacial at a medical spa

Though spa facials can be relaxing, they rarely deliver instant results. That’s where HydraFacial stands out by combining cleansing, exfoliation and serum infusion into one treatment session.

HydraFacials have long been touted as an attractive beauty treatment option, boasting lower pain thresholds than microdermabrasion and being safer than laser treatments. But there are certain considerations you must keep in mind before undertaking a HydraFacial procedure.

Nurse Practitioners

Nurse Practitioners (NP) are specialized healthcare professionals, equipped with extensive medical training and experience. NPs are licensed to practice medicine in their respective states, making them eligible to oversee a medical spa or perform injectables, laser treatments or other cosmetic procedures depending on state laws. Under some conditions, however, a physician or other healthcare provider must oversee them as an extra layer of protection.

HydraFacials are non-invasive facial skin treatments that exfoliate and hydrate your face using patented technology to loosen pores, remove dead skin cells, extract oil and debris from pores with suction extraction, apply serums for nourishment of skin. The procedure takes only minutes to perform with dramatic results such as brighter, smoother and plumper skin bursting with vitality – plus reduced fine lines/wrinkles/hyperpigmentation as a result of sun damage! Dermatologists often suggest these treatments to their patients.

Most states require a licensed physician to open and be the full or majority owner of a med spa, while others allow nurse practitioners and physician assistants (NPs and PAs) to partner with physicians as Medical Directors at their med spas; some states even permit these healthcare professionals to administer most medical procedures at these establishments, although specific states have restrictions as to who can hire these healthcare professionals as Medical Directors, or the services that can be offered by these med spas.

An additional requirement to offer laser or electrolysis treatments is usually obtaining a license from your state; usually issued by them and requiring healthcare providers to complete a 450-hour course before receiving their licenses. For your reference, The American Med Spa Association provides state regulations and guidelines.

Many nurses want to utilize their aesthetic medicine skills, and medical spas are the perfect venue for this. However, it’s essential for these nurses to fully comprehend the regulations and laws surrounding med spas in their state as these vary significantly. They should also know they may require supervision by nurse practitioners (NPs) or doctors and must submit a letter of support from them in order to work in spas – some states even require these signatures on all treatment forms!

Registered Nurses

Hydrafacial is a skin treatment that combines deep cleansing, exfoliation, and hydration for smoother, brighter, more radiant skin. Ideal for those who seek more dramatic results than standard facials or those looking for quick anti-ageing measures; you can get one from any dermatologist’s office, plastic surgeon’s practice, spa, or other healthcare facility.

No matter where you get a Hydrafacial, it is vital that you follow proper treatment protocol in order to avoid complications. If unsure how best to perform one yourself, always seek guidance from either an esthetician or doctor before beginning.

Answers to whether registered nurses are eligible to perform Hydrafacials at medical spas can be more complex than simply “yes.” Each state’s medical board has different regulations regarding who can own or run a med spa, who can oversee or provide treatment, and who may open one; typically only MDs (Doctors of Medicine), DOs, NPs and PAs are permitted to own and run them, with certain exceptions possible (MDs of Osteopathy are one example).

Notably, certain med spa treatments can be dangerous for certain individuals – specifically pregnant women – due to ingredients used in HydraFacial treatments such as salicylic acid not having been fully tested for safety during gestation. Pregnant women should therefore refrain from receiving Hydrafacial treatments during their gestation period.

Due to these stringent requirements, many med spas employ nurses for their procedures. Nurses trained in medicine possess extensive knowledge about human bodies – specifically skin layers. Furthermore, these nurses can easily recognize any complications that may arise during or post procedure and take immediate actions accordingly.

Given the complex laws regulating who may run and perform treatments at med spas, it is imperative that you conduct thorough research into your state’s regulations prior to opening one. Consulting with a healthcare attorney could also prove invaluable in making sure you fully comprehend all relevant rules and regulations within your own region.

Medical Assistants

A med spa run by a licensed physician usually allows non-physician staff members to work there safely, though individual state rules may differ regarding which treatments can be performed by non-physicians and how much supervision is needed. Therefore, it is vital that you speak to your state board of nursing for more details.

Medical assistants usually lack extensive medical training. While they can perform cosmetic treatments like Hydrafacials at medical spas, such as Hydrafacials, they cannot legally inject neurotoxin or dermal fillers into a patient, operate lasers, or perform any invasive procedures without prior approval from a licensed physician. If a physician grants unlicensed assistants this task, then these individuals must be monitored by another licensed physician present on site to supervise them while on duty.

PAs, NPs and RNs in some states can open and own medical spas provided they form partnerships with physicians through a Management Services Organization (MSO) arrangement. MSO agreements also allow med spas to offer additional services requiring medical licenses such as laser hair removal.

Med spas often employ licensed estheticians trained in medical-grade skincare treatments such as Hydrafacial. These professionals can use the device to clean, exfoliate and simultaneously deliver potency serums into deeper layers of your face for increased hydration and radiance.

Hydrafacial is one of the only facials suitable for sensitive skin and even those suffering from acne-prone conditions as it helps clear out pores and reduce redness. It may also be combined with other cosmetic procedures like microdermabrasion, chemical peels or dermaplaning for maximum efficacy.

Hydrafacial results typically last six months with regular treatments from Aurora Skin Clinic; to achieve optimal results it’s advised that clients follow a healthy skincare routine between treatments that includes daily cleansing, exfoliation and sun protection. Their team offers customized skin care regimens specifically tailored for every client.

Tipping practices vary across industries, but most clients who have received outstanding service at a med spa will usually leave a generous gratuity. Furthermore, online praise through services like Yelp or RealSelf can provide invaluable exposure for businesses across multiple fields.


Phlebotomists in certain states are licensed to perform cosmetic procedures, although in others they do not possess advanced practice licenses or may be restricted from performing specific treatments due to licensing requirements. When this occurs, seeking treatment at a med spa with licensed esthetician or dermatologist would be ideal.

Hydrafacial is a non-invasive facial treatment using medical-grade serums to exfoliate, extract and infuse healthy nutrients into skin. It can provide relief for various skin conditions including fine lines and wrinkles, uneven pigmentation, acne, brown spots, enlarged pores, oily skin, etc. As there’s no downtime needed after treatment; unlike typical facials which can be uncomfortable for sensitive patients; hydrafacials are safe even during pregnancy!

Hydrafacials can be performed at both salons and medical spas by certified estheticians or dermatologists, taking approximately 30 minutes or less for completion. Hydrafacials may also be performed on other parts of the body such as neck or chest for maximum benefit.

Medical spas are known for offering an array of treatments. Some offer plastic surgery procedures like skin tightening and rhinoplasty; other offer non-invasive cosmetic treatments like dermal fillers, laser hair removal and injectables; often these services are provided by nurses or licensed aestheticians.

Licensed estheticians are equipped to administer various facial treatments, such as dermaplaning, microdermabrasion and chemical peels. Registered nurses (RNs) may offer similar treatments at medical spas, however laws vary by state – generally speaking however RNs cannot perform medical-grade or invasive procedures without first receiving approval from their delegating physician and being closely supervised.

Some medical spas are owned and managed by physicians, only permitting licensed professionals of that practice to perform treatments at that med spa. Others belong to larger group practices that employ other licensed professionals (estheticians, doctors or nurse practitioners) for cosmetic treatments. Finally, certain states do not restrict corporate ownership and allow a nurse practitioner to own her own med spa clinic without physician oversight.

Share This Article