Dear Greenwich Medical Spa (GMS) client,
The Connecticut Department of Health has adopted a new rule (§Sb418) effective October 1st, 2014, regarding the nonsurgical medical cosmetic procedures performed in Connecticut.

All clients undergoing cosmetic procedures will first need to have an aesthetic pre-op exam by a Physician, Physician Assistant (PA) or Nurse Practitioner (NP) to receive an order, prior to treatment by the aesthetic nurse.  The rule applies to patients scheduled for procedures including Botox, injectables, and all FDA approved laser devices, Dermapen Microneedling, and Dermaplaning.  

When will GMS 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, a physician, PA or NP will see you first to issue the order.  

How will this affect me?
To limit inconvenience, please call us immediately to be scheduled for your exam.  There is no charge for the exam.  Please DO NOT wait to call when you need an appointment for a service, as this will result in a delay.

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 NP?
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/NP order is obtained, the patient may be treated by the RN for one year.  Orders must be renewed annually to continue the treatment.

Will there be a charge for the aesthetic pre-op exam?
Right now, if you schedule an appointment, the  aesthetic pre-op exam will be performed at no charge by our Physician, Physician Assistant (PA) or Nurse Practitioner (NP)

*Please note that aestheticians can no longer perform Dermapen Microneedling or Dermaplaning.  Please do not ask us to “bend the rules,” the act of an aesthetician performing dermaplaning is practicing medicine without a license, starting October 1st, 2014.

Procedures offered at GMS that are affected by the rule include:

  • Injectables: Botox, Dysport, Juvederm, Radiesse, Restylane, Perlane, Beletero
  • Spa: Dermaplaning
  • Laser/Devices: IPL Photofacial, Microneedling, Fraxel, CoolSculpting, Laser Hair Removal, Ultherapy
* It does not apply to regular facials or microdermabrasions.

Where can I find more information about the new rule?