Acne scars are depressions and raised areas on the skin left behind after an inflamed pimple breaks the barriers of a pore. There are two common types of acne scars: hypertrophic or keloid scars and atrophic or depressed scars. Hypertrophic scars are raised tissue and atrophic scars are depressions.
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Texas Department of State Health Services
Report on Regulation of Laser Hair Removal
HEALTH AND SAFETY CODE
TITLE 5. SANITATION AND ENVIRONMENTAL QUALITY
SUBTITLE D. NUCLEAR AND RADIOACTIVE MATERIALS
CHAPTER 401. RADIOACTIVE MATERIALS AND OTHER SOURCES OF RADIATION
SUBCHAPTER M. LASER HAIR REMOVAL
https://statutes.capitol.texas.gov/Docs/HS/htm/HS.401.htm
Sec. 401.501. DEFINITIONS.
In this subchapter:
(1) “Commission” means the Texas Commission of Licensing and Regulation.
(1-a) “Department” means the Texas Department of Licensing and Regulation.
(2) Repealed by Acts 2015, 84th Leg., R.S., Ch. 1, Sec. 3.1639(74), eff. April 2, 2015.
(2) “Executive director” means the executive director of the department.
(3) “Laser hair removal” means the use of a laser or pulsed light device for non-ablative hair removal procedures.
(4) “Laser hair removal facility” means a business location that provides laser hair removal.
(5) “Laser or pulsed light device” means a device approved by the department and the United States Food and Drug Administration for laser hair removal.
(6) “Non-ablative hair removal procedure” means a hair removal procedure using a laser or pulsed light device that does not remove the epidermis.
(7) “Operator” means the owner of a laser hair removal facility, an agent of an owner, or an independent contractor of a laser hair removal facility.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009.
Amended by: Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.1639(74), eff. April 2, 2015.
Sec. 401.5011. GENERAL POWERS AND DUTIES.
The executive director shall administer and enforce this chapter.
Added by Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.226, eff. September 1, 2017
Sec. 401.502. EXAMINATION.
The commission may adopt rules to govern the development and administration of an examination for an applicant under this subchapter.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009.
Amended by: Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.227, eff. September 1, 2017
Sec. 401.503. APPLICATION PROCESS. (a) An application for a certificate or license under this subchapter must be submitted in the manner and on a form prescribed by the executive director.
(b) The application must require an applicant to provide sworn statements relating to the applicant’s education and to provide other information required by the commission.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009.
Amended by: Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.228, eff. September 1, 2017
Sec. 401.504. CERTIFICATE FOR INDIVIDUALS REQUIRED.
(a) A person may not perform or attempt to perform laser hair removal unless the person holds the appropriate certificate under this subchapter.
(b) A certificate issued under this subchapter only authorizes a person to perform non-ablative cosmetic laser hair removal. The certificate does not authorize the person to diagnose, treat, or offer to treat any client for any illness, disease, injury, defect, or deformity of the human body. The certificate holder shall specifically disclose this limitation in writing to all clients and prospective clients.
(c) This subchapter does not require a health professional licensed under another law to hold a certificate under this subchapter to perform laser hair removal if the performance of laser hair removal is within the scope of that professional’s practice as determined by the professional’s licensing board.
(d) This subchapter does not apply to a physician or to a physician’s employee or delegate acting under Chapter 157, Occupations Code.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2010
Sec. 401.505. CERTIFIED LASER HAIR REMOVAL PROFESSIONAL.
(a) An applicant for a laser hair removal professional certificate must:
(1) be certified by a recognized certifying agency, including the Society for Clinical and Medical Hair Removal or another certification entity approved by the department;
(2) meet the requirements for a senior laser hair removal technician certificate under Section 401.506; and
(3) pass an examination required by the department.
(b) A certified laser hair removal professional acting under the protocol established with a consulting physician may perform laser hair removal without supervision.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009.
Amended by: Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.229, eff. September 1, 2017
Sec. 401.506. SENIOR LASER HAIR REMOVAL TECHNICIAN.
(a) Except as provided by Subsection (b), an applicant for a senior laser hair removal technician certificate must:
(1) meet the requirements for a laser hair removal technician certificate under Section 401.507; and
(2) have supervised at least 100 laser hair removal procedures, as audited by a certified laser hair removal professional.
