Can You Get HIV From Cosmetic Procedures?

HIV transmission only occurs between people in certain ways. The virus is spread through specific bodily fluids. It cannot be transmitted through the air or saliva.^1,2

In most cases, HIV transmission happens through unprotected sex or shared drug injection equipment, like needles. However, transmission is possible through other activities in rare cases. There are some documented cases of HIV being spread through needles during cosmetic procedures.^1,2

What types of cosmetic procedures are linked to HIV?

In 2024, the Centers for Disease Control and Prevention (CDC) linked 3 HIV transmission cases to a spa in New Mexico. All 3 people received a “vampire facial.” This is also called a platelet-rich plasma microneedling facial. These vampire facial treatments may rejuvenate skin and reduce wrinkles and scarring.^2,3

During a vampire facial, your blood is drawn and separated into plasma and cells. That plasma is then injected back into your face. TO ensure patient safety, it is important to use sterile or disposable needles for this step.^2,3

An investigation found that all 3 people had a similar strain of HIV. The common factor was that all 3 women had visited the same spa. The CDC's investigation also found that the spa reused equipment that was intended to be disposable. Reusing equipment increases the risk of HIV exposure from someone else’s blood. These are the first known cases of contracting HIV from cosmetic services.^2,3

Other cosmetic services that use needles also have the potential for HIV transmission. These include:^2,3

• Botox injections
• Lip fillers
• Piercings
• Tattoos

Currently no cases of HIV transmission have been linked to these services.^2,3

How is HIV transmitted?

HIV transmission requires direct contact with bodily fluids from someone living with HIV. The fluid must enter the bloodstream through an open cut, injection, or contact with a mucous membrane. Examples of mucous membranes are the:^1,4

• Rectum
• Vagina
• Mouth

HIV transmission most often occurs through unprotected sex or sharing drug equipment. HIV transmission can happen during anal or vaginal sex. Shared drug equipment that can transmit HIV includes needles, syringes, or cookers. Additionally, a mother can also transmit HIV to her baby during pregnancy, birth, or breastfeeding.^1,4

Other methods of HIV transmission are much less common. They include:^1,4

• Accidental needle pricks for healthcare workers
• Giving oral sex, especially if you have mouth sores
• Receiving blood transfusions or organ transplants
• Being bitten by someone with HIV (no risk if the skin is not broken)
• Deep, open-mouthed kissing, if both partners have mouth sores
• Food contamination (The only known cases involve prechewed food from a caregiver. You cannot get HIV from food that someone with HIV handled.)