Skin & Laser Treatments

Med Spa Laser & Microneedling SOPs That Pass
State Board Inspection — RF, Chemical Peel & More.

Energy-based devices are among the most regulated treatments in med spas — and missing microneedling, RF microneedling, or laser protocol documentation is a fast path to citations. These 9 SOP templates cover your full skin and laser menu, from traditional microneedling and RF microneedling (Morpheus8, Vivace) to chemical peels and IPL. Built from real enforcement patterns and structured for medical director review.

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The Case for SOPs

Why Your Skin & Laser Program Needs SOPs

Energy-based devices and advanced skin treatments carry real risk — is your practice protected?

Device-Specific Liability

Wrong energy settings on RF microneedling or laser devices can cause burns, hyperpigmentation, and scarring. Without device-specific protocols, every treatment is a liability risk — especially as you onboard new staff.

Fitzpatrick Compliance

Fitzpatrick skin type screening isn't optional — it's clinical standard of care for every laser and energy-based treatment. Documented screening protects your patients and your practice from adverse outcomes and lawsuits.

Staff Consistency

Every esthetician and nurse practitioner on your team should follow the same standards. Without written protocols, treatment quality varies by provider — leading to inconsistent results, patient complaints, and reputational damage.

Regulatory Requirements

Laser use requires documented protocols in most states. Medical directors are required to oversee energy-based devices — and that oversight must be documented. State boards are increasingly scrutinizing med spa laser programs.

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Yes/No questions across 5 key areas: emergency readiness, clinical documentation, staff training, medical director oversight, and patient records.

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What's Included in This Kit

Nine complete, implementation-ready SOPs covering every major skin and laser treatment offered in modern med spas — from microneedling to PRF and advanced exosome therapy.

SL-001

Microneedling Protocol

Complete collagen induction therapy protocol with depth guidelines by indication, Fitzpatrick skin type assessment, step-by-step procedure, pre/post-care instructions, and HSV activation management.

  • Depth guidelines by indication (fine lines to stretch marks)
  • Fitzpatrick skin type assessment & contraindications
  • Step-by-step procedure with numbing & prep
  • Pre/post-care instructions for patients
  • HSV activation prevention & management
Included in Skin & Laser Kit
SL-002

RF Microneedling Protocol

Device-agnostic radiofrequency microneedling protocol covering Morpheus8, Vivace, and Genius. Includes insulated vs. non-insulated tip guidance, skin type safety parameters, and burn incident management.

  • Device-agnostic settings guide (Morpheus8, Vivace, Genius)
  • Insulated vs. non-insulated tip selection
  • Energy level & depth parameters by skin type
  • Skin type safety screening (Fitzpatrick I–VI)
  • Burn incident recognition & management protocol
Included in Skin & Laser Kit
SL-003

Chemical Peel Protocol

Comprehensive protocol covering superficial through medium-depth chemical peels including AHA, BHA, and TCA. Includes frosting level guide, neutralization technique, and Fitzpatrick-adjusted approach.

  • Superficial to medium-depth peel selection guide
  • AHA, BHA, and TCA application protocols
  • Frosting level guide (Grade I–III) with endpoint criteria
  • Neutralization technique & timing
  • Fitzpatrick-adjusted approach for darker skin types
Included in Skin & Laser Kit
SL-004

Laser Hair Removal Protocol

Multi-device laser hair removal protocol covering Nd:YAG, Alexandrite, Diode, and IPL systems. Includes Fitzpatrick-based device selection guide, photosensitizing medication list, and burn management.

  • Multi-device protocol (Nd:YAG, Alexandrite, Diode, IPL)
  • Fitzpatrick-based device selection matrix
  • Photosensitizing medication screening list
  • Fluence & pulse duration by treatment area
  • Burn incident management & escalation pathway
Included in Skin & Laser Kit
SL-005

IPL Photofacial Protocol

Complete IPL photofacial protocol with strict Fitzpatrick skin type screening (types I–IV only), fluence and pulse duration selection tables, test spot protocol, and post-treatment care instructions.

