Can a Licensed Aesthetician Perform Ultherapy on Patients in the Medical Office?

Is this a procedure that a licensed aesthetician can perform on our patients?

Doctor Answers 9

Stick to the Docs.

I believe that the Ulthera treatment is a technically challenging procedure and best left in the hands of an experienced dermatologist or plastic surgeon.

New York Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

Who Can Perform Ulthera?

Regulations may vary state to state.  Because this is a new modality, there may not yet be specific regulations restricting who can perform the technique.

Most important is that the person performing the treatment has been properly trained and supervised by a trained and well qualified plastic surgeon, after you have had proper consultation with the cosmetic surgeon to determine if you are a good candidate and consideration of alternatives.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.6 out of 5 stars 39 reviews

Ulthera can be done by aestheticians

Ulthera is a non invasive device that can be done by a trained aesthetician or physician assistant. In my office we use both. They are trained by the company to do advance treatments and have accumulated a vast amount of experience. I did trust my face to a well trained aesthetician after we got Ulthera

Luis A. Vinas, MD
West Palm Beach Plastic Surgeon
5.0 out of 5 stars 23 reviews

Ulthera is done under medical supervision

Ulthera is a nonivasive technology that uses focused ultrasound to stimulate collagen rebuilding and skin lifting. Though regulations vary from state to state, in most places it can be delgated to another person such as a medical esthetician. Because it is a medical device however it requires supervision by a medical professional.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

Who can perform ulthera or ultherapy?

Ulthera is a relatively new procedure that uses ultrasound energy to tighten facial tissue. As the procedure is relatively new there are no state regulations that I know of in terms of who can perform the procedure. In Florida, currently an aesthetician to the best of my knowledge can legally perform ultherapy.

Jason Pozner, MD
Boca Raton Plastic Surgeon
4.7 out of 5 stars 45 reviews

Ultherapy - Buffalo Niagara, NY

Because we have 4 Ultherapy devices and the largest Ultherapy practice in the U.S., we have trained 3 physician assistants to perform the procedures under the supervision of 2 physicians. 

Our results are excellent and our physician assistants are superbly trained to do this FDA approved procedure. 

We have been using Ultherapy for at least 4.5 years (as of this writing on Jan 27, 2015). 

Read our Ultherapy ebook on the link below.

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Ultherapy by a Licensed Aesthetician

The laws vary by state as to what professional can perform what procedures.  In Texas, Aestheticians can perform Ultherapy.  Many are skilled, but physicians can perform a more customized treatment.  The most important factor is that the person performing the procedure is well trained, has experience with the treatment and is supervised by a physician, if they are not one themselves.

Angela Sturm, MD
Houston Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Can an aesthetician perform Ultherapy

The regulations dictating who can peform a treatment in a doctor's office, is different in different states.  Some may indicate physician supervision and other states may say that aestheticians can not perform certain treatments. There may not be specific mention of ultrasound energy devices and as it is not a laser, some state might need new regulations to include Ultherapy.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Can Aestheticians Perform Ultherpay, not in my practice.

In my opinion irrespective of state regulations, Ultherapy should not be performed by nonmedical professionals.  The word non-invasive is a misnomer. This device, is as invasive as any laser that we are currently using, the only difference is that the lesions are subsurface so you dont see them. Histologically, you are looking at a similar discrete wounding patterns.  Aestheticians are a wonderful adjunct to an aesthetic practice, however, there scope of practice is limited to the epidermal layer of the skin.  They shoud not be utilized as cheap labor to run these deeper dermal and subdermal devices.  There must be a line drawn in the sand at some point.  I am sure they can be well trained, but so to can a PA and nurse practicioners be instructed in how to perform a facelift and I believe this would be considered non acceptable,.... or so I think.

Arthur N. Falk, MD
Albany Facial Plastic Surgeon
4.6 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.