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Louisiana med spa & injectable regulations

What’s changing for med spas and injectors in Louisiana — GLP-1 compounding, scope-of-practice, and enforcement — plus the federal FDA and Federal Register actions that apply in Louisiana. MedSpaRadar monitors it all and tells you, in plain language, what changed and what to do.

Opening a med spa in Louisiana? Start with who may own one, the medical director rules, and who may inject in Louisiana →

Latest Louisiana changes

No Louisiana-specific changes have crossed our radar yet — we’re monitoring the Louisiana legislature daily. The Louisiana legislature has adjourned sine die (2026 Regular Session). No further session is listed yet. The federal changes below apply to every Louisiana practice today.

Federal changes that apply in Louisiana

FDA and Federal Register actions are nationwide — they govern Louisiana practices too.

See the full regulatory feed →

What we monitor in Louisiana

  • Louisiana legislature — bills on injectables, GLP-1s & scope of practice
  • U.S. FDA — enforcement, warning letters, recalls, shortages
  • Federal Register — new rules on compounding & aesthetics

Louisiana med spa questions, answered from statute

The same verified record, asked the way operators actually ask it — who may own one, who may inject, what the supervising physician has to do. 20 questions have a cited Louisiana answer today.

Browse the 20 Louisiana questions →

Louisiana med-spa compliance rules

51 rules across 7 topics — physician delegation, the good-faith exam, ownership & corporate practice of medicine, RN/NP scope, med-spa registration, advertising, and enforcement — each linked to its primary source. Reference and monitoring, not legal advice.

Physician supervision & delegation8 cited rules

R.S. 37:1285(A)(13) makes unprofessional conduct a cause for refusing, suspending or revoking a license, and its enumerated examples read like a list of how a cosmetic practice goes wrong: Failing to maintain independent medical judgment, improperly delegating or supervising, exercising undue influence, ENABLING…

Good-faith examination4 cited rules

Louisiana's licensing section itself points elsewhere for remote care — it requires a license to practice medicine “except as provided in the Louisiana Telehealth Access Act, R.S. 40:1223.1 et seq.” — and that Act is NOT surveyed by these claims.

Ownership & corporate practice of medicine5 cited rules

“Physician” means a natural person holding an allopathic or osteopathic degree who holds a license, permit, certification or registration issued by the board to engage in the practice of medicine in Louisiana — a corporation cannot itself be one.

RN / NP scope for injectables6 cited rules

Louisiana defines the advanced practice registered nurse by national certification plus board criteria: an APRN is a licensed registered nurse certified by a nationally recognized certifying body, such as the American Nurses Credentialing Center, as having an advanced nursing specialty described in the Part, and…

Med-spa registration & licensing12 cited rules

Louisiana licenses the PREMISES, and the legislature said so in the purpose clause: the licensure of all persons who perform cosmetology, of all facilities where cosmetology is taught, of all facilities where cosmetology services are offered, and of all persons who supervise individuals performing cosmetology, are declared necessary to ensure that only qualified persons practice at facilities meeting appropriate standards. A “beauty shop” or “salon” is any premises upon or within which cosmetology is practiced for a fee — expressly excluding premises where the persons exempted by R.S. 37:581 practice or do business, a section these claims do NOT survey. Cosmetology itself is defined by means and by component practice: using the hands, mechanical or electrical apparatuses or appliances, or cosmetic preparations, in any combination of esthetics, hair dressing and manicuring for compensation. Esthetics is an enumerated list, and it reaches micro-dermabrasion, epidermabrasion and particle exfoliation. The fee schedule is in the statute itself: each initial certificate of registration and each annual renewal costs $35.00 for a cosmetologist, esthetician, manicurist, teacher/instructor or manager and $55.00 for a beauty shop or salon, mobile salon or home care, with $50.00 for the initial inspection of a salon, mobile salon or booth rental and $50.00 for a booth rental, special or temporary permit; an expired certificate restored within three years costs twice the applicable fee for each year expired, not to exceed three hundred dollars. On compounded drugs the Board of Pharmacy’s rules answer the GLP-1 question by DEFINITION: compounding does not include the compounding of drug products that are essentially copies of a commercially available product — a copy being the same active ingredient in the same, similar or easily substitutable strength by the same route, with a change of less than 10 percent not counting — and a pharmacy may prepare a variation only where a prescriber documents a clinically significant difference on the prescription and the pharmacy does not prepare copies regularly or in inordinate amounts, or a copy where the product is discontinued, on the FDA drug shortage list or temporarily unavailable. The rules apply regardless of the location of the patient, a practitioner’s office included, and define practitioner administered compounds as products compounded on a prescriber’s medical order for administration by the prescriber.

