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No medical spa actually thinks that it is going to be the subject of an investigation by a regulatory agency in its state, and historically this has been the case more often than not. Agencies simply have not had the money or the manpower to police all the esthetic practices under its jurisdiction. However, as the medical esthetic industry has grown, the amount of scrutiny it receives from regulatory agencies has begun to increase, and the odds that your medical spa is going to be investigated are higher than ever before.