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Many people are drawn to aesthetics as a career choice.Â
Whether you come from a medical background seeking a better work-life balance or dream of owning and operating your own med spa, this guide is for you.Â
In this blog, we’ll discuss the initial steps to establishing a career in the aesthetic field, for people with a medical background or who are starting from scratch.
Truthfully, aesthetic practitioner qualifications can vary, and often depend on where you live in the US. So, before you go any further, it’s critical to ensure you know exactly what constitutes a qualified professional in your state!
Qualifications in medical vs. non-medical aesthetics
Before we get into qualifications, it’s important to understand the difference between medical and non-medical aesthetics.Â
This isn’t just about the treatments themselves, but – crucially – about who can perform them. Let’s jump in!Â
| Medical | Non-medical | |
|---|---|---|
| Procedures | Invasive or minimally invasive treatments that may require medical expertise: Botox, fillers, laser treatments, chemical peels, liposuction | Non-invasive treatments that typically focus on enhancing appearance and improving skin condition, including: facials, microdermabrasion, non-medical peels, waxing, body wraps |
| Regulation | Strictly regulated. Procedures must be performed by or under the supervision of a medical professional. | Less regulated compared to medical aesthetics, but practitioners often obtain certifications. |
| Purpose | To correct or improve aesthetic concerns, often with a focus on long-lasting or permanent results. | Primarily enhances the appearance with more temporary results. Focuses on temporary enhancements and minor aesthetic improvements. |
| Practitioners | Performed by licensed medical professionals, such as dermatologists, plastic surgeons, or trained nurses. | Conducted by licensed estheticians, cosmetologists, or beauty therapists. |
| Risks | Higher risk due to the nature of the procedures, but conducted by medically trained professionals. Potential for more significant side effects. | Lower risk compared to medical procedures. Side effects, if any, are usually less significant. |
| Cost | Generally more expensive due to the sophistication of treatments and the qualifications of the practitioners. | Less expensive compared to medical aesthetics, making it more accessible for regular maintenance and care. |
Qualifications needed to practice non-invasive aesthetics
Non-invasive aesthetic procedures in the US are performed by estheticians.Â
Estheticians, also called skin care therapists, are licensed professionals in the beauty industry who improve and enhance the health and appearance of their client’s skin.
Educational requirements
The first step is to enroll in an accredited esthetician program.Â
These programs provide a comprehensive curriculum covering practical procedures such as skin care, facials, and non-invasive cosmetic procedures, along with best practices and health and safety standards.Â
Additionally, cosmetology school presents an alternative route for those contemplating a broadened scope of practice. It extends learning beyond the confines of skin care, equipping individuals with a more versatile set of skills.
Certification and licensing
Take and pass state board exams
The next step in qualifying as an esthetician involves taking and passing your state’s board examinations. Many states have established a two-step testing process to gauge a candidate’s readiness: a written exam and a practical exam.Â
These exams are designed to assess the candidates’ technical knowledge and competence in applying this knowledge practically.Â
During the practical exam, candidates must demonstrate their ability to perform aesthetic services efficiently while upholding the highest client health and safety standards.
Obtain and upkeep state licensure
A pass on these board exams allows estheticians to apply for state licensure. Holding a state license is legally necessary to practice aesthetics professionally within that state.Â
It’s important to note that licensure requirements, including renewal policies, vary by state.Â
Most states mandate license renewal every few years, which may entail additional testing to ensure that licensed professionals remain in compliance with current industry standards and practices.Â
To stay ahead, aestheticians must regularly check their state’s specific licensure criteria and renewal requirements.
Regulatory considerations
Practicing non-invasive aesthetics also means navigating a complex web of regulatory guidelines and legal considerations.Â
Practitioners must stay informed about the laws and regulations governing their practice, which can vary significantly from state to state.
This includes knowing which procedures estheticians can perform, as the laws differ significantly across states. For example, using certain laser equipment for treatments might be permitted under a healthcare provider’s supervision in one state.Â
In contrast, another state may allow estheticians to use it independently.
Qualifications needed for licensed aesthetics nurses
Becoming a licensed aesthetics nurse in the United States requires specific educational achievements, certifications, and an understanding of regulatory considerations.Â
This field combines nursing science with aesthetic enhancement, necessitating clinically skilled professionals knowledgeable about the latest cosmetic procedures.Â
Educational requirements
To become an aesthetics nurse, candidates should follow a structured educational path, starting with foundational nursing programs.Â
These programs include obtaining:Â
- Associate’s Degree in Nursing (ADN), or
- Bachelor of Science in Nursing (BSN)
The duration of these courses can vary: an ADN program typically takes about two years to complete, while a BSN program usually spans four years.Â
After getting an ADN or BSN, some nurses keep learning to improve their skills and open up more job opportunities.Â
This might involve getting advanced degrees like a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP). An MSN program takes 1.5 to 2 years to complete if you study full-time.Â
It provides specialized knowledge that can be very helpful in aesthetic nursing.Â
On the other hand, a DNP is a high-level degree focusing on clinical practice that usually takes 3-4 years after a BSN.Â
While MSN and DNP degrees aren’t required for aesthetic nursing, they provide deeper understanding and advanced skills that may impress employers and lead to higher positions. These degrees could also open up teaching, research, and leadership roles in aesthetics.