  • Fitzpatrick screening (Types I–IV only; V–VI contraindicated)
  • Fluence selection table by skin type & indication
  • Pulse duration & cut-off filter selection
  • Mandatory test spot protocol with wait time
  • Post-treatment care & sun avoidance instructions
Included in Skin & Laser Kit
SL-006

HydraFacial Protocol

Complete vortex fusion device SOP including tip selection, serum choices by skin concern, lymphatic drainage add-on technique, contraindications, and customization for acne, aging, and hyperpigmentation.

  • Vortex fusion step-by-step procedure
  • Tip selection guide (cleanse, extract, hydrate)
  • Serum selection by skin concern
  • Lymphatic drainage add-on technique
  • Contraindications & customization by skin concern
Included in Skin & Laser Kit
SL-007

Exosome Therapy Protocol

Comprehensive exosome product handling and application protocol covering combination with microneedling or laser, application technique, storage requirements, and patient education for this advanced regenerative treatment.

  • Product handling, reconstitution & storage
  • Combination with microneedling or laser protocol
  • Application technique & timing
  • Storage temperature requirements & shelf life
  • Patient education & post-treatment instructions
Included in Skin & Laser Kit
SL-008

PRF Protocol

Full PRF workflow covering phlebotomy, Choukroun centrifuge protocol, I-PRF injectable preparation, and application for face, scalp, and combined microneedling treatments — the complete autologous regenerative protocol.

  • Full phlebotomy procedure & tube selection
  • Choukroun centrifuge protocol (speed & time settings)
  • I-PRF injectable preparation technique
  • Application for face, scalp & hair restoration
  • Combined PRF + microneedling SOP
Included in Skin & Laser Kit
SL-009

Dermaplaning Protocol

Complete dermaplaning SOP covering blade technique, correct angle and pressure guidelines, contraindications list, post-care instructions, and photosensitivity warnings for this popular manual exfoliation treatment.

  • Blade selection & sterility requirements
  • 45° angle & pressure technique guide
  • Contraindications (active acne, rosacea, keratosis pilaris)
  • Post-care & skincare product restrictions
  • Photosensitivity warnings & sun protection guidance
Included in Skin & Laser Kit
Complete Skin & Laser Protocol Kit

Get all 9 protocols in one download — standardize your skin & laser program today

$297 one-time payment

Or get all 62 SOPs for $997 — includes this kit + weight loss, injectables, body & wellness, hormone therapy, emergency & operations protocols

Preview Our Quality

See What You're Getting

Don't take our word for it — preview a real SOP from the Skin & Laser Kit.

📄 Sample Preview: Microneedling Protocol (SL-001)

SOP-SL-001  |  Version 1.0

Microneedling Protocol

Collagen Induction Therapy — Depth Guidelines & Fitzpatrick Assessment

⚠️ MEDICAL DEVICE PROTOCOL — Fitzpatrick skin type screening is required before every treatment. HSV prophylaxis must be assessed in patients with a history of oral or facial herpes simplex virus.

1 Needle Depth by Indication

Microneedling depth must be tailored to the specific indication and anatomical area. Deeper penetration is required for fibrotic scarring; superficial passes are appropriate for fine lines and general rejuvenation. Darker skin types (Fitzpatrick IV–VI) should begin at lower depth settings.

Needle Depth Reference Guide

Indication Depth Range Notes
Fine lines & wrinkles 0.5–1.0 mm Start conservative; periorbital area 0.25 mm
General skin rejuvenation 0.5–1.5 mm Adjust based on skin thickness
Acne scars (atrophic) 1.5–2.5 mm Deeper for boxcar/ice pick; multiple passes
Hair loss / alopecia 0.5–1.5 mm Combined with minoxidil or PRP/PRF
Stretch marks 2.0–3.0 mm Body areas tolerate deeper; test spot first

2 Fitzpatrick Skin Type Screening

Pre-Treatment Assessment Required

  • Document Fitzpatrick skin type (I–VI) in patient chart
  • Assess HSV history — prescribe antiviral prophylaxis if indicated
  • Confirm no active skin infection, open wounds, or isotretinoin use

This SOP continues with 7 more sections including: Numbing & Skin Prep, Step-by-Step Procedure, Post-Treatment Care, HSV Management, Contraindications, and Quick Reference Card.