  • The licensure of all persons who perform cosmetology, the licensure of all facilities where cosmetology is taught within the state, the licensure of all facilities where cosmetology services are offered within the state, and the licensure of all persons who supervise individuals performing cosmetology within the state are declared to be necessary to ensure that only qualified persons be permitted to engage in the practice of cosmetology at facilities meeting appropriate standards.

    La. Rev. Stat. §37:562(C)

  • "Beauty shop" or "salon" means any premises upon or within which cosmetology is practiced for a fee. These terms shall not include the premises wherein any of the persons exempted in R.S. 37:581 practice or do business.

    La. Rev. Stat. §37:563(1)

  • "Cosmetology" means the practice of using one's hands, mechanical or electrical apparatuses, or appliances or using cosmetic preparations, antiseptics, soaps, detergents, tonics, lotions, or creams in any one or any combination of the practices of esthetics, hair dressing, and manicuring for compensation, direct or indirect, including tips.

    La. Rev. Stat. §37:563(6)(a)

  • "Esthetics" means engaging in any one or a combination of the following practices: massaging the face or neck of a person, dyeing or trimming eyebrows, applying natural or artificial enhancements to eyelashes, hair removal by cosmetic preparations, threading, waxing, or other similar means, stimulating, cleansing, or beautifying the face, neck, arms, bust, upper body, legs, or feet of a person by any method with the aid of the hands or of any mechanical or electrical apparatus, including micro-dermabrasion, epidermabrasion, or particle exfoliation.

    La. Rev. Stat. §37:563(8)

  • The following fees shall be assessed by the board for each initial certificate of registration and each annual renewal of such certificate: (a) Cosmetologist, esthetician, manicurist, teacher/instructor, or manager $35.00 (b) Beauty shop or salon, mobile salon, or home care $55.00 (c) Initial inspection fee for salon, mobile salon, or booth rental $50.00 (d) Booth rental permit, special permit, or temporary permit $50.00

    La. Rev. Stat. §37:599(A)(2)

  • If a registrant wishes to restore an expired certificate listed in Paragraph (2) of this Subsection within three years from the date of expiration, he shall be assessed a fee equal to twice the applicable fee for each year the certificate was expired, not to exceed three hundred dollars.

    La. Rev. Stat. §37:599(A)(3)

  • Louisiana excludes copies of a commercial product from compounding by definition, and semaglutide and tirzepatide are commercially available products. Compounding does not include the compounding of drug products that are essentially copies of a commercially available product.

    La. Admin. Code tit. 46, pt. LIII, § 2533(A) (Definitions — Compounding; copies of a commercially available product are NOT compounding)

  • Compounding―the preparation, mixing, assembling, packaging, or labeling of a drug or device by a pharmacist for his patient as the result of a practitioner's prescription drug order or initiative based on the practitioner/patient/pharmacist relationship in the course of professional practice, or including the preparation of drugs or devices in anticipation of prescription orders to be received by the compounding pharmacist based on routine, regularly observed prescribing patterns.

    La. Admin. Code tit. 46, pt. LIII, § 2533(A) (Definitions — Compounding)

  • Practitioner Administered Compounds―products compounded by a licensed pharmacist, upon the medical order of a licensed prescriber for administration by a prescriber for diagnostic or therapeutic purposes.

