On 6 October 2026, the Ethics and Medical Registration Board of the National Medical Commission (NMC) issued its Guidelines on Ethical Advertising and Public Communication. They took effect immediately. They apply to registered medical practitioners, hospitals and medical institutions, and also reach the platforms and agencies that publish on doctors' behalf. They followed proceedings in the Supreme Court (Writ Petition (Civil) No. 1160/2023).
Aesthetic and hair-restoration practices depend heavily on visual, results-led marketing, so they are among the most affected. Here is what the guidelines mean in practice.
What you can no longer say or show
The guidelines prohibit several things that are common in aesthetic marketing:
- Success rates and patient numbers: "5,000 hairlines restored", "98% satisfaction" and graft totals.
- Superlatives: "best", "No. 1", "leading" and similar claims.
- Before-and-after photographs and advertising of surgical results.
- Celebrity patients, and endorsements by celebrities, influencers or patients.
- Testimonials: lending your name, image or voice to promotion.
- Inducements: discounts, free procedures or offers that encourage unnecessary consultations or treatment.
- Fake reviews or followers, or manipulating search rankings.
- Referral fees and commissions, including agency payments tied to patient referrals.
- Patient-identifiable content: names or recognisable faces shared publicly.
- AI-generated promotional content made for commercial interest.
For a typical aesthetic Instagram account, that covers a large share of what gets posted.
What remains allowed
The guidelines are not a ban on communication. They separate information from promotion. Doctors may still:
- Take part in health-awareness programmes, public-health campaigns, academic discussions and educational content, as long as these do not promote their own practice or solicit patients.
- Publish research, such as case studies in reputable medical journals.
- Make formal, non-promotional announcements: starting a practice, a change of address or type of practice, temporary absence or resumption, and their consultation fees.
- Give lectures on TV, radio or electronic media in their own name, without promoting an employer.
Hospitals may share factual information: name, location, departments, facilities, emergency services, accreditation and charges. A directory listing doctors' names, recognised qualifications, specialties, registration details and availability is treated as patient information, not advertising.
You are responsible even if an agency posts it
This is the most important change for aesthetic practices. Publishing through a platform, agency or influencer does not remove the doctor's responsibility for content they authorised, commissioned, sponsored, adopted or knowingly allowed. If a marketing agency runs a before-and-after campaign in your name, the liability is yours.
Enforcement is through the State Medical Councils, after a show-cause notice and a reasoned order. Penalties are graded, from a warning and mandatory ethics training for a first violation, through censure, fines and suspension, up to removal from the register for repeated violations. Appeals go to the Ethics and Medical Registration Board.
A quick audit for your own practice
- Website: remove patient counts, success rates, superlatives, testimonials and before-and-after galleries. Keep facts: who you are, recognised qualifications, registration, services, location, fees.
- Social media: review older posts as well as new ones. Before-and-afters and patient reels are the biggest risk.
- Paid ads: check ad copy and landing pages against the list above. Google and Meta have their own healthcare policies too.
- Agencies: put the guidelines into your contract, require your sign-off before anything is published, and end any payment structure tied to patient numbers.
- Reviews: stop incentivised reviews and never buy followers or engagement.
- Consent: never post identifiable patient content, even with consent, if it serves a promotional purpose.
What this means for aesthetic training
Doctors entering aesthetics now need to build a practice without the marketing tools that dominated the last decade. That makes clinical reputation, referrals from colleagues and genuinely educational communication more important. It also means compliance belongs in the curriculum, not just in a lawyer's office.
ISHA's own site follows these rules: no patient counts, superlatives or outcome claims, and faculty listed by qualification. The combined fellowship includes a practice-management module on compliant patient communication under the 2026 guidelines, alongside clinic set-up, pricing and patient-safety protocols. If you want to understand how the rules affect your practice, see also our clinic compliance checklist for Kerala.
Combined Hair + Skin
Supervised hands-on workshop in Kochi, Kerala
Both curricula in one programme, plus a practice-management module covering clinic set-up, pricing, staffing, patient-safety protocols and NMC-2026-compliant communication.
ISHA fellowships are institute-issued certificates of training. They are not degrees or NMC-recognised qualifications and should not be used as a suffix to a doctor's name.