Every SOP in the Skin & Laser Kit follows this same level of depth and clinical detail.

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Tangible Product

What You'll Receive

Professional, formatted, ready-to-print SOPs

MedSpa Standards
CONFIDENTIAL

SOP-SL-001  |  Version 1.0  |  Effective: January 2026

Microneedling Protocol

1 Needle Depth by Indication
Indication
Depth
Fine lines
0.5–1.0mm
Acne scars
1.5–2.5mm
Stretch marks
2.0–3.0mm
2 Fitzpatrick Assessment
MedSpa Standards — Fitzpatrick-Compliant v1.0 | Jan 2026 | Page 1 of 9

Each SOP includes detailed protocols, tables, checklists, and quick-reference cards — ready to print and implement.

Who This Kit Is For

Skin and laser treatments are among the highest-revenue services in med spas — and among the highest-risk without written protocols.

Med Spas Adding Skin & Laser Services

You're expanding into microneedling, RF, or laser treatments and need clinical protocols to train staff, operate legally, and deliver consistent results. These SOPs give you the foundation to launch confidently and safely.

Already Offering Treatments — But No Written Protocols

You're already performing chemical peels and laser treatments, but operating from verbal training or device manufacturer guides. One adverse outcome or state board inquiry can expose that gap. Get compliant before it becomes a problem.

Growing Teams & Multi-Location Practices

You're hiring new estheticians, laser techs, or nurses, or opening a second location. Without written protocols, every new hire gets different training. SOPs standardize care across your entire team — reducing errors and protecting your brand.

The Difference

Why Med Spa Owners Choose Us

Not Generic Templates

Written specifically for med spa skin and laser programs. Not recycled Canva templates or device manufacturer PDFs repurposed as SOPs.

Ready to Implement

Print them out, train your team, and you're done. No consultant needed to interpret or customize before implementation.

Expert-Written

Created by healthcare compliance professionals who understand energy-based device regulations and skin treatment standards nationwide.

Incredibly Affordable

Less than 1 hour of attorney time. A fraction of what a compliance consultant charges for protocol development.

What Med Spa Owners Are Saying

S
Sarah M.
Esthetic Practice Owner, Florida

"We were performing RF microneedling with the Morpheus8 with no written protocol — just the device training from the rep. After a patient complaint, we realized how exposed we were. These SOPs gave us exactly what we needed and our medical director approved them same day."

K
Karen D., NP
Med Spa Founder, California

"The chemical peel protocol alone was worth the entire kit. The Fitzpatrick-adjusted approach and frosting level guide are exactly what my new estheticians needed to feel confident. Before this, peel depth decisions were entirely based on whoever trained them."

T
Tanya R.
Laser Tech & Practice Manager, Texas

"The PRF protocol saved us so much time. We were trying to piece together the Choukroun centrifuge protocol from YouTube. Having it all documented — phlebotomy, spin times, I-PRF prep — gave our team the confidence to offer it as a real service."

A
Alicia P.
RN, Medical Spa Director, Arizona

"We added exosome therapy to our microneedling menu and had no protocol for handling the product or explaining it to patients. The exosome SOP covered everything — storage, combination technique, patient education. Implemented within a week of purchase."

The Reality

Without SOPs vs. With SOPs

The difference between reactive chaos and proactive confidence

Without Written Protocols

  • Wrong device settings causing burns and post-inflammatory hyperpigmentation
  • No Fitzpatrick screening before laser — treating Fitzpatrick V with Alexandrite
  • Inconsistent chemical peel depths — different results with every esthetician
  • No HSV screening before microneedling — patient experiences outbreak
  • State board requests documentation and practice can't provide it
  • Liability exposure with every single treatment performed

With These SOPs

  • Standardized Fitzpatrick screening before every laser and energy treatment
  • Clear device settings by skin type — no guesswork, no burns
  • Consistent peel depth protocols every provider can follow
  • HSV prophylaxis protocol prevents outbreaks after microneedling
  • Documentation ready for any regulatory review or inspection
  • New staff trained to the same standard on day one

100% Satisfaction Guarantee

If these protocols don't save you time, reduce training burden, or improve your practice operations within 30 days, we'll refund every penny. No questions asked.

