Elite Aesthetics Guide

Hawaii Scope of Practice

Who Can Legally Perform RF microneedling (e.g. Morpheus8) in Hawaii?

Microneedling with radiofrequency energy.

Last reviewed June 2026

Esthetician (LE)

Not permitted

Master Esthetician

Permitted under general physician supervision — a physician is available (e.g., by phone) but need not be present. Requires a physician to be available but not on-site.

Conditional

Medical Assistant (MA)

Not permitted

Registered Nurse (RN)

Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority.

Conditional

Nurse Practitioner (NP/APRN)

Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician.

Conditional

Physician Assistant (PA)

Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician.

Conditional

Physician (MD/DO)

Permitted for this license type.

Permitted

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Consumer information to help you vet providers — not medical or legal advice. Regulations change; confirm with the official state board.