Who may operate a cosmetic laser in Nevada?

Oversight · part of The Practice Perimeter

Short answer
The cited rules do not fully settle this — an advanced esthetician may perform nonablative esthetic medical procedures only with a supervising health care professional readily available, and may never perform ablative laser procedures, even under supervision.

a licensee shall not perform any invasive procedure that includes, without limitation: (b) The application of a topical lotion, cream or other substance which is not intended for use by a practitioner of a branch of cosmetology for the purpose of beautifying the skin or which affects anything below the stratum corneum; (d) The abrasion of the skin below the stratum corneum; (f) The injection or administration of any substance, including, without limitation, a controlled substance. The provisions of subsection 2 of NRS 644A.545 which prohibit an advanced esthetician from performing any ablative esthetic medical procedure apply regardless of whether the advanced esthetician is under the supervision of a health care professional and regardless of the delivery method, device or technology used, including, without limitation, radio frequency dissection, laser, scarlet or ablative microneedling or skin tag removal.

Nev. Admin. Code §644A.790(1)(b), (d), (f), (5) (Prohibited invasive procedures; exceptions) · verified Sep 7, 2026 · regulatory monitoring, not legal advice

Related Nevada rules

  • “invasive procedure” means an act that affects the structure or function of the skin below the stratum corneum that: (a) Is not within the scope of the licensee’s license to perform; (b) Is not intended for the sole purpose of the beautification of the skin; and (c) Excises, vaporizes, disintegrates or in any way removes living tissue.

    Nev. Admin. Code §644A.790(6) (“invasive procedure” defined) · verified Sep 7, 2026

  • Nevada’s Medical Practice Act contains no med-spa “medical director” designation. The full text of NRS chapter 630 was surveyed and the phrase “medical director” does not appear in it, nor do “medical spa” or “med spa”; the chapter regulates supervision through the named supervising-physician relationship and the medical-assistant supervision ground instead.

    Nev. Rev. Stat. ch. 630 (Physicians and Physician Assistants — full chapter surveyed) · verified Sep 3, 2026

All 11 cited Nevada rules on physician supervision & delegation →

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← All Nevada rules and changes · 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. Legislative data via LegiScan (CC BY 4.0).