Estheticians wishing to offer laser tattoo removal should remember that the procedure requires more than just a new machine; it also requires the presence of a physician. Kentucky law expressly prohibits estheticians practicing in the state from performing laser treatments unless practicing under the immediate supervision of a licensed physician. The term immediate supervision in this context means that the doctor is in the same room overseeing these activities at all times.

The immediate supervision standard applied to estheticians is much higher than that applied to registered nurses. Registered nurses may participate in laser procedures so long as a physician or advanced practice registered nurse is available by phone. Estheticians are free to offer tattoo removal services but should not perform or have others perform laser procedures without the requisite supervision.

The applicable statutes affecting estheticians and laser treatments may be found here and here.