We've never had a single refund request. These SOPs work.

Don't wait until there's an incident

Most Practices Don't Document Laser Protocols Until After a Burn Incident

A patient develops a post-inflammatory hyperpigmentation reaction. A staff member uses the wrong settings for a Fitzpatrick IV skin type. The state board requests documentation of your laser safety protocols. These situations happen — and most practices scramble to catch up. Don't be reactive.

Get ahead of the problem. Implement these SOPs today.

Compare Options

How We Compare

Feature MedSpa Standards No Protocol Build It Yourself
Price $297 one-time Free (but risky) Free (but very costly)
Implementation Ready Same day N/A Weeks of research
Fitzpatrick-Compliant ✅ ❌ No standards ❌ Uncertain
Device-Specific Guidance ✅ ❌ No documentation ❌ No guarantee
Staff Training Tool ✅ ❌ Verbal only ❌ Inconsistent
Inspection Ready ✅ ❌ Major risk ❌ Unlikely
Money-Back Guarantee ✅ 30 days ❌ ❌
Simple Pricing

Get Your Skin & Laser Protocols

Choose the right protocol package for your practice — from a single SOP to our complete skin & laser bundle.

Individual SOP

Perfect for filling a specific gap

$97 / per SOP
  • 1 SOP of your choice
  • Professional DOC format
  • Instant download
  • Step-by-step clinical guidance
Browse Individual Protocols
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Skin & Laser Protocol Kit

Complete skin & laser program coverage

Save $576 vs. buying individually ($97 × 9 = $873)
$873 if bought separately
$297 / one-time

🎉 Complete 9-SOP kit — everything you need in one download

  • All 9 skin & laser protocols
  • Professional DOC format
  • Instant download
  • Free updates for 1 year
  • 30-day money-back guarantee
✓ Instant PDF download — implement today
✓ Nationally compliant — works in all 50 states
✓ Written by med spa compliance specialists
✓ Used by med spa practices across the U.S.
30-Day Money-Back Guarantee

Complete Practice Suite

Everything — all 62 SOPs in one bundle

$997 / one-time
  • 10 weight loss protocols
  • 10 injectables protocols (Botox, Filler, etc.)
  • 9 skin & laser protocols
  • 10 body & wellness protocols
  • 10 hormone therapy protocols
  • 8 emergency protocols
  • 5 operations & compliance SOPs
  • Lifetime updates
Get All 62 SOPs — $997
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Related Reading

Frequently Asked Questions

Common questions from med spa owners about skin and laser protocols

Are these protocols based on nationally recognized best practices?

Yes. These are based on nationally recognized best practices baseline protocols that meet FDA guidance and industry standards applicable in all U.S. states. Your medical director should review them for any state-specific supervision requirements for energy-based devices, but the clinical protocols themselves are nationally applicable and designed for immediate use.

What format do I receive the SOPs in?

All SOPs are delivered as professionally formatted PDF documents. You'll receive instant download links via email immediately after purchase. You can print them for treatment room binders, store them digitally, or upload them to your practice management software or staff training platform.

Can I customize these protocols for my practice?

Yes — every protocol is written to be completed with your practice name, medical director information, the specific device models you run, and any state-specific requirements. Many practices implement them as-is; others adjust to reflect their equipment or patient population. The protocols ship as professionally formatted PDFs carrying bracketed fields for you to complete. Most practices fill them in using a PDF editor, or print and complete them by hand, before their medical director signs off. If your team needs a different working format, contact us before you buy and we'll tell you exactly what we can provide.

Do I need a medical director for laser and energy-based treatments?

