What is the status of skin removal techniques that affect the dermis?

Skin removal techniques that affect the dermis are considered a medical procedure rather than a cosmetic treatment. In Tennessee, the scope of practice for licensed cosmetologists does not include performing procedures that penetrate the skin at a deeper layer, such as the dermis. These procedures typically require a licensed medical professional, like a physician or dermatologist, due to their potential risks and the need for clinical oversight to ensure safety and effectiveness.

The justification for this prohibition is rooted in public health and safety concerns. Techniques that remove skin at the dermal level can lead to complications, infections, or adverse reactions if not performed by qualified individuals under sterile and regulated conditions. Therefore, the law is structured to clearly delineate the boundaries of practice between cosmetology and medical procedures, ensuring that all skin treatments are administered responsibly and within the legal framework established for health and safety.

In summary, since procedures that remove skin affecting the dermis require medical oversight and expertise, they are prohibited for cosmetologists in Tennessee.