Who Can Perform Microdermabrasion in Colorado? (Scope Guide)
Microdermabrasion is one of the most popular non-invasive exfoliation treatments offered in professional skincare. However, in Colorado, who is legally allowed to perform it and under what training requirements? Because this involves device-based mechanical exfoliation, it’s important to follow the Colorado Department of Regulatory Agencies (DORA) scope-of-practice rules for estheticians and cosmetologists.
Colorado Regulatory Authority
In Colorado, estheticians and cosmetologists are regulated by DORA’s Barber and Cosmetology Practice Act and detailed rules set out in the Code of Colorado Regulations (4 CCR 731-1). These define the scope of services permitted and the training required before performing certain procedures like microdermabrasion.
Licensed Estheticians and Cosmetologists
Estheticians
Licensed estheticians in Colorado may perform microdermabrasion (technically categorized under “manual resurfacing exfoliation”) as part of their cosmetic scope of practice — but only after completing specific additional training.
State rules require that, prior to performing manual resurfacing exfoliation — including microdermabrasion — an actively licensed esthetician must complete at least 14 hours of microdermabrasion or manual resurfacing exfoliation coursework. This training must cover topics including skin structure, skin types and conditions, the exfoliation procedure, device handling, cleaning/disinfection, safety, and relevant law and rules.
The training must be completed at a school approved by Colorado’s Division of Professions and Occupations (DPOS) or the Colorado Community College System (CCCS). If the training was completed out of state, it must be substantially equivalent and approved by the Colorado Director.
Upon request by DORA, estheticians must be able to provide written documentation proving completion of the required microdermabrasion training (e.g., a certificate with the approved school’s seal).
Cosmetologists
Licensed cosmetologists — who complete a broader 1,500-hour program approved by DORA — may also perform microdermabrasion after completing the prescribed additional training. Their scope of practice expands to include microdermabrasion once they’ve met training requirements and maintained proper licensing.
What “Manual Resurfacing Exfoliation” Means
Colorado defines manual resurfacing exfoliation to include removal of dead skin cells using devices classified as Class I or II medical devices (which includes equipment used for procedures like microdermabrasion), provided the treatment does not penetrate beyond the epidermis and is conducted according to the regulations’ safety standards.
This means:
The procedure must remain cosmetic and non-invasive.
It’s intended for exfoliation of the outermost skin layer.
Any deep resurfacing procedures that structurally alter the skin below the epidermis are prohibited outside medical licensure.
Training Requirements & Documentation
Before performing microdermabrasion, a licensed esthetician or cosmetologist must:
✔ Hold an active esthetician or cosmetology license in Colorado.
✔ Complete the 14-hour manual resurfacing (microdermabrasion) training at an approved school.
✔ Maintain documentation (certificate of completion) and produce it upon request.
✔ Follow all infection control, sanitation, and safety protocols per DORA regulations.
If you perform microdermabrasion without documenting proper training, you risk regulatory action including fines or discipline from DORA.
Why This Matters for Professionals
Understanding the legal requirements is just as important as mastering technique:
Training ensures you provide services safely and effectively.
Compliance protects your license and business.
Documentation strengthens your credibility with clients and employers.
Summary: Who Can Perform Microdermabrasion in Colorado
In Colorado, licensed estheticians and cosmetologists may perform microdermabrasion once they’ve completed additional manual resurfacing exfoliation training as required by state regulation. Microdermabrasion must remain a cosmetic, non-invasive procedure within an esthetic practice and be performed with appropriate safety and sanitation protocols.
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