Texas Medical Board Rule Change Regarding Delegation of Cosmetic Procedures

Written by WD Staff, Skin Care Specialists on November 6, 2013 2 Comments

Westlake Dermatology is pleased to announce its compliance with the new rules adopted by the Texas Medical Board (§193.17) effective November 7, 2013 regarding the delegation of nonsurgical cosmetic procedures for all medical practices in Texas.

Patients will now require an aesthetic pre-op exam by a physician or physician assistant (PA) prior to receiving a treatment by the nurse or aesthetician.  The rule applies to patients scheduled with a RN or aesthetician for procedures including Botox, injectables, and FDA approved laser devices (other than laser hair removal).

When will Westlake Dermatology implement the changes?
We have already implemented the necessary protocols in our practice to comply with the rule change.  If you are scheduled for Botox, dermal fillers, or laser treatment with any of our RNs or aestheticians, a physician or PA will see you first to issue the order.

If I have an appointment already scheduled, do I need to call to schedule a separate aesthetic pre-op exam?
No, patients do not need to contact our office about this new rule.  We will ensure that appointments are handled properly.  Efforts will be made to accommodate the aesthetic pre-op exam during the scheduled time for the procedure, but in some situations a separate visit may be required to ensure that the order is in place prior to the treatment (we will contact you if this is the case).

If I have already had the treatment in the past with an RN/aesthetician, do I still need to get an order from the physician or PA?
Yes, the rule applies to all patients, whether new or established.

How often do I need to have an aesthetic pre-op exam?
Once the physician/PA order is obtained, the patient may be treated by the RN or aesthetician for one year.  Orders must be renewed annually to continue the treatment.

Will there be a charge for the aesthetic pre-op exam?
No, we will not charge a fee for the aesthetic pre-op exam.

Which providers at Westlake Dermatology does this rule change affect?
·    Registered Nurses – Amber Follis, Kelly Wala
·    Licensed Aestheticians – Erma Morris, Emily Rodrigues, Solisa Shoop, Erin Solorzano, Emily White

Which procedures require an aesthetic pre-op exam by a physician or PA?
Procedures offered at Westlake Dermatology that are affected by the rule include:
·    Injectables – Botox, Dysport, Xeomin, Juvederm, Radiesse, Restylane, Sculptra
·    Laser/Devices – Blu-U, Clear and Brilliant, CoolSculpting, Fraxel, MiraDry, PicoSure, IPL, Thermage, Ultherapy, Vbeam, VelaSmooth

WD Staff

A united group of skin care specialists from Westlake Dermatology & Cosmetic Surgery, Austin's leader in Dermatology and Plastic Surgery. Articles posted under WD staff are authored through combined contributions from our entire team, including Plastic Surgeons, Dermatologists, Aestheticians, Physician Assistants, Aesthetic Nurses, and Patient Coordinators.

2 Responses to “Texas Medical Board Rule Change Regarding Delegation of Cosmetic Procedures”

  1. Avatar Kat says:

    Hi, Why would I need to see a PA/MD before Prp rejuvenation. It is not an injectable, you will only be withdrawing blood. Thanks in advance.

    • WD Staff WD Staff says:

      Hi Kat,

      Thanks for reading our post and submitting your great comment! I believe consulting with an MD or PA is necessary for any types of procedures involving blood work. So that’s why the consultation is necessary. However I can assure you consults are quick and painless!

      WD Staff

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