State officials are urging New Yorkers to exercise caution when seeking services from medical spas, following an extensive investigation that exposed alarming safety violations and illegal practices across the state. The New York Department of State (DOS) announced on January 8, 2026, that inspections of over 200 businesses resulted in license suspensions, revocations, and significant fines, with numerous cases still under review.

Widespread Inspections Reveal Unsafe Practices

The Department of State’s Division of Licensing Services, in collaboration with the New York State Department of Health, the State Education Department, and the New York City Office of Oversight and Investigations, conducted 223 inspections of businesses offering medical spa services. These investigations uncovered a series of troubling violations, including the use of counterfeit or expired products, unlicensed practitioners, and unsanitary conditions.

Inspectors found medical and cosmetic procedures being performed with improper credentials and unsafe materials such as counterfeit Botox, controlled substances including Fentanyl, and used needles. The violations included improper injections, the presence of dangerous substances like Propofol, and unauthorized use of medical devices for procedures like laser liposuction, cryotherapy, and microneedling.

Of the businesses inspected, 87 were cited for potential violations, primarily related to the unlawful practice of medicine. Outcomes from these inspections range from fines to license suspensions, with some practitioners losing their licenses entirely. Investigations remain ongoing, as many of the cases are still awaiting resolution.

High-Risk Procedures and Bodily Injuries

The Department highlighted specific instances of harm caused by unlicensed practitioners to warn consumers. In one case, a Flushing, Queens provider injected unknown substances into a client’s face, neck, and breasts under the pretense of delivering Botox and collagen treatments. The client suffered severe reactions, including blistering, swelling, and lasting scars, ultimately leading to the revocation of the practitioner’s cosmetology license.

Another case involved a Warwick, NY provider operating an unlicensed salon. This practitioner performed injections and other procedures that resulted in a consumer contracting MRSA and sepsis, requiring hospitalization. The practitioner’s license was revoked after an emergency suspension order.

Officials Stress Public Safety

Secretary of State Walter T. Mosley issued a strong warning to consumers: "Consumers need to be aware of the dangers when medical procedures, including cosmetic medical procedures, are being performed by individuals without an appropriate license. Unlicensed or unqualified staff, dirty needles, expired or counterfeit drugs such as Botox or fillers, and unsanitary conditions can lead to serious injury or even death. I urge consumers to pay close attention to our tips so they can get the services they want and not pay the ultimate price with a botched treatment."

Dr. James McDonald, State Health Commissioner, emphasized the importance of verifying provider credentials, stating, "The Department of Health reminds New Yorkers of the importance of ensuring their provider has the proper qualifications and training, especially as cosmetic med spa procedures become more popular. Licensed health care professionals undergo rigorous training to understand the complexities of human physiology, and are the only individuals qualified to perform these services."

State Education Commissioner Betty A. Rosa added, "New Yorkers deserve to know that the medical services they receive are safe, legitimate, and provided by properly trained professionals. When unqualified individuals operate outside the law, the risks to consumers are real and serious. NYSED is committed to protecting the public by upholding licensure standards and working closely with our partner agencies to ensure accountability, transparency, and safety."

Key Consumer Advice: Avoid Risks and Verify Providers

The Department of State has provided critical guidance to help consumers protect themselves when seeking med spa services. Key tips include:

  • Verify Licenses: Ensure the provider has the appropriate medical or professional license for the procedure. Consumers can check licenses on the New York State Education Department’s website.
  • Recognize Red Flags: Be cautious of businesses promoting themselves as "spas" while offering medical procedures like Botox injections, laser treatments, or IV therapy. Medical services must be performed by licensed professionals such as physicians, nurse practitioners, or registered nurses.
  • Ask Questions: Before undergoing any procedure, confirm who will perform the treatment and their level of experience with the specific procedure. Consumers should also ask about the provider’s history with adverse outcomes or complications.
  • File Complaints: If harm occurs or unlicensed practices are suspected, consumers can report cases to the appropriate state authorities, such as the Department of Health or the Division of Licensing Services.

Med Spa Services Require Scrutiny

Medical spa services, often marketed as cosmetic enhancements, can carry significant risks, especially when performed by unlicensed or unqualified individuals. Common high-risk procedures requiring medical licensure include Botox and filler injections, microneedling, cryotherapy, laser treatments, and intravenous therapies.

Consumers are advised to prioritize their safety by thoroughly researching and confirming a provider’s qualifications. "Through strong collaboration and public awareness, we can help ensure New Yorkers are informed and protected", said Commissioner Rosa.

Continuing Oversight

The Department of State’s Division of Licensing Services remains committed to conducting annual inspections of med spa facilities to safeguard the public. Officials remind consumers to remain vigilant and report any suspicious or unsafe practices to the relevant authorities.

As demand for med spa services grows, state agencies are emphasizing the critical need for regulatory compliance to prevent injuries and protect public health. Consumers are encouraged to stay informed and take proactive measures to ensure their care is both safe and legitimate.

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