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

by Chief Editor

The Rise of the “DIY Beauty” Backlash: Why Med Spa Regulation is Heating Up

The allure of affordable cosmetic procedures is strong. But a recent investigation by the New York City Council, coupled with warnings from leading dermatology organizations, is shining a harsh light on the risks lurking within the rapidly expanding world of medical spas – or “med spas.” The core issue? A lack of consistent oversight and a growing potential for unqualified practitioners to perform procedures they aren’t equipped to handle.

What’s Happening in New York City – and Why It Matters

The NYC Council’s report, released in December 2025, detailed numerous instances of med spas operating with improper licenses or performing procedures beyond their legal scope. This isn’t just a New York problem. The med spa industry has exploded nationwide, growing 34% between 2018 and 2023, according to a report by Grand View Research. This growth has outpaced the development of robust regulatory frameworks, creating a patchwork of rules that vary significantly from state to state.

The American Academy of Dermatology Association (AADA) and the New York State Society of Dermatology and Dermatologic Surgery (NYSSDDS) are now actively supporting legislation in New York State that would mandate clear disclosures from med spas regarding their limitations. Essentially, businesses would be required to prominently display what procedures cannot be performed by non-physicians.

The Risks of Untrained Hands: Beyond Redness and Swelling

While a simple facial might seem harmless, even seemingly minor cosmetic procedures carry risks when performed by untrained individuals. Laser treatments, for example, are incredibly effective for hair removal and skin rejuvenation, but improper use can lead to painful burns, permanent scarring, and even changes in skin pigmentation. A 2022 study published in the Journal of the American Academy of Dermatology documented a significant increase in adverse events related to laser treatments performed in non-physician settings.

Pro Tip: Always verify the credentials of anyone performing a cosmetic procedure. Look for board certification and ensure a physician is on-site and readily available for consultation and emergency care.

Why Dermatologists Are Sounding the Alarm

Board-certified dermatologists undergo years of rigorous medical training, including a deep understanding of skin anatomy, physiology, and potential complications. They aren’t just focused on aesthetics; they’re equipped to diagnose and treat underlying skin conditions that could be exacerbated by cosmetic procedures. This comprehensive knowledge is crucial for minimizing risks and achieving optimal results.

“Consumers often underestimate the complexity of the skin,” explains Dr. Emily Carter, a board-certified dermatologist practicing in Manhattan. “What appears to be a simple treatment can have unforeseen consequences if not performed by someone with a thorough understanding of the underlying biology.”

Future Trends: Increased Regulation and a Focus on Transparency

The pressure for stricter regulation is likely to intensify. Here’s what we can expect to see in the coming years:

  • Standardized Licensing: A move towards national standards for med spa licensing and practitioner qualifications.
  • Enhanced Enforcement: Increased inspections and penalties for med spas operating outside the law.
  • Mandatory Disclosures: Requirements for clear and conspicuous disclosure of practitioner qualifications and procedure limitations.
  • Public Education Campaigns: Initiatives to educate consumers about the risks and benefits of cosmetic procedures and the importance of choosing qualified providers.
  • Technological Advancements in Verification: Blockchain-based systems to verify practitioner credentials and treatment records, enhancing transparency and accountability.

Did you know? The term “med spa” isn’t legally defined in many states, leading to confusion and inconsistent practices.

The Rise of “Skinfluencers” and the Demand for Authenticity

The growing influence of social media “skinfluencers” is also playing a role. While these influencers can raise awareness about cosmetic procedures, they often lack the medical expertise to provide accurate and unbiased information. Consumers are increasingly demanding transparency and authenticity, and are starting to question the motives behind sponsored content.

FAQ: Med Spas and Your Skin

  • Q: What is the difference between a med spa and a dermatologist’s office?
    A: Dermatologists are medical doctors specializing in skin health. Med spas often employ aestheticians or nurses under the supervision of a physician, but the level of physician oversight can vary significantly.
  • Q: How can I find a qualified dermatologist?
    A: Visit aad.org/findaderm to locate a board-certified dermatologist near you.
  • Q: What questions should I ask before undergoing a cosmetic procedure?
    A: Ask about the practitioner’s qualifications, experience, and the potential risks and complications of the procedure.

The future of the med spa industry hinges on prioritizing patient safety and transparency. Consumers deserve to know who is performing their treatments and what level of training and expertise they possess. By demanding greater accountability and supporting stricter regulations, we can ensure that the pursuit of beauty doesn’t come at the cost of health.

Ready to learn more about protecting your skin? Explore our articles on sun safety and common skin conditions.

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