(b) The qualifications for eligibility for an applicant for a senior laser hair removal technician certificate who is a licensed health professional shall be established by the entity that issues licenses for that health profession.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009
Sec. 401.507. LASER HAIR REMOVAL TECHNICIAN.
An applicant for a laser hair removal technician certificate must:
(1) meet the requirements for a laser hair removal apprentice-in-training certificate under Section 401.508; and
(2) have performed at least 100 laser hair removal procedures under the direct supervision of a senior laser hair removal technician or a certified laser hair removal professional.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009
Sec. 401.508. LASER HAIR REMOVAL APPRENTICE-IN-TRAINING.
(a) An applicant for a laser hair removal apprentice-in-training certificate must have at least 24 hours of training in safety, laser physics, skin typing, skin reactions, treatment protocols, burns, eye protection, emergencies, and posttreatment protocols.
(b) A laser hair removal apprentice-in-training must work directly under the supervision of a senior laser hair removal technician or a certified laser hair removal professional.
(c) A person must be at least 18 years of age to qualify to be a laser hair removal apprentice-in-training.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009
Sec. 401.510. FACILITY LICENSE REQUIRED.
(a) A person may not operate a laser hair removal facility unless the person holds a license issued under this subchapter to operate the facility.
(b) A separate license is required for each laser hair removal facility.
(c) This section does not apply to:
(1) a facility owned or operated by a physician for the practice of medicine;
(2) a licensed hospital; or
(3) a clinic owned or operated by a licensed hospital.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2010
Sec. 401.512. TERM OF CERTIFICATE OR LICENSE.
(a) A certificate or license expires on the second anniversary of the date of issuance and may be renewed.
(b) Repealed by Acts 2015, 84th Leg., R.S., Ch. 838 , Sec. 1.297(3), eff. September 1, 2017.
(c) Repealed by Acts 2015, 84th Leg., R.S., Ch. 838 , Sec. 1.297(3), eff. September 1, 2017.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009.
Amended by: Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.230, eff. September 1, 2017.
Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.231, eff. September 1, 2017.
Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.297(3), eff. September 1, 2017
Sec. 401.513. DISPLAY OF LICENSE OR CERTIFICATE.
A person holding a license or certificate under this subchapter shall display the person’s license or certificate in an open public area of the laser hair removal facility.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009
Sec. 401.514. LASER OR PULSED LIGHT DEVICE.
(a) A laser or pulsed light device used for laser hair removal in a laser hair removal facility must comply with all applicable federal and state laws and regulations.
(b) A person who adulterates or misbrands a laser or pulsed light device violates Chapter 431. The department may investigate a person accused of adulterating or misbranding a laser or pulsed light device.
(c) A person may only use a laser or pulsed light device approved for laser hair removal by the federal Food and Drug Administration for that purpose and may only use the device at the settings expected to safely remove hair.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009
Sec. 401.515. CUSTOMER NOTICE; LIABILITY.
(a) A laser hair removal facility shall give each customer a written statement outlining the relevant risks associated with laser hair removal, including a warning that failure to use the eye protection provided to the customer by the laser hair removal facility may result in damage to the eyes.
(b) The commission shall adopt rules relating to the customer notice.
(c) Compliance with the notice requirement does not affect the liability of the laser hair removal facility operator or a manufacturer of a laser or pulsed light device.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009.
Amended by: Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.232, eff. September 1, 2017
Sec. 401.516. WARNING SIGNS.
(a) A laser hair removal facility shall post a warning sign as prescribed by the commission in a conspicuous location readily visible to a person entering the facility. The sign must provide a toll-free telephone number and e-mail address for the department and inform the customer that the customer may contact the department.
(b) The commission shall adopt rules specifying the size, content, and design of the sign, with wording listing the potential dangers involved.
(c) The department shall include with a license application and an application for renewal of a license a description of the design standards required for a sign under this section.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009.
Amended by: Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.233, eff. September 1, 2017
Sec. 401.517. OPERATIONAL REQUIREMENTS.
(a) Except as provided by Subsection (b), a laser hair removal facility shall have a certified laser hair removal professional or a licensed health professional described by Section 401.504(c) present to supervise the laser hair removal procedures performed at the facility during the facility’s operating hours.
