Tru-Skin Dermatology announces compliance with the new rules adopted by the Texas Medical Board (§193.17) effective November 7, 2013 regarding the delegation of nonsurgical cosmetic procedures for all medical practices in Texas.

Patients will now require an aesthetic pre-op exam by a physician or physician assistant (PA) prior to receiving a treatment by the nurse or aesthetician.  The rule applies to patients scheduled with a RN or aesthetician for procedures including Botox, injectables, and FDA approved laser devices (other than laser hair removal).

Has Tru-Skin Dermatology already implemented the changes?
Our practice is already complying with the new changes. We are currently implementing the necessary protocols in our practice to comply with the rule change.  If you are scheduled for Botox, dermal fillers, or laser treatment with any of our RNs or aestheticians, a physician or PA will see you first to issue the order.

Do I need to call to schedule a separate aesthetic appointment if I have an appointment already scheduled?
No, patients do not need to contact our office about this new rule.  We will ensure that appointments are handled properly.  Efforts will be made to accommodate the aesthetic exam during the scheduled time for the procedure, but in some situations a separate visit may be required to ensure that the order is in place prior to the treatment (we will contact you if this is the case).

If I have already had the treatment in the past with an RN/aesthetician, do I still need to get an order from the physician or PA?
Yes, the rule applies to all patients, whether new or established.

How often do I need to have an aesthetic pre-op exam?
Once the physician/PA order is obtained, the patient may be treated by the RN or aesthetician for one year.  Orders must be renewed annually to continue the treatment.

Will there be a charge for the aesthetic pre-op exam?
No, we will not charge a fee for the aesthetic pre-op exam.

Which providers at Tru-Skin Dermatology does this rule change affect?
·    Registered Nurse – Corina Corbeille
·    Licensed Aesthetician- Rebecca Ambrose

Which procedures require an aesthetic pre-op exam by a physician or PA?
Procedures offered at Tru-Skin Dermatology that are affected by the rule include:
·    Injectables –Botox, Dysport, Xeomin, Juvederm, Radiesse, Belotero, Restylane, Voluma
·    Laser/Devices – Photofacial, IPL, Pulsed Light Skin Tightening

Where can I find more information about the new TMB rule?
·    Texas Medical Board press release (October 30, 2013)
·    Texas Secretary of State, Texas Register (September 13, 2013)


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