Md. Code Regs. 10.27.25.02

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.27.25.02 - Definitions

A. The following terms have the meanings indicated.

B. Terms Defined.

(1) "Body treatment" means cellulite lymphatic drainage and cellulite vacuum massage.

(2) "Cellulite lymphatic drainage"means a therapy in which the practitioner uses a range of specialized and gentle rhythmic pumping techniques to move the skin in the direction of the lymph flow.

(3) "Cellulite vacuum massage" means:

(a) The massage of peripheral blood, lymph, and inter-tissue liquid with the goal of reducing stagnation of these fluids and increasing the skin's elasticity; and

(b) The external use of a vacuum component directly on the area to be massaged followed by a straight line, circular, or zigzag movement to massage the area.

(4) "Chemical peels" also called deep skin peels, means the removal of the top layers of skin using chemicals applied directly to the skin.

(5) "Clinical preceptor" means a licensed or certified individual who is:

(a) Proficient in the procedure for which they are precepting; and

(b) Permitted by the appropriate health occupation licensing board to provide care and treatment for cosmetic services.

(6) "Cryotherapy" means the application of:

(a) Extreme cold to destroy abnormal or diseased tissue, warts, moles, skin tags, and solar keratoses; and

(b) Liquid nitrogen to freeze tissues at the cellular level.

(7) "Dermal fillers" means various types of natural or man-made materials which are injected intradermally to correct imperfections in the skin and subcutaneous tissue.

(8) "Direct supervision" means on site, physically present, accessible in the immediate patient care area and available to intervene if necessary.

(9) "Injectable treatments" means the use of FDA approved medication and includes the following:

(a) Dermal fillers;

(b) Micropigmentation, also known as cosmetic tattoo or permanent make-up; and

(c) Neuromuscular agents.

(10) "Laser treatment" means a technique in which exposure to low-level laser light or light emitting diodes are used to stimulate or inhibit cellular function possibly leading to beneficial clinical effects.

(11) Light Treatment.

(a) "Light treatment" also known as phototherapy, means the use of non-ionizing electro-magnetic radiation for therapeutic benefit.

(b) "Light treatment" does not mean laser treatment.

(12) "Lipodissolve" means a procedure that uses subcutaneous micro-injections of drugs with the sole purpose of dissolving fat for body contouring.

(13) Magenta Light.

(a) "Magenta light" means a non-invasive technique that combines infrared and magenta light with subdermal tissue massage to produce a penetrating light that affects the epidermis, alters cellulite formation,and controls cellulite formation at the cellular level.

(b) "Magenta light" does not mean laser or intensive pulse light.

(14) "Mesotherapy" also known as intradermotherapy, means a non-invasive cosmetic treatment which employs multiple intra or subcutaneous injections of pharmaceutical and homeopathic medications, plant extracts, vitamins, and other ingredients for the treatment of fat or cellulite.

(15) "Micro current treatment" means passing radio frequency electricity through the skin to:

(a) Heat up tissue;

(b) Cause the tissue to contract; and

(c) Stimulate collagen production.

(16) "Neuromuscular agents" means injectable drugs that cause muscle weakness for the purpose of cosmetic softening of wrinkles and includes, but is not limited to, Botox and Dysport.

(17) "Nurse" means a registered nurse (RN) or a licensed practical nurse (LPN).

(18) "Peels" or "Topicals" means:

(a) Chemicals peels;

(b) Cryotherapy; or

(c) Microdermabrasion.

(19) "Photochemotherapy" means the use of a photodynamic light source to destroy dystrophic cells.

(20) "Photodynamic (PDT)" means the use of a light source, combined with a light-sensitive drug to destroy dystrophic cells.

(21) "Photosensitizing agent" means a drug used with a photodynamic light source to produce a therapeutic photosensitivity.

(22) "Precepted clinical practice" means after theoretical learning and until competency is achieved:

(a) Working directly with patients;

(b) Performing cosmetic or dermatologic procedures on patients; and

(c) Working under the direct supervision of a clinical preceptor who has the knowledge and ability to perform the procedure independently.

(23) Radio Frequency and Current.

(a) "Radio frequency and current" means:

(i) Magenta light;

(ii) Microcurrent treatment;

(iii) Photochemotherapy;

(iv) Photodynamic;

(v) Thermage; and

(vi) Ultrasound (therapeutic only).

(b) "Radio frequency and current" does not mean laser.

(24) Theory.

(a) "Theory" means the body of knowledge regarding the principles underlying the safe execution of a cosmetic procedure and is obtained through didactic instruction provided by a licensed health care provider who has the knowledge and skill to perform the procedure.

(b) "Theory" includes didactic instruction by the licensed health care provider which may be augmented by a manufacturer's representative.

(25) "Thermage" means the use of radio frequency technology to:

(a) Target collagen in the dermis layer of the skin around the eyes and forehead; and

(b) Cause the dermis and underlying tissue to tighten.

(26) Ultrasound.

(a) "Ultrasound" means the therapeutic use of inaudible sound in the frequency range of approximately 20,000 to 10,000,000,000 cycles per second for therapeutic use at low intensity producing a heating effect to stimulate collagen production.

(b) "Ultrasound" does not mean the use of ultrasound for diagnostic purposes.

Md. Code Regs. 10.27.25.02