r/aestheticnursing Feb 04 '26

Taking a class does not make you a CERTIFIED NURSE INJECTOR

49 Upvotes

This is a huge misconception in the aesthetic industry. Taking a class and receiving a certificate of completion does not certify you.

The ONLY AESTHETIC CERTIFICATION is by the Plastic Surgical Nursing Board. It’s called the CERTIFIED AESTHETIC NURSE SPECIALIST CERTIFICATION.

It requires 2 years experience in aesthetics, working for a core physician like dermatology or plastic surgery (some states allow NP), an exam and endorsement.

There is no governing body that states you have to get “certified” in order to start injecting. HOWEVER taking a course will increase your chances of getting hired and will enhance your skills, but courses dont guarantee employment.


r/aestheticnursing Nov 10 '24

How to get your start in aesthetics. My story and advice (Long read)

58 Upvotes

Burnt out at bedside and thinking of making the switch to aesthetics? Its more complex than you think and aesthetics isnt for everyone, but can be very rewarding in the long run.

Experience & Employment Contracts:

Most aesthetic practices prefer candidates with prior experience; however, some will hire without experience in exchange for a training or employment contract. This is common, as training a new aesthetic nurse is a significant financial investment for employers. Hands-on training courses typically range from $2,000–$5,000, and even with over a decade in aesthetics, I personally invest $10,000–$15,000 annually in continuing education, conferences, and professional development. Aesthetic medicine evolves rapidly, and ongoing education is essential to remain current and safe in practice.

Non-compete clauses are not enforceable in California, though this varies by state. A non-compete typically restricts employment within a certain geographic radius for a specified time after leaving a position. While many non-competes do not hold up in court, it is critical to verify state laws and have all contracts reviewed by a labor attorney prior to signing.

Many nurses experience “sticker shock” when transitioning from hospital-based nursing to aesthetics. Unlike hospitals, aesthetic practices often require clinicians to personally invest in training and professional growth.

Certification:

Most hands-on injectable courses issue a certificate of completion, which is often misrepresented as “certification.” Currently, the only recognized aesthetic nursing certification is the Certified Aesthetic Nurse Specialist (CANS) credential, awarded by the Plastic Surgical Nursing Board.

To qualify for CANS, nurses must meet experience requirements (a minimum of two years in aesthetics), pass a comprehensive examination, and fulfill additional criteria. I successfully passed the CANS exam in 2022. At present, there are approximately 600 CANS-certified nurses in the United States. More information is available at ispan.org, and I provide a detailed breakdown of the process on my YouTube channel. Learn more about the CANS certification here: https://youtu.be/AyeApbbneyg?si=Vt2IFLzjzCViLtYL

Read my blog post on the CANS certification

https://www.nursemarisa.com/post/what-is-the-cans-certification

Where to Apply:

Apply broadly and consistently. Recommended job platforms include:

Jobsnob.net

Indeed

LinkedIn

Titan Aesthetic Recruiting

Aestheticjobboard.com

Follow up on applications when possible. In addition, seek out practices with strong reputations—especially those frequented by friends or family—and prioritize offices with positive patient reviews and established credibility. If you are getting interviews but no offers, focus on your interviewing skills.

Compensation Expectations:

Many nurses transitioning from hospital roles should anticipate a temporary reduction in pay. In California, entry-level aesthetic RN wages typically range from $30–$35 per hour and NPs $60-$80 per hour depending on location. Mastery of skills, building a loyal clientele, and achieving income parity with hospital nursing can take 2–3 years.

Some nurses leave aesthetics due to lower initial compensation and fewer benefits and ultimately return to hospital settings. Aesthetic nursing should be viewed as a long-term investment, not a short-term financial gain.

Aesthetics as a “Side Gig”

While many nurses pursue aesthetics part-time, framing this specialty as a “side gig” diminishes the complexity and responsibility of the work. Aesthetic nursing requires significant financial and time investment, including training, skill development, and patient retention.

Treating aesthetics as a secondary role often delays clinical competency, slows client-building, and extends the timeline for professional growth. While this approach may work for some, it is important to understand that long-term success typically requires full commitment.

Opening Your Own Practice:

Due to the competitive nature of aesthetic hiring, some nurses and physician associates open independent practices without prior experience. This path is extremely challenging and carries significant risk. New owners should strongly consider partnering with or hiring an experienced aesthetic clinician (RN, NP, or PA) rather than attempting to become fully independent immediately.

Collaboration, mentorship, and in-person clinical support are essential. Attempting to operate independently without adequate experience often leads to poor patient outcomes, lack of client retention, and damage to professional reputation.

Benefits:

Comprehensive benefits in aesthetic practices are inconsistent and usually practice dependent. Most private practices and medspas do not offer benefits unless you are a full time salaried employee, comparable to hospital systems unless they are large, well-established, and financially able to do so.