(b) A laser hair removal facility may continue to perform laser hair removal procedures after the facility’s certified laser hair removal professional leaves the facility if a senior laser hair removal technician is present to perform or supervise each procedure. Not later than the 45th day after the date the facility’s certified laser hair removal professional leaves the facility:
(1) the facility’s senior laser hair removal technician must become certified as a laser hair removal professional under Section 401.505; or
(2) the facility must hire a new certified laser hair removal professional.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2010
Sec. 401.518. SAFETY.
(a) A laser hair removal facility operator is responsible for maintaining the laser hair removal facility’s compliance with the requirements of this subchapter and commission rules relating to laser and pulsed light devices.
(b) A laser hair removal facility operator may not claim, advertise, or distribute promotional materials that claim that laser hair removal is free from risk or provides any medical benefit.
(c) A laser hair removal facility operator may not produce false or misleading advertising regarding the services offered at the facility.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009.
Amended by: Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.234, eff. September 1, 2017.
Sec. 401.519. CONSULTING PHYSICIAN. (a) A laser hair removal facility must have a written contract with a consulting physician to:
(1) establish proper protocols for the services provided at the facility; and
(2) audit the laser hair removal facility’s protocols and operations.
(b) Under the rules of the commission, a laser hair removal facility must document with the department the facility’s contractual relationship with the consulting physician.
(c) The consulting physician must be available for emergency consultation with the facility as appropriate to the circumstances, including, if the physician considers it necessary, an emergency appointment with the client. If the consulting physician is unavailable for an emergency consultation, another designated physician must be available for the consultation with the facility relating to care for the client.
(d) This subchapter does not relieve a consulting physician or another health care professional from complying with applicable regulations prescribed by a state or federal agency.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009.
Amended by: Acts 2015, 84th Leg., R.S., Ch. 838 (S.B. 202), Sec. 1.235, eff. September 1, 2017
Sec. 401.520. DISCLOSURE OF RECORD PROHIBITED; EXCEPTION.
(a) Except as provided by Subsection (b), an operator or other person may not disclose a customer record required to be kept by the department.
(b) An operator or other person may disclose a customer record if:
(1) the customer or a person authorized to act on behalf of the customer requests the record;
(2) the department, the Texas Medical Board, a health authority, or an authorized agent requests the record;
(3) the customer consents in writing to disclosure of the record to another person;
(4) the customer is a victim, witness, or defendant in a criminal proceeding and the record is relevant to that proceeding;
(5) the record is requested in a criminal or civil proceeding by court order or subpoena; or
(6) disclosure is otherwise required by law.
Added by Acts 2009, 81st Leg., R.S., Ch. 303 (H.B. 449), Sec. 1, eff. September 1, 2009
Sec. 401.521. PROHIBITED PRACTICE.
(a) A person may not operate a laser or pulsed light device with the intent to treat an illness, disease, injury, or physical defect or deformity unless the person is:
(1) a physician;
(2) acting under a physician’s order; or
(3) authorized under other law to treat the illness, disease, injury, or physical defect or deformity in that manner.
(b) A person who violates Subsection (a) is practicing medicine in violation of Subtitle B, Title 3, Occupations Code, and is subject to the penalties under that subtitle and Subchapter F, Chapter 51, Occupations Code.
http://www.dshs.texas.gov/radiation/pdffiles/Laser-Hair-Removal-Report-Final.pdf
The Texas Medical Board (TMB) licenses and regulates physicians under the authority
granted to it in the Medical Practices Act, Chapters 151 through 165, Occupations
Code. In addition, the TMB regulates the delegation of certain medical acts associated
with the use of lasers and IPLs under the provisions in Chapter 157, Occupations Code.
The TMB adopted Section 193.11, Use of Lasers (22 TAC 193.11), establishing rules
for the use of laser and IPL devices for ablative and non-ablative treatment by
physicians. Laser hair removal is classified as a non-ablative procedure. The TMB rule
requires that the use of laser and IPL devices for non-ablative procedures cannot be
delegated to non-physician delegates, other than an advanced heath practitioner,
without the delegating/supervising physician being on-site and immediately available.
TMB Rule Sec. 193.11 became effective in November 2003. The rule stated that
enforcement would begin 12 months after the effective date, or December 2004, to
allow adequate time for all persons affected by the rule requirements to come into
compliance.
SECTION 193.17. Nonsurgical Medical Cosmetic Procedures
118.2 §193.11. Use of Lasers.
http://www.sos.state.tx.us/texreg/pdf/backview/0421/0421is.pdf (old)
