Who needs a physician supervision of cosmetic medical procedures in Massachusetts?

Issued by Board of Registration in Medicine; Board of Registration in Nursing; Board of Registration of Cosmetology and Barbering, at step 4 of 6 in the opening sequence: get the permits for your kind of business.

1 of the 20 kinds of business in Massachusetts

Injectables, lasers, radiofrequency and body contouring are medical procedures: performed by a physician, or by a nurse or physician assistant under a physician’s order after a good faith exam. The Cosmetology Board’s 2025 policy bars aestheticians from injectables and from laser work, leaving them intense pulsed light and skin care; laser hair removal in Massachusetts belongs to physicians and licensed electrologists. The medical side of the business is owned and directed by a licensed physician or professional entity.

Checked Oct 21, 2026 against the agency’s page.

Step 4 of 6: Get the permits for your kind of business

  1. Set up the business
  2. Register for tax
  3. Approve the space
  4. Get the permits for your kind of business
  5. Alcohol permits
  6. Before the first hire

Issued by Board of Registration in Medicine; Board of Registration in Nursing; Board of Registration of Cosmetology and Barbering.

Sources and dates

243 CMR 2.00 (delegation by physicians); Board of Registration in Nursing advisory ruling on cosmetic injections; Board of Registration of Cosmetology and Barbering policy on practices outside the scope of licensure (amended 2025). Checked against the agency’s page on the date shown; cities add their own fees.

Questions about opening here.