    La. Admin. Code tit. 46, pt. LIII, § 2533(A) (Definitions — Practitioner Administered Compounds)

  • Copies of commercial drug products contain the same active pharmaceutical ingredient(s) in the same, similar, or easily substitutable dosage strength which can be used by the same route of administration. Changes in strength of less than 10 percent from the commercial drug product shall not be considered significant enough to warrant the preparation of a copy of a commercial drug product. In the event a prescriber determines a change in the formulation of a commercial drug product is necessary to produce a significant clinical difference for the patient and that determination is documented on the prescription, the pharmacy may prepare a variation of the commercial drug product, provided: the pharmacy does not prepare copies of commercial drug products regularly or in inordinate amounts.

    La. Admin. Code tit. 46, pt. LIII, § 2535(F)(1) (Compounding Copies of Commercial Drug Products)

  • A pharmacy may prepare a copy of a commercial drug product when that product has been discontinued and is no longer marketed, or the product appears on the drug shortage list maintained by the federal Food and Drug Administration, or the product is temporarily unavailable as demonstrated by invoice or other communication from the distributor or manufacturer.

    La. Admin. Code tit. 46, pt. LIII, § 2535(F)(2) (Compounding Copies of Commercial Drug Products)

  • These requirements are intended to apply to all compounded preparations, sterile and non-sterile, regardless of the location of the patient, e.g., home, hospital, nursing home, hospice, or practitioner’s office.

    La. Admin. Code tit. 46, pt. LIII, § 2531(B) (Purpose and Scope)

Advertising rules6 cited rules

Louisiana's advertising ground is written to catch SELF-PROMOTION as well as patient solicitation, and it reaches private communication as well as public: solicitation of patients or self-promotion through advertising or communication, public or private, which is fraudulent, false, deceptive, or misleading, is a…

Disciplinary landscape10 cited rules

Louisiana backs its licensing requirement with both a criminal penalty and an injunction that cannot be bonded around. Whoever violates any provision of the Part is fined $250 to $500, or imprisoned ten days to five months, or both, for each offense. And the board may cause a writ of injunction to issue enjoining any person from practicing medicine until they obtain a license. That injunction is NOT subject to being released upon bond, and in the same suit the board may demand a penalty of up to five hundred dollars plus attorney's fees of up to one hundred dollars and costs. Separately, the Louisiana State Board of Medical Examiners may refuse to issue, or may suspend or revoke, any license or permit, or impose probationary or other restrictions on any license, permit or certificate issued under the Part, for the enumerated causes. Those on record here include conviction of, or a plea of guilty or nolo contendere to, a criminal charge constituting a FELONY under Louisiana or United States law; conviction of or a plea to any criminal charge arising out of or in connection with the practice of medicine; providing false testimony before the board or false sworn information to it; inability to practice medicine with reasonable skill or safety because of mental illness or deficiency, physical illness including deterioration through the aging process or loss of motor skills, or excessive use or abuse of drugs including alcohol; and refusing to submit to the examinations and inquiry of an examining committee of physicians appointed by the board to inquire into the physician's fitness to practice with reasonable skill and safety.

  • Whoever violates any of the provisions of this Part shall, for each offense, be fined not less than two hundred and fifty dollars nor more than five hundred dollars, or imprisoned for not less than ten days nor more than five months, or both.

    La. Rev. Stat. §37:1290

  • None of the provisions of this Part shall apply to any commissioned physician or surgeon of the United States Army, Navy, or Public Health Service, practicing in the discharge of his official duties; the administration of first aid in cases of emergency; practitioners of allied health fields, duly licensed, certified, or registered under other laws of this state; or anyone attending a woman in childbirth in an emergency.

    La. Rev. Stat. §37:1291

  • The board, through its proper officer, may cause to issue in any competent court, a writ of injunction enjoining any person from practicing medicine as defined herein until such person obtains a license under the provisions of this Part. This injunction shall not be subject to being released upon bond.

