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New York State Urged to Tighten Medspa Oversight as Dermatology Groups, NYC Council Warn of Widespread Violations

Dermatology groups and the NYC Council are pushing for state laws requiring clear disclosures about what procedures medspas are legally prohibited from performing.
Dermatology groups and the NYC Council are pushing for state laws requiring clear disclosures about what procedures medspas are legally prohibited from performing.
Courtesy of Eloisa at Adobe Stock

On Jan. 6, the American Academy of Dermatology Association (AADA) and the New York State Society of Dermatology and Dermatologic Surgery, released a statement, joining the New York City Council in urging New York lawmakers to require medspas and cosmetology and nail establishments to clearly disclose that they cannot perform medical procedures.

Per the Jan. 6 press release provided by the AADA, the organizations also join the Council in urging New York State to launch a public education campaign informing consumers about the risks of undergoing cosmetic medical procedures in unlicensed or improperly supervised facilities [1]. The AADA states that many clients assume staff are licensed in medspas, but these treatments require the expertise of board-certified dermatologists.

In December 2025, the council released a report called ‘A Joint Enforcement Operation Against Improperly Licensed Medspas in NYC,’ detailing why these investigations were initiated across New York, motivated by the rapid expansion of medspas across the state. The report also provided updates of the hearings that took place addressing the violations and lack of regulation. 

The investigations took place between June and September 2024 by the NYC Council’s Oversight and Investigations Division. Of the 15 inspected medspas across the five boroughs, the majority failed to display licenses, maintain safety records, have medical professionals present or comply with insurance requirements; some also employed unlicensed or expired practitioners [2]. 

All 15 of the inspected businesses received DOS violations, resulting in four license revocations now issued, and four cases have been fully adjudicated. Of the 15 businesses, 93% had license display problems and 86% were missing required safety records. The cases for the remaining 11 inspected businesses appear to still be pending, the report states [2]. 

The council proposes the state lawmakers to consider enacting a law requiring all Appearance-Enhancement Businesses (AEBs) to clearly display disclosure that they are not licensed to perform medical procedures. It would list common services that AEBs are prohibited from providing, including Botox and other injectables, dermal fillers, platelet-rich plasma (PRP) treatments, intravenous (IV) therapy and infusions and body contouring procedures.

State Health Commissioner James McDonald, MD said, “The Department of Health reminds New Yorkers of the importance of ensuring their provider has the proper qualifications and training, especially as cosmetic medspa procedures become more popular. Licensed health care professionals undergo rigorous training to understand the complexities of human physiology, and are the only individuals qualified to perform these services. The Department of Health will continue to investigate and hold individuals and practices accountable who offer unauthorized services that put people’s lives at risk.”

 

References:

1-https://www.prnewswire.com/news-releases/joint-statement-from-the-american-academy-of-dermatology-association-and-the-new-york-state-society-of-dermatology-and-dermatologic-surgery-on-new-york-city-council-medspa-investigation-302654064.html

2-https://council.nyc.gov/press/wp-content/uploads/sites/56/2025/12/OID_Medical_Spas-REPORT_120125-v847.pdf?source=email


 

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