Have you ever wondered why laser hair removal regulations vary so drastically across the United States? With rules ranging from no oversight to strict physician-only restrictions, it seems puzzling how procedures using the same technology could be controlled so differently from state to state.
Allow us to clear all doubts you have by answering all the essential questions surrounding the laser hair removal requirements of every state.
Laser hair removal requirements differ significantly by state. Many states require direct supervision by a medical professional like a doctor, nurse, physician assistant, or nurse practitioner who oversees the facility and staff.
Some states allow operation under cosmetology or esthetician licenses with additional certification or training. More lenient states are the ones that allow estheticians, cosmetologists, nurses, physician assistants, and electrologists.
New York stands out as the only state with no regulations on laser hair removal. On the contrary, others stick to a “physicians only” policy.
For your convenience, we took the time to sum up the laser hair removal requirements for each U.S. state in this table:
| State | Physician Supervision | Specific Licensure | Mandated Training Hours | Eligible Providers |
| Alabama | Required | No | 16 hours | Nurses, PAs, Electrologists |
| Alaska | Required | No | None | Physicians Only |
| Arizona | Required | Yes | 40 hours | Nurses, PAs, Estheticians |
| Arkansas | Required | No | 16 hours | Nurses, PAs, Electrologists |
| California | Required | No | Varies | Estheticians, Nurses |
| Colorado | Required | Yes | Varies | Estheticians, Nurses, Doctors |
| Connecticut | Required | No | 600 hours for Medical Assistants | Physicians Only |
| Delaware | Required | No | None | Physicians Only |
| Florida | Required | No | 30 hours | Electrologists, Nurses, Doctors |
| Georgia | Not Required | Yes | Varies | Nurses, PAs, Estheticians, Cosmetologists |
| Hawaii | Not Required | Yes | 600 hours | Electrologists |
| Idaho | Required | No | None | Physicians, Nurses, Estheticians |
| Illinois | Required | No | None | Physicians Only |
| Indiana | Required | No | 64 hours | Physicians, Electrologists |
| Iowa | Sometimes | No | 40 hours | Electrologists, Estheticians, Cosmetologists |
| Kansas | Required | No | None | Physicians Only |
| Kentucky | Required | No | Varies | Nurses, Electrologists |
| Louisiana | Required | No | None | Physicians Only |
| Maine | Required | No | None | Physicians, Electrologists |
| Maryland | Required | No | None | Physicians, Nurses, PAs |
| Massachusetts | Required | Yes | Varies | Electrologists |
| Michigan | Required | No | None | Physicians, Nurses, PAs |
| Minnesota | Required | No | None | Physicians Only |
| Mississippi | Required | No | None | Physicians Only |
| Missouri | Required | No | None | Physicians Only |
| Montana | Required | No | None | Physicians Only |
| Nebraska | Required | No | None | Physicians Only |
| Nevada | Not Required | Yes | 75 hours | Estheticians, Cosmetologists |
| New Hampshire | Required | No | None | Physicians, PAs |
| New Jersey | Required | No | None | Physicians Only |
| New Mexico | Required | No | Varies | Nurses, Estheticians, Electrologists |
| New York | Not Required | No | None | None |
| North Carolina | Required | Yes | 30 hours | Electrologists |
| North Dakota | Required | No | None | Physicians Only |
| Ohio | Required | No | Varies | Nurses, Cosmetic Therapists |
| Oklahoma | Required | No | 30 hours | Electrologists, Nurses |
| Oregon | Required | Yes | 64 hours | Estheticians |
| Pennsylvania | Required | No | None | Any Qualified |
| Rhode Island | Sometimes | No | None | Electrologists |
| South Carolina | Required | No | 16 hours | Nurses, PAs, Electrologists |
| South Dakota | Required | No | None | Physicians Only |
| Tennessee | Required | No | None | Physicians, Nurses, Electrologists |
| Texas | Required | Yes | 40 hours | Varies |
| Utah | Required | No | 16 hours | Nurses, Estheticians, Electrologists |
| Vermont | Not Required | Yes | Varies | Electrologists |
| Virginia | Required | No | None | Nurses, PAs |
| Washington | Required | Yes | 450 hours | Estheticians |
| West Virginia | Required | No | None | Physicians Only |
| Wisconsin | Required | No | 6 hours | Estheticians |
| Wyoming | Required | No | None | Physicians Only |
Laser technicians must complete 6 hours of continuing education on laser theory and safety every 2 years when renewing their license.
Laser practitioners must complete continuing education credits in laser theory and safety every 2 years when renewing their license, but the specific number of hours is not defined.
Electrologists must complete 4 hours of continuing education every 3 years when renewing their laser hair removal license.
Those certified to perform laser/IPL hair removal must complete 4 hours of continuing education in laser/IPL theory and safety every 2 years.
