Public Statement - Mengyan ‘Cayla’ Fan – Beautician – Permanent Prohibition Order

4 June 2021

The NSW Health Care Complaints Commission conducted an investigation into the conduct of unregistered health practitioner, Ms Mengyan 'Cayla' Fan, who was working as a beautician at a cosmetic clinic in Chatswood. The Commission's investigation found that Ms Fan administered Schedule 4 medication to a client rolling a microneedle-roller over the client's cheek. Ms Fan then tapped a small amount of hyaluronidase (less than 0.5m1) out of the bottle on cheek area. Ms Fan administered the Schedule 4 medication when she was not qualified or authorised to do so. Ms Fan is not currently registered as a nurse and has never held registration as a nurse in Australia.

The client immediately suffered an allergic reaction to the hyaluronidase and began experiencing facial flushing, swelling, rapid heartbeat and vomiting. The client was taken to Royal North Shore Hospital by ambulance. By the time she arrived at the Emergency Department the client was noted to have mild tachycardia, diffuse erythema and facial flushing but no residual features of anaphylaxis. The client was given Adrenaline and Antihistamine which was noted to improve her symptoms immediately.

Schedule 4 medications (including cosmetic injectables) can only be administered by registered medical practitioner and nurses. Any nurse who injects Schedule 4 medications can only do so under the supervision of a medical practitioner and once they have completed requisite training.

The Commission has determined that Ms Fan has breached the Code of Conduct for Unregistered Health Practitioners set out in Schedule 3 of the Public Health Regulation 2012 and poses a significant risk to the health or safety of members of the public.

The Commission therefore makes the following Prohibition Order:

Ms Cayla Fan must not provide, offer and/or advertise any health service involving the administration of any Schedule 4 medication, either in paid employment or voluntarily, to any person until such time she:

(a)  obtains registration in the nursing profession;

(b)  completes training with the Australasian Academy of Cosmetic Dermal Science; and

(c)  has the supervision of a registered medical practitioner when providing any such treatment.

For the purpose of this order, 'health service' is given the meaning as defined under section 4 of the Health Care Complaints Act 1993.

Further Information

Access the Commission's Statement of Decision here.

Access to the Commission's media release here.

Access to the Commission's Prohibition Order here.

For further information, contact the Executive Officer of the Health Care Complaints Commission, on 9219 7444 or send an email to media@hccc.nsw.gov.au.