Who performs Fraxel an aesthetician or an MD?

Who performs Fraxel an aesthetician or an MD?

I know this is really confusing to consumers because the use of cosmetic lasers are governed by laws and statutes controlled by the states in the United States.  In other countries, legal use of lasers varies widely and, in some countries doesn’t require any medical training (scarey!). 

In the US, some states only allow MDs to operate lasers.  Other states allow aestheticians (who basically have no medical licensing) to operate them and everyone in between.   Of all the medical licenses, by depth and length of training, the heirarchy goes  MD, ARNPs and PAC-s, RNs, LPNs, and MAs.

In our office, we only allow PA-Cs/ARNPs and some experienced RNs to operate lasers under the supervision of an MD who is on site (not an absentee medical director).  Our MDs only operate our CO2 laser.

 Dr. I 

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skincare advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!