Electrologists need to complete continuing education credits to maintain laser electrolysis approval, but the specific hours are not indicated. Additional laser training courses can count as CE credits.
Licensed estheticians must complete continuing education when renewing their advanced esthetics license every 3 years, but the specific hours are not stated.
Estheticians with advanced certifications must complete 6 hours of continuing education every 2 years when renewing their certificate.
All laser hair removal delegates must complete continuing education on laser procedures.
Aestheticians must complete 6 continuing education credits in laser treatments every 3 years when renewing their laser hair removal license.
The requirements for laser hair removal primarily focus on oversight, training, and safe operating procedures. According to Dr. Soni, the core prerequisites for safely and effectively performing laser hair removal focus on oversight, training, equipment, and protocols.
The ability of an esthetician to perform laser hair removal depends significantly on state regulations. Some states prohibit it entirely while others allow it with training and physician oversight.
In restrictive states like California, New York, and New Jersey, regulations completely forbid estheticians from providing any laser hair removal services. Only licensed medical professionals can legally operate lasers for hair removal in these states.
Overall, regulations run the gamut from total bans to conditional allowances under medical supervision to autonomous practice with training. The best practice for estheticians is to thoroughly research their state’s specific laws and work within their allowed scope of laser hair removal while emphasizing patient safety.
In most states, cosmetologists cannot legally perform laser hair removal with only their cosmetology license. Additional training, certification, and/or supervision by a medical professional is typically required due to safety concerns and potential risks of the procedure.
Excluding physicians, these are the only licenses that you will need to acquire to perform laser hair removal. Again, what license you need still depends on the state.
In a few states, an esthetician’s license allows the performance of laser hair removal. Estheticians receive training in skincare, makeup, waxing, and other cosmetic services. Some states mandate estheticians complete supplemental laser and light-based therapy training and certification.
Electrologists specialize in permanent hair removal techniques. Some states require they pursue additional laser hair removal training and certification to offer those services.
A number of states have specialized laser hair removal licenses and certifications separate from the esthetics field.
These typically involve completing a state board-approved program covering both classroom instruction in laser physics, safety, skin biology, etc. as well as hands-on training and supervised practice.
Common minimum requirements are 24-40 hours of education and performing 100+ treatments under supervision.
In states restricting the practice to the medical realm, licenses like nurse practitioner, physician assistant, or registered nurse allow laser hair removal administration. A medical director’s license provides oversight.
Licensing and certification requirements depend on the state you’re in. As such, it is important to check the regulations for the specific state where you plan to practice.
Most states require the completion of an approved training program, ranging from 30-40 hours of instruction in topics like laser physics, skin typing, treatment protocols, safety procedures, etc. Hands-on clinical training experience is also usually required.
After completing training, individuals generally need to apply for state certification or licensure, which may involve passing exams, paying fees, and undergoing a background check. Certifications must be renewed every few years with proof of continuing education.
In New York, laser hair removal is unregulated, so anyone can perform it. The state has tried unsuccessfully to regulate it. There are currently no training or licensing requirements.
In Florida, only electrologists, ARNPs, PAs, and physicians trained in hair removal can perform laser hair removal with physician supervision. They must complete additional training and certification.
In California, only physicians, PAs, and RNs can perform laser hair removal under physician supervision. Others like medical assistants cannot legally do it. Training requirements apply.
Yes, in California you need to be a physician, PA, or RN to perform laser hair removal. Others like medical assistants cannot legally do it. Specific training and licensing is mandatory.
New York is the only state with no regulations on laser hair removal. Anyone can perform it despite efforts to regulate it. No license or training is required.
In Washington, only licensed medical professionals like physicians can perform laser hair removal. Estheticians cannot legally do it. Mandatory licensing and training apply.
Only physicians or non-physician delegates under a physician’s direct supervision can perform laser surgery or treatments
Laser hair removal regulations are complex and inconsistent across the U.S. states. Our advice is to thoroughly research your state’s requirements before offering treatments or risk penalties.
Consult experienced medical directors and legal counsel to ensure full compliance. Ultimately, proper licensure protects technicians and the public.
At Ethos Spa, Dr. Soni closely oversees each treatment for optimal safety and results. We offer complimentary consultations to determine if laser hair removal is right for your needs and customize plans accordingly. Contact us today to learn more about our laser services.
Dr. Hardik Soni is the founder and Medical Director of Ethos Aesthetics + Wellness. His primary focus is on minimally invasive and non-invasive cosmetic procedures including botulinum injection (Botox and Dysport), dermal fillers (Juvederm, Restylane, Radiesse), laser hair removal, chemical peels, and laser skin rejuvenation. Dr. Soni believes in a more conservative approach and his first goal is education. Clients are able to determine the ideal treatments after discussion with Dr. Soni regarding the expected outcomes, cost, as well as risks.