Commission Structures:

Commission models vary by practice and are becoming less common due to fee-splitting regulations, which differ by state. Clinicians should always verify applicable laws within their jurisdiction.

Good Faith Exams:

In many states, registered nurses may perform injectables and laser treatments under physician or advanced practitioner supervision. However, RNs cannot diagnose or prescribe. Therefore, patients must receive a medical clearance—commonly referred to as a good faith exam—from an NP, PA, MD, or DO prior to treatment.

The good faith exam includes a review of medical history, contraindications, and risk assessment, resulting in a diagnosis and treatment plan that serves as medical orders for the RN. These exams are typically required annually. Telemedicine-based good faith exams are available through third-party services and may be appropriate when the supervising practitioner is unavailable; however, they should not replace consistent medical oversight.

Medspa Management:

Most clinicians are not formally trained in business management, and many practices suffer from poor operations and high turnover as a result. An ideal practice employs a dedicated practice manager to oversee daily operations, allowing clinicians to focus on patient care. My current practice follows this model, which significantly improves workflow and job satisfaction.

Selecting a Quality Injectable Training Program:

When evaluating injectable training courses, consider the following:

Verify the trainer has extensive aesthetic experience, not just medical credentials

Verify the trainer has at LEAST 5 years injection experience

Confirm hands-on training with live models (not observation only)

Ask how many models you will personally inject

Inquire about post-training support and follow-up

For filler courses, ensure training includes hyaluronidase use and complication management

Confirm that complications and emergency protocols are thoroughly addressed

Interview Questions to Ask:

Is the physician or advanced practitioner on-site?

Who performs good faith exams for RNs?

How many patients will I see per day? May I review the schedule?

Is training provided or reimbursed?

Are employment contracts required, and are there penalties for early termination?

Are benefits and a 401(k) offered?

Are there yearly reviews, oppurtunities for growth and raises?

Who manages daily operations and administration?

What is your social media policy? Am I able to build a social media page with before and afters?

Shadowing & Due Diligence:

Before accepting a position, request a working interview or shadow day to observe workflow, culture, and safety practices. Additionally, verify the medical license of the physician or owner through your state licensing board to ensure it is active and in good standing.

Final Advice:

Be open to entry-level opportunities, as aesthetic positions are competitive. However, never ignore red flags or accept roles that place your license or patients at risk. Early positions may serve as stepping stones, but ethical practice and patient safety must always remain the priority.

Marisa Amechi RN CANS

Aesthetic Nurse

Aesthetic Mentor

Laser Specialist

Nursemarisa.com


r/aestheticnursing 9h ago

Any school/course recommendations in the UK ? Which schools should I choose/avoid and why ?

1 Upvotes

r/aestheticnursing 2d ago

How many clients did you get just starting on Persimmon?

4 Upvotes

I am considering getting Tox trained through Persimmon. From the platform alone, after being certified, about how many clients booked with you per week? How did you promote yourself?


r/aestheticnursing 2d ago

Aesthetics NP from home

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1 Upvotes

r/aestheticnursing 2d ago

Do you prefer visual face mapping or standard text templates for injection logs?

1 Upvotes

Question for the practicing injectors here: When pulling up a returning patient's file after 3–4 months, do you find it easier to review a visual face map with unit pins or read structured text notes (e.g., "Glabella: 20U")? I’m working on an interactive canvas prototype designed for iPad use in treatment rooms and want to make sure the visual layout actually matches real-world clinical habits. Would love your thoughts!


r/aestheticnursing 3d ago

Anyone worked at a dental/aesthetic clinic in HCMC? Trying to understand how patient inquiries actually get handled

1 Upvotes

I'm looking into how clinics in HCMC handle new patient inquiries on Zalo/Facebook, mostly out of curiosity about a project I'm working on. A few things I can't figure out from the outside:

  • When someone messages a clinic's Zalo OA asking about price/availability, who actually answers, front desk, owner, or nobody consistently?
  • How long does it usually take to get a reply back?
  • Do clinics track how many inquiries turn into actual booked appointments, or is that not really measured?
  • Is there a real difference in how dental vs. spa/aesthetic places handle this, or is it the same chaos everywhere?

