R156-11a-610. Standards for the Use of Acids

  In accordance with Subsections 58-11a-102(25)(b), 58-11a-102(31)(a)(i)(C), and 58-11a-501(17), the standards for the use of any acid or concentration of acids, shall be:

  (1) The use of any acid or acid solution which would exfoliate the skin below the stratum corneum, including those listed in Subsections (3) and (4), is prohibited unless used under the supervision of a licensed health care practitioner.

  (2) The following acids are prohibited unless used under the supervision of a licensed health care practitioner:

  (a) phenol;

  (b) bichloroacetic acid;

  (c) resorcinol, except as provided in Subsection (4)(b); and

  (d) any acid in any concentration level that requires a prescription.

  (3) Limited chemical exfoliation for a basic esthetician does not include the mixing, combining, or layering of skin exfoliation products or services, but does include:

  (a) alpha hydroxy acids of 30% or less, with a pH of not less than 3.0; and

  (b) salicylic acid of 15% or less.

  (4) Chemical exfoliation for a master esthetician includes:

  (a) acids allowed for a basic esthetician;

  (b) modified jessner solution on the face and the tissue immediately adjacent to the jaw line;

  (c) alpha hydroxy acids with a pH of not less than 1.0 and at a concentration of 50% must include partially neutralized acids, and any acid above the concentration of 50% is prohibited;

  (d) beta hydroxy acids with a concentration of not more than 30%;

  (e) trichloroacetic acid, in accordance with Subsection 58-11a-501(17)(c), in a concentration of not more than 15%, but no manual, mechanical, or acid exfoliation can be used prior to treatment unless under the general supervision of a licensed health care practitioner; and

  (f) vitamin-based acids.

  (5) A licensee may not apply any exfoliating acid to a client's skin that has undergone microdermabrasion or microneedling within the previous seven days, unless under the general supervision of a licensed health care practitioner.

  (6)(a) A licensee shall prepare and maintain current documentation of the licensee's cumulative experience in chemical exfoliation, including:

  (i) courses of instruction;

  (ii) specialized training;

  (iii) on-the-job experience; and

  (iv) the approximate percentage that chemical exfoliation represents in the licensee's overall business.

  (b) A licensee shall provide the documentation required by Subsection (6)(a) to the Division upon request.

  (7) A licensee may not use an acid or perform a chemical exfoliation that the licensee is not competent to use or perform through training and experience, and as documented in accordance with Subsection (6).

  (8) Only commercially available products utilized in accordance with manufacturers' instructions may be used for chemical exfoliation purposes.

  (9) A patch test shall be administered to each client prior to beginning any chemical exfoliation series.