This is an essential question as medical treatments trigger specific requirements: 1) face-to-face consult with a doctor, nurse practitioner, or physician assistant, to name one--that non-medical treatments do not. Medical treatment is any treatment that impacts or affects the body's living tissue. For example, most states believe any treatment that affects anything outside the dead skin cells, i.e., the epidermis, is a medical treatment. There is some confusion about whether specific treatments, such as microneedling and dermaplaneing, constitute medical treatments. Most states believe these are medical treatments, and it’s always better to err on caution. It’s never bad when a doctor performs a treatment or is on site.