| NORTHWEST STYLIST & SALON | SEPTEMBER 2017 | 5» » Esthetics Question and Answer
1. What is esthetics?
Esthetics, in Oregon, has been defined by
the legislature in ORS 690.005(5):
“Esthetics”means any of the following skin care or facial care
practices performed on the human body or face for the purpose of
keeping the skin of the human body or face healthy and attractive
and not for medical diagnosis or treatment of disease or physical or
(a) The use of the hands or mechanical or electric apparatuses or
appliances for cleansing, stimulating, manipulating, exfoliating or
applying lotions or creams.
(b) Temporary removal of hair.
(c) Makeup artistry.
(d) Eyelash services.
(e) Facial and body wrapping.
(f ) Facial and body waxing.
If a service does not fall within this definition, it is not within the
scope of esthetics.
2. What is advanced nonablative esthetic procedure?
Advanced nonalabive esthetic procedures has been defined
under ORS 676.630(1):
Advanced nonablative esthetic procedure means a procedure that
uses a laser or other device registered with the United States Food
and Drug Administration for nonablative procedures performed on
the skin or hair, including, but not limited to, procedures performed
in conjunction with one of the following modalities:
(a) Skin rejuvenation;
(b) Photo rejuvenation;
(c) Body contouring;
(d) Dyschromia reduction;
(e) Cellulite reduction;
(f ) Hair removal or reduction; and
(g) Nonablative tattoo removal.
3. What is nonablative?
Nonablative has been defined under OR 676.630(4):
Nonablative”means involving an action performed on the skin
or hair of a person that does not result in the wounding of skin or
4. What else is outside the scope of esthetics?
Many practices will fall outside the scope of esthetics because
they do not fit within the legislature’s definition of esthetics. Ex-
amples include but are not limited to:
• The use of ablative lasers;
• The removal of spider veins;
• Tattoo removal;
• Botox injections.
5. Can a certified esthetician advertise as a “medical
No. Medical services are not within the scope of practice of an
esthetician so this is a misleading and deceptive title.
6. Can a certified esthetician work as a medical assistant
for a doctor?
Yes. Estheticians are not prohibited from having non-esthetic
employment just because they have an esthetics certification.
However, as discussed above, this work would not fall within the
scope of esthetics.
If a certified esthetician is moonlighting as a medical assistant
for a physician, the certified esthetician needs to ensure that clients
are not misled into thinking that non-esthetic services fall within the
scope of the person’s certificate as an esthetician.
A certified esthetician who is acting in a dual capacity as an
esthetician and a medical assistant at a so-called “medspa”will need
to be particularly careful that clients understand the differences
between the medical and esthetic services and the role of the certi-
fied individual when providing these services.
7. What happens if HLO receives a complaint that an
esthetician is unlawfully or negligently practicing medicine?
HLO and the Board of Cosmetology do not regulate the practice of
medicine. HLO will refer the complaint to the Oregon Medical Board
or other appropriate health professional regulatory board.
A certified individual may be subject to sanctions if providing out
of scope services while acting as an esthetician.
8. Does esthetics include skin-related medical services?
No. The legislature specifically excluded services that are for
“medical diagnosis or treatment of disease or physical or mental
ailments” from the scope of esthetics practice.