Is it safe to have laser resurfacing using the Harmony XL by Alma performed by an aesthetician rather than a doctor?

I think you have answered the question yourself.  I would never compromise care for cost.  Laser resurfacing and photofacial have some of the highest risks of complications.  You will pay for what you get.  Please be smart. Best, Dr. Emer.

The Harmony XL is a platform device that has many hand pieces that do different things. Laser resurfacing with this device is known as the Pixel and is not the same as a photofacial that is using the IPL hand pieces to treat reds, browns, and rejuvenate the skin. Again, these are different treatments. Your question talked about photofacials that in many offices are performed by ancillary personnel in today’s world. The major thing to make sure is that the office is well skilled in this, that the person using the device is well skilled in the use of the machine, and that the supervising doctor also knows what he or she is doing. Deals that appear too good are usually too good to be true and I would be weary of people offering their services for medical or aesthetic care at a bargain – these are medical devices that require skill, knowledge, and training. If the term Pixel ever comes up, talk to the doctor about who is doing this –which most of the time will not be an aesthetician.

Laser resurfacing is a procedure that can be filled with potential for adverse outcomes. It is best to have an experienced and expert board certified physician perform the laser resurfacing.

It depends on the depth of the resurfacing being done. I use the InMode Fractora in my office and sometimes the technicians perform the treatments, and sometimes I do. But it depends on the depth being treated. Also, all of the treatments are done under my care and I see every chart and every detail of what's being done. If offices offer really cheap deals, there is usually a reason, and it's not because they are so great at their jobs and have a lot of patients to care for..... "This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."

 Laser resurfacing
is not without serious complications. The physician should perform the
procedure.