There are also other additional advanced training programs and courses in aesthetic nursing for specific treatment certificates, such as Botox and dermal filler training, Microneedling training programs etc.
Certification and licensing
The next step involves obtaining certification and a nursing license.Â
Passing the National Council Licensure Examination (NCLEX-RN) is mandatory to practice as a registered nurse (RN) in any specialty. This exam assesses the candidate’s readiness to serve in an entry-level nursing role.Â
Aesthetics nurses, in particular, may also pursue specialized certifications offered by professional organizations, such as the American Academy of Aesthetic Medicine (AAAM) or the Plastic Surgical Nursing Certification Board (PSNCB).Â
But before you can specialize in aesthetic or cosmetic nursing, acquiring general nursing practice experience is essential.Â
Many positions within the aesthetic nursing field demand at least one or two years of clinical experience as a registered nurse (RN).
Regulatory considerations
Finally, aesthetics nurses must navigate a variety of regulatory guidelines and legal aspects specific to their practice. This includes staying up-to-date on state laws relating to the scope of nursing practice and regulations surrounding cosmetic procedures.Â
Ensuring compliance with these guidelines is vital for legal protection and the safety of patients. Aesthetics nurses often work closely with licensed healthcare providers, such as dermatologists or plastic surgeons, which requires a clear understanding of collaborative practice agreements.
What is the highest qualification in aesthetics?
In the United States, there isn’t a single “highest qualification” in aesthetics because licensing and requirements are handled at the state level. Here’s why:
- State-specific licensing: Each state has its own regulations for aestheticians. The specific license or certification needed to practice can vary depending on where you live.
- Focus on licensure: The focus is obtaining a state license to practice as an aesthetician. This license ensures you meet the minimum qualifications for performing certain procedures within that state.
However, there are ways to advance your career in aesthetics beyond the basic license.
The highest educational qualification in aesthetics within the United States typically refers to a Master of Science in Aesthetic Practice or a similar postgraduate degree.Â
Such a qualification often requires a rigorous curriculum that includes coursework and hands-on experience in the latest aesthetic technologies and practices.Â
Graduates of these programs are well-equipped for high-level positions in aesthetics, including roles in medical spas, dermatology offices, or even in educational capacities, training the next generation of aestheticians.
What qualifications are required to start an aesthetics business?
Establishing a successful aesthetics business requires navigating legal and regulatory challenges, including obtaining the right licenses.Â
The specific licenses needed depend on the state where your business will operate and the range of treatments you plan to offer.
Being (or partnering with) a qualified physician
Having a qualified physician in your aesthetics business is often essential.Â
There are several states where the law mandates that certain treatments must be performed by licensed healthcare professionals, such as a qualified physician. Â
Partnering with a physician also has commercial benefits. It allows you to perform a wider range of treatments, which also means you can attract a wider pool of clients. The result is a competitive edge over other med spas.
It is crucial to understand the implications, including the need for additional certifications and oversight by medical boards, which can vary by state.
State licensing
Beyond the aesthetician license, some states have additional licensing requirements for aesthetic businesses. The devil is in the detail, so make sure you check your state! For example:
🔔In Texas, individuals performing laser hair removal must be certified as Laser Hair Removal Technicians by the Texas Department of Licensing and Regulation. This certification requires completing training hours and passing a state exam.Â
🔔In California, the use of lasers in cosmetic procedures falls under the scope of medical practice and must be performed by a licensed physician, aesthetic nurse practitioner, or a physician assistant under a doctor’s supervision.
Additionally, suppose the aesthetic business offers chemical peels.
In that case, California mandates that peels using solutions over a certain percentage of acidity must be performed by a physician or a registered nurse, not just a licensed aesthetic provider.
Like we said, it’s the details that can catch you out.Â
Legal and regulatory considerations
Aesthetic business owners have to navigate various legal and regulatory issues to maintain compliance and protect their operations.Â
This includes adhering to health codes, which regulate the cleanliness and safety of the facility and the procedures performed.Â
Additionally, compliance with the Health Insurance Portability and Accountability Act (HIPAA) is essential, ensuring that client confidentiality is safeguarded and privacy standards are met.
Consumer protection laws are also vital, ensuring that advertising is honest and client confidentiality is maintained.Â
Understanding these legal frameworks and preparing to operate within them is critical for an aesthetics business’s long-term success and sustainability.
Learn more about starting your aesthetics business
Getting started in aesthetics is a journey. Before you start, it’s important to have a really strong understanding of the qualifications you’ll need to work in your state.Â
To further enhance your knowledge and keep up with the latest trends and strategies in the aesthetics industry, consider exploring more in-depth resources.Â
This comprehensive guide from Pabau has equipped you with the foundational knowledge to launch your venture confidently, such as:
- Initial planning and research you must do
- Essential set up costs and handy sources of funding
- Training and qualifications pathways to follow
- The essential equipment and supplies you’ll need
- Incorporating practice management software to make your life easier