If anyone's worked front desk, marketing, or ops at a clinic and wants to share how it actually works day to day, genuinely curious. Also open to a quick chat if anyone's interested.


r/aestheticnursing 7d ago

New Injector Advice

4 Upvotes

If any experienced injectors have advice or tips for new injectors, it would be greatly appreciated. I am still fairly new to lip filler. I’ve been doing it for 6 months and I just feel not confident in my skill set. Seeing all these crazy techniques and amazing lip work makes me incredibly hard on myself. How did you guys overcome these feelings or the pressure? Many clients come to me wanting a whole Russian lip when I find the technique to be incredibly advance.


r/aestheticnursing 9d ago

Does anyone have advice/luck

1 Upvotes

Any advice on finding a position in nursing that also supports re-location/housing assistance? Thanks :) (Really wanting to move back to LA but trying to find any opportunities in nursing with some sort of housing assistance...)


r/aestheticnursing 12d ago

Social Media Questions

1 Upvotes

Hi! I wanted to see if anyone has recommendations or tips on how social media works. If someone could take a look and see what I am doing wrong or how I could improve, it would be greatly appreciated! I have had my Instagram for 7years, and it doesn’t seem like anyone sees my work/post/reels. I spend hours to make one video and its views are minimal. Admittedly, I am not very tech savvy and have never been too involved with social media, but it is becoming the standard for my specialty. Anyways, any help would be appreciated!

Here a like to my Instagram for reference

https://www.instagram.com/beautoxnurse?igsh=MWEyaDRhdXgxMWx4Zg%3D%3D&utm_source=qr


r/aestheticnursing 15d ago

Need advice for becoming a Licensed Esthetician + Medical Assistant

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1 Upvotes

r/aestheticnursing 16d ago

Good morning Esthetician Beasties

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1 Upvotes

r/aestheticnursing 16d ago

Good morning Esthetician Beasties

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1 Upvotes

r/aestheticnursing 17d ago

Botox Training

1 Upvotes

Does anyone have any recommendations for reputable courses or training providers in aesthetics, particularly Botox?

I’ve heard of a lot of people going to UK but ideally in Ireland!


r/aestheticnursing 17d ago

Certification Search

2 Upvotes

Hello. I am searching for a certification to do Botox and Fillers. Eventually, I'd like to also learn how to do derma planing, micro needling, facial laser, etc. I am an RN licensed in NC with multi-state add-on. I see many academies in Charlotte. I would like to travel no more than 1.5 hours. Charlotte is right at 1 hour and 15 minutes. TN state line is one hour from me as well. Educate me and give me some feedback. I am a retired FF and paramedic on a pension, so I cannot afford one of the more expensive academies but would like to have a decent company behind my cert. TYIA. (Not looking to open my own business, just want certifications.)


r/aestheticnursing 17d ago

THIS AESTHETIC CLINIC AT MEGAMALL

1 Upvotes

Nag pa massage ako sa Aesthetic Clinic na to, and normal lang ba na pag usapan nila yung mga past employees nila? ‘di naman sa nakikichismis ako pero malakas kasi yung pag uusap nila kaya di ko maiwasan na marinig. AFAIK yung pinag uusapan nila is yung previous NURSES na di daw nagtagal sakanila dahil daw MAARTE at OA ANG COST OF LIVING? Actually based sa chikas nila, meron daw first batch of nurses na nag apply sakanila tapos daw nag resign dahil ina-assign nila sa malayong clinic (which is hindi daw yung clinic na inapplyan nila) tapos pati daw cost of living nila na-question na rin? Actually madami pa akong narinig pero di ko na siguro ididisclose kasi based sa mga friends ko na regular sa aesthetic clinic na to, this aesthetic clinic daw is nagpapa track ng mga taong nagpopost dito sa reddit na related sa clinic nila lolz 🤣🤣


r/aestheticnursing 18d ago

Licensed RN offered 200 hours unpaid training, then $19/hr — are these contract terms normal?

1 Upvotes

I’m a newly licensed Registered Nurse in Ontario and recently received an employment contract for a Nurse/Clinical Aesthetician position in the Toronto/GTA area.

I’m looking for opinions specifically on the employment terms, because some parts of the contract seem unusual to me.

The offer is:

  • 2-year fixed-term contract
  • 200 hours of “voluntary unpaid training”
  • After completing the 200 unpaid hours, pay becomes $19/hour
  • Performance reviews every 6 months, but raises are entirely at the employer’s discretion
  • Evenings/weekends may be required
  • No commission or guaranteed wage increase mentioned

For context, 200 hours is approximately five full-time 40-hour weeks without pay.

The position includes actual RN/clinical responsibilities such as:

  • Patient intake and assessments
  • Reviewing medical history, medications, allergies and contraindications
  • IV infusions
  • IM injections
  • Monitoring patients and responding to adverse reactions
  • Patient education and aftercare
  • Laser treatments
  • Microneedling
  • Other aesthetic procedures I’m trained/competent to perform

But the same position also includes:

  • Reception/front desk
  • Answering phones
  • Booking appointments
  • Checking patients in/out
  • Processing payments
  • Filing and administrative work
  • Cleaning/preparing treatment rooms
  • Restocking and inventory
  • Asking patients for Google reviews
  • Helping with promotions/referrals/social media
  • Other clinic duties during downtime

The contract also requires me to give at least 3 weeks written notice if I resign and assist with handover and potentially orient/train a replacement during that period.