    La. Rev. Stat. §37:1286(A)

  • In the suit for an injunction, the board, through its president, may demand of the defendant a penalty of not more than five hundred dollars, and attorney's fees not to exceed one hundred dollars, besides the costs of court.

    La. Rev. Stat. §37:1286(B)

  • The board may refuse to issue, or may suspend or revoke any license or permit, or impose probationary or other restrictions on any license, permit, or certificate issued pursuant to this Part or Part I-D of this Chapter for conviction of a crime or entry of a plea of guilty or nolo contendere to a criminal charge constituting a felony under the laws of Louisiana or of the United States.

    La. Rev. Stat. §37:1285(A)(1)

  • Conviction of a crime or entry of a plea of guilty or nolo contendere to any criminal charge arising out of or in connection with the practice of medicine is a cause for which the board may refuse to issue, or may suspend or revoke any license or permit.

    La. Rev. Stat. §37:1285(A)(2)

  • Providing false testimony before the board or providing false sworn information to the board is a cause for which the board may refuse to issue, or may suspend or revoke any license or permit.

    La. Rev. Stat. §37:1285(A)(4)

  • Inability to practice medicine with reasonable skill or safety to patients because of mental illness or deficiency; physical illness, including but not limited to deterioration through the aging process or loss of motor skills; or excessive use or abuse of drugs, including alcohol, is a cause for which the board may refuse to issue, or may suspend or revoke any license or permit.

    La. Rev. Stat. §37:1285(A)(25)

  • Refusing to submit to the examinations and inquiry of an examining committee of physicians appointed or designated by the board to inquire into the physician's physical and mental fitness and ability to practice medicine with reasonable skill and safety to patients is a cause for which the board may refuse to issue, or may suspend or revoke any license or permit.

    La. Rev. Stat. §37:1285(A)(26)

  • Unprofessional conduct is a ground for board action and includes, but is not limited to, conduct manifested as sexual misconduct, disruptive behavior, failing to cooperate with the board, failing to maintain independent medical judgment, improperly delegating or supervising, exercising undue influence, enabling the unauthorized practice of medicine, practicing or enabling practice by an impaired provider, failing to practice within the scope of education, training, and experience, intentionally falsifying or fraudulently altering records, or failing to create or maintain medical records.

    La. Rev. Stat. §37:1285(A)(13)

Current as of Sep 8, 2026. Verify against the linked primary source and consult qualified counsel before acting — rules change and turn on your specific facts.

Who may perform it in Louisiana?

We hold Louisiana’s own written limits for chemical peel, injectable (neuromodulator, dermal filler), microneedling / collagen induction, micropigmentation / permanent makeup, sclerotherapy, mechanical exfoliation (dermaplaning, microdermabrasion), energy device (laser, IPL, RF, plasma, ultrasound), hair removal (laser / IPL) — read at source and cited. Check a licence against a procedure and see the rule it rests on.

Check scope in Louisiana →

Louisiana med spa compliance — FAQ

Where do Louisiana med spa and injectable regulations come from?
Louisiana med spas and injectors are governed by a mix of state and federal authorities — the Louisiana legislature, and the state's boards of nursing, medicine, and pharmacy, alongside federal bodies like the FDA and the Federal Register. MedSpaRadar monitors all of them for Louisiana and flags what changed in plain language.
Does the FDA's GLP-1 compounding guidance apply in Louisiana?
Yes — federal FDA actions on GLP-1 compounding (semaglutide, tirzepatide) apply nationwide, including in Louisiana. We track those federal changes alongside any Louisiana-specific rules so you see the full picture for your practice.
How do I keep up with Louisiana regulatory changes?
MedSpaRadar sends a free weekly Brief on what changed across Louisiana, the FDA, and the Federal Register. Members get the exact "what to do" for their states in one daily email. It's regulatory monitoring, not legal advice.

Get Louisiana changes as they publish

We scan the Louisiana legislature and licensing boards daily, plus the FDA and the Federal Register. Free weekly Brief — what changed, in plain language, with the source.

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Related

← All states · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director.