42 ASCP Skin Deep March/April 2021
collarbone may be used. Since ultrasound is designed
to stimulate a person's own collagen production, results
are dependent on the individual. Results typically appear
over the course of 90 days and can be achieved with
one treatment.
SCOPE OF PRACTICE
Like all advanced esthetic procedures, each state
has its own rules and regulations as to whether an
esthetician can perform ultrasound skin tightening.
Check with your state board to determine whether this
treatment is within your state's scope of practice.
In most states, the use of focused ultrasound is
unclear and may require medical director oversight.
In states where master estheticians are licensed, such
as Washington, Oregon, and Utah, ultrasound can
only be performed by these master estheticians.
7
Ultherapy is currently the only FDA-approved device
for ultrasound skin tightening, which can be used for
lifting, toning, and improving lines and wrinkles,
8
and
the manufacturer provides onsite training in the use
of its machines. Alternatively, local advanced esthetic
schools may also provide training in ultrasound
coupled with other advanced esthetic procedures.
Notes
1. Emily Taylor, "4 Doctor-Approved Ways to Tightening and Tone Loose Skin,"
New Beauty, accessed February 2021, www.newbeauty.com/how-to-tone-and-
tighten-loose-skin.
2. Emily Taylor, "4 Doctor-Approved Ways to Tightening and Tone Loose Skin."
3. Sabrina Guillen Fabi, "Noninvasive Skin Tightening: Focus on New
Ultrasound Techniques," Clinical, Cosmetic and Investigational Dermatology
8 (February 2015): 47–52, https://doi.org/10.2147/CCID.S69118.
4. Cynthia Cobb, "Can High Intensity Focused Ultrasound Treatment Replace Face
Lifts? " Healthline, accessed February 2021, www.healthline.com/health/hifu-for-face.
5. Ultherapy, "Frequently Asked Questions About Ultherapy," accessed February
2021, www.ultherapy.com/frequently-asked-questions.
6. Ultherapy, "Frequently Asked Questions About Ultherapy."
7. EstheticianEDU.org, "Everything You Need to Know About O¥ ering Ultrasonic
Skin Therapy in Your Esthetics Practice," accessed February 2021,
www.estheticianedu.org/ultrasonic-skin-therapy.
8. Ultherapy, "Frequently Asked Questions About Ultherapy."
Liability Insurance
Professional liability insurance for skin tightening protects you in case a client sues. ASCP members
have access to optional Advanced Modality Insurance coverage for ultrasound, radio frequency,
body contouring, and other advanced modalities that protects you and your esthetics practice. More
information about advanced modality coverage, including the steps for applying, is available at
ascpskincare.com/ami. Pricing for ultrasound services ranges from $592 to $692 for the year, and you
can bundle that coverage with other advanced modalities to save more. If you can answer yes to the
following three questions, you may be eligible for this advanced modality coverage:
• Do I have proof of advanced training with hands-on experience?
• Am I practicing these modalities within the scope of practice authorized by the state in which I work?
• Am I an ASCP member, or do I plan to be?
Learn more about ASCP's Advanced Modality Insurance program for members at ascpskincare.com/ami.
ADVANCED MODALITIES
A good candidate
for focused ultrasound
is the client with mild to
moderate skin laxity.
Check out one of our
Advanced Modality videos