Comprehensive Guide to Microneedling Regulations for Estheticians in the United States (2025)

States Permitting Esthetician Microneedling

Utah leads with progressive regulations, allowing master estheticians to perform microneedling with needle depths up to 1.5mm. This requires completion of an additional 600 hours of specialized training beyond basic esthetician licensing. Utah’s tiered licensing system has become a model for other states considering expanded scope of practice.

Florida permits licensed estheticians to perform microneedling under physician supervision. Notably, since October 2021, Florida classifies microneedling as a form of tattooing, requiring practitioners to obtain a tattoo license and perform procedures only in licensed tattoo establishments – a unique regulatory approach not adopted by other states.

Texas allows qualified estheticians to perform microneedling in medical spas under supervision of a medical director. The Texas Department of Licensing and Regulation mandates specific training qualifications but has maintained consistent regulations through 2025.

North Carolina implemented progressive regulations in July 2022, allowing estheticians to use microneedling devices up to 1.0mm in depth. This practice falls within the legal scope for both estheticians and cosmetologists, representing one of the more lenient regulatory frameworks nationwide.

Washington state permits master estheticians to perform microneedling with appropriate certification and continuing education, maintaining consistent guidelines that focus on advanced training requirements.

Arizona has established a clear depth-based distinction, allowing cosmetologists and estheticians to perform microneedling up to 0.5mm after completing a mandatory 75-hour advanced training course. Procedures using needles beyond 0.5mm remain classified as “advanced procedures” restricted to medical professionals.

States with Conditional Allowances

Georgia and Illinois have similar conditional frameworks – licensed estheticians may perform microneedling only under direct medical supervision. In both states, when performing these procedures, practitioners technically operate as medical delegates rather than estheticians, creating a regulatory nuance important for liability and insurance purposes.

States Restricting Microneedling to Medical Professionals

Alabama and Kentucky maintain strict classifications of microneedling as a medical procedure, permitting only physicians, Advanced Practice Registered Nurses (APRNs), or other medical licensees to perform these treatments.

California, New York, and New Jersey continue their longstanding restrictions, classifying all microneedling, regardless of needle depth, as medical procedures outside the scope of esthetic practice. These states have maintained their conservative stance despite industry pressure to adopt tiered approaches.

Critical Regulatory Considerations

The regulatory landscape features several important patterns across jurisdictions:

1. Needle Depth Distinctions: Most permissive states have adopted depth-based regulations, with 0.5mm emerging as a common threshold between esthetic and medical classification.
2. Supervision Requirements: Many states permit esthetician microneedling only under varying levels of medical oversight, from direct supervision to general direction.
3. Advanced Certification: Additional specialized training beyond standard esthetician education has become nearly universal in states permitting the practice.
4. FDA Considerations: While FDA guidelines technically permit estheticians to use devices less than 0.3mm depth, state boards maintain authority to impose stricter standards, creating a dual regulatory framework practitioners must navigate.

Professional Implications

Estheticians interested in offering microneedling should:

• Verify current regulations with their state cosmetology or medical boards, as rules continue evolving
• Obtain specialized training from recognized providers even when not explicitly required
• Secure appropriate liability insurance specifically covering microneedling procedures
• Consider partnerships with medical directors in states requiring supervision
• Maintain detailed documentation of all training, certifications, and continuing education

While this overview reflects regulations as of 2025, the regulatory landscape continues evolving. Industry advocacy efforts focus on establishing standardized national guidelines that balance consumer safety with professional access, potentially leading to more uniform regulations in the coming years.