Iolaus Hello Neighbor thank you for the question! Each state is different, but here in Michigan an esthetican can perform IPL. That stated there are multiple questions you should be asking:Who is the doctor overseeing the procedure?Are they board certified? If so in what type of medicine?Is the doctor in the office, if I were to have a problem?What type of training has the esthetician received on this machine?Was this ipl developed to solve or improve my problem? Does the machine only use light or other modalities to improve my condition?You are close by we would be more than happy to speak with you at a complimentary consultation. Please call Danielle and let her know we met on realself 5862547692