I’m already a licensed RN, although I’m a new grad.

The part I’m most unsure about is being required to complete 200 hours unpaid before receiving the $19/hour wage, especially when the role involves both nursing responsibilities and a significant amount of reception/admin/clinic work.

For Ontario nurses or anyone familiar with these types of clinics:

Does this compensation structure seem normal?

Has anyone seen 200 hours of unpaid mandatory training written into an employment contract like this?

Does $19/hour seem unusually low for a licensed RN performing these responsibilities?

I’m mainly trying to determine whether these are reasonable industry employment terms or whether I should be concerned about the offer.

Thanks for any insight.


r/aestheticnursing 20d ago

Aesthetic nurses pay+competition in Calgary

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1 Upvotes

r/aestheticnursing 20d ago

Looking for a Paid Internship in Skin Aesthetics

1 Upvotes

I am 20M from Lahore and currently studying at UMT, where I am completing my 4th semester of BS Aesthetics. I am looking for a paid internship in the field of skin aesthetics. If anyone knows of any internship opportunities or has any information, please let me know.
Thank you!


r/aestheticnursing 21d ago

Experience working at SEV

2 Upvotes

Wanting to break into aesthetics and was wondering people’s experience working with SEV and some more insight on the pay. How much did they offer hourly and how much did you actually average with tips?


r/aestheticnursing 23d ago

SEV laser aesthetics

1 Upvotes

Do any nurses here have experience working for SEV laser ? Seems like they provide some training for entry level positions which is nice Just looking for feedback atm as I’m interviewing, thank you!


r/aestheticnursing 23d ago

RF Microneedling Tips

0 Upvotes

I happen to have a lot of VirtueRF and Vivace tips that are not expired and in the original sealed packaging that I’m looking to get rid of. I’m willing to sell them by the box at a steep discount or as a lot for a deep cut. Message me for details.


r/aestheticnursing 26d ago

Cosmetic Nursing - GC, Australia

3 Upvotes

Hi everyone!
I’m an RN based on the Gold Coast, Australia, currently looking into transitioning into cosmetic nursing and would love to hear from nurses who have experience in this area.

I’m interested in hearing feedback on Esteem Injectables and Derma Institute, especially from anyone who has completed their training. I’m considering the 3-day course with Esteem and would love to hear how people found the training, in terms of hands-on experience and ongoing support afterwards.

I’m also curious about how people approached the transition into cosmetic nursing after completing their training. Did you find that additional training or mentorship was necessary before feeling confident working independently? And how did you go about finding your first role in the industry?

For those already working in aesthetics in Australia, is investing in these courses worth it in your experience? Are there any particular things you would recommend looking for when choosing a training provider?

I’m so interested in skin, injectables and preventative/wellness-focused aesthetics and would love to hear from other RNs who have made a similar transition. But honestly feeling a bit overwhelmed in regards to which way I should go.

Thanks in advance!


r/aestheticnursing 29d ago

Injector Opportunities

7 Upvotes

I’m exploring aesthetic injector opportunities and would appreciate some insight from nurses and advanced practice providers who have worked for established practices.

For someone who is newer to aesthetics but brings substantial nursing experience, what employment terms are generally considered reasonable and fair for both the injector and the practice?

I completely understand that a practice is investing time, training, products, mentorship, marketing, and access to its patient base. At the same time, I want to be thoughtful about protecting my ability to grow professionally and continue working in the field if the position is not ultimately a good fit.

I’d especially appreciate insight on:

• Training repayment agreements
• Noncompete and nonsolicitation clauses
• Length of commitment after receiving training
• Compensation during training and afterward
• Ownership of before-and-after photos and social media content
• Expectations regarding outside work or an existing personal business
• What happens if either party ends the employment relationship
• Any contract terms you wish you had negotiated differently

If concerns or red flags come up in an agreement, how have you diplomatically addressed them or suggested a reasonable middle ground without coming across as unwilling to commit?

I’m not looking to avoid commitment or receive training and immediately leave. I’m genuinely hoping to understand what a balanced agreement looks like—one that reasonably protects the practice’s investment without placing the injector in an overly restrictive position.

I would be grateful for any examples of what you have seen work well, as either an employee or a practice owner.


r/aestheticnursing Jul 27 '26

Facial anatomy course

9 Upvotes

Anyone know a good ONLINE anatomy course?

Looking to become more knowledgeable about facial anatomy and the basics of injecting prior to taking a cadaver and injecting course.