In most states, Class IV lasers and advanced energy-based devices require licensed medical professional oversight or direct physician supervision. These protocols include medical oversight requirements and are designed to be implemented under a medical director's standing orders. Always verify your state's specific requirements for energy-based device use.

How quickly can I implement these after purchase?

Most practices implement same-day or within 48 hours. You receive instant access via download link after purchase. Print the SOPs, brief your treatment team, and have your medical director review and sign the standing orders. The protocols are written for immediate use without additional formatting or consultant input.

Which Fitzpatrick skin types are safe for each treatment?

Each protocol includes a Fitzpatrick-specific safety table. IPL photofacial is indicated for Fitzpatrick Types I–IV; Nd:YAG laser hair removal is safer for Types V–VI. RF microneedling with insulated tips has broader skin type compatibility. All safety parameters are clearly documented in each SOP to guide patient selection.

Is this a one-time payment or a subscription?

One-time payment. $297 gets you lifetime access to all 9 protocols. No recurring fees, no subscriptions, no hidden costs. If we release updated versions, you'll receive them at no charge.

Who can operate lasers and perform energy-based treatments?

This varies more by state than almost any other med spa question. Some states require a licensed medical professional, some permit trained delegates under supervision, and most prohibit cosmetology and esthetics licensees from procedures that cut or alter tissue with laser energy. Each protocol's scope section sets out the clinical framework; check your state at /med-spa-regulations-by-state before assigning who performs what.

Are microneedling and RF microneedling covered separately?

Yes — they are two distinct protocols, because RF microneedling delivers radiofrequency energy into the dermis and carries different device, depth, and operator considerations from mechanical microneedling. Treating them as one procedure is a common documentation gap.

Which treatments does the kit cover?

Nine protocols: microneedling, RF microneedling, chemical peel, laser hair removal, IPL photofacial, dermaplaning, HydraFacial, PRF, and exosome therapy — covering both the medical and the esthetician-delivered end of a skin and laser service menu.

What skin and laser SOPs are included in this kit?

The Skin & Laser Protocol Kit includes 9 SOPs: Microneedling (traditional), RF microneedling (Morpheus8/Vivace/Scarlet), Chemical peel, Laser hair removal, PRF (platelet-rich fibrin), HydraFacial, Dermaplaning, IPL photofacial, and Exosome therapy. Each covers patient selection, contraindications, procedure steps, and aftercare.

What are the contraindications for RF microneedling?

RF microneedling contraindications include: active infection or open wounds in the treatment area, implanted pacemakers or defibrillators, metal implants in the treatment area, active isotretinoin (Accutane) use within 6 months, pregnancy, and active keloid scarring history. A thorough intake and contraindication screening SOP is included in the kit.

Is a medical director required for laser and energy-based treatments?

This depends on your state. Many states classify laser hair removal and RF devices as 'practice of medicine' requiring physician oversight or delegation. Even in states with broader esthetician scope, energy-based treatments involving deeper tissue penetration (RF microneedling, ablative lasers) typically require physician supervision. Our protocols include a medical director authorization page.

What parameters should be documented for each laser treatment?

Documentation should include: device and handpiece used, Fitzpatrick skin type classification, treatment parameters (energy level, frequency, pulse duration), number of passes, areas treated, patient's pre-treatment skin condition, and any immediate reactions. Our SOPs include a treatment record template for each modality.

What should be in a patient consent for chemical peel treatment?

A chemical peel consent must include: peel depth and agent type, expected healing timeline (peeling, redness, downtime), risks including PIH (post-inflammatory hyperpigmentation), scarring, infection, and allergic reaction, sun avoidance instructions, Fitzpatrick skin type documentation, and any contraindications reviewed. Our kit includes a consent template.

Free Guides

Free Resources for Med Spa Owners

Deep dives into Fitzpatrick compliance, laser safety, and skin treatment best practices.

Related Resources

Protect Your Clients. Standardize Your Skin Treatments.

Get all 9 professionally written protocols instantly. Stop performing skin and laser treatments without SOPs — implement compliance today.

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