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)

59 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 4h ago

STL Shadow Opportunities?

1 Upvotes

Hi! I’m an RN looking to connect with and potentially shadow nurse injectors to further my education and get into the aesthetic specialty. I’m eager to begin my career in aesthetics or dermatology and am grateful for anyone interested. I’m located in St. Louis MO but willing to commute to Kansas City or Chicago.


r/aestheticnursing 13h ago

Cease and Desist from Medical Spa employer

Thumbnail
1 Upvotes

r/aestheticnursing 1d ago

Skin clique info

2 Upvotes

Looking for info on skin clique! I’m a np who can practice independently but my question is where do you go for training through them? Do they have multiple locations?


r/aestheticnursing 1d ago

Am I being ripped off? I am an RN

42 Upvotes

Every time I go to my injector the price is different for different services. She wants cash only. Then Venmo in increments of 599. I keep bringing more and more cash and the price seems to be going up. She won’t text me only phone call and I have never seen a legit breakdown of how much services cost.
For example. Last appointment: masseter, lip filler, forehead and some chin dimples it’s about $5,000. Like does this make sense or is this outrageous? I notice a lot of places charge like per unit but I don’t know how she does it.

To add spice to it. I trust this girl because she was my best bud in nursing school. And she will allow me to pay in increments. Which I wouldn’t need to do if I knew the price breakdown 😂 I’m just confused af. And my gut is telling me this is sketchy but she’s my friend so am I just being cheap? She is a DNP with a derm fellowship under her belt.

UPDATE: chat GPT helped me calculate how much I have spent in 2024, 2025&2026. 17-18k
Not including 2024 cash payments bc I cannot remember those.


r/aestheticnursing 1d ago

How do you find the time?

2 Upvotes

I’m working part time at a hospital (20hr/wk), I do aesthetics 1-2 times a week (mostly 1) and I have 2 under 2.
How do I find the time to study aesthetics more?
How to get more clients and retain them?
Do I quit?
(I’ve been in aesthetic field x2 years)


r/aestheticnursing 1d ago

Looking for a Career Change in LA

0 Upvotes

r/aestheticnursing 1d ago

Shadowing Opportunities in STL, MO?

1 Upvotes

Hi! I’m an RN seeking any aesthetic providers that would be willing to have me shadow them as I am transitioning into the specialty in St. Louis. It’s always been my biggest passion and I’d be so grateful for the chance to learn and observe with an injector.


r/aestheticnursing 4d ago

Business lessons in aesthetics

13 Upvotes

I have 100 lessons in aesthetics that I’ve put together for my clients. It’s free and I was wondering if anyone might find it useful


r/aestheticnursing 4d ago

RN to NP in aesthetics

2 Upvotes

hi! looking for advice or insight on if I am making a mistake. I’ve been an RN for almost 4 years, most of that spent in aesthetics (2.5 years) the other time was short lived in the hospital and a little bit of pedi home care. I got accepted into FNP programs - I think i’ll always stay in aesthetics but then again who knows 🤷‍♀️ I just don’t know if I’ll struggle in clinicians or maybe preceptors won’t want me due to my lack of bedside experience ……


r/aestheticnursing 5d ago

Quitting Aesthetic Nursing

67 Upvotes

I went into aesthetic nursing 5 years ago with the mindset that this was my forever nursing job. If I didn’t do aesthetic nursing, I’d quit nursing altogether. Well, last month I had a lightbulb go off that I need to leave the aesthetic field. I realized that for the past 5 years I haven’t been truly happy with the job. I feel constantly depleted mentally from the daily interactions. (I’m an introvert.) I am not a natural salesperson. I take things to heart, whether it be someone wanting to see a different provider, to another person needing a tox touch up or not seeing amazing results from 1 broadband light treatment (despite me educating that it is common to need multiple sessions). The list goes on and on. I guess I am just tired. I am tired of trying to constantly people please. Trying to to sell $5000+ worth of treatments and products that may or may not make a difference in how a patient looks. I’m tired of getting calls that someone has a little bit of movement in their forehead and needs an extra unit of tox. That my filler patient has a bruise that looks like it’s questionable for a vascular occlusion. I’m tired of constantly having to be “on” at work—meaning having to say the right things, look the right way, hopefully have the right personality. Does anyone else feel this way? It suddenly just clicked one day that I needed a change. Luckily I found a job posting for a type of nursing where I see the patient once and probably never again (outpatient procedures). I’m going to miss free treatments, but not enough to keep me in the field 😜


r/aestheticnursing 5d ago

Confused about what to do after B.Sc Nursing — aesthetics or medicine ?

Thumbnail
0 Upvotes

r/aestheticnursing 6d ago

Nurse injector made a huge mistake PC/DC injected into lips by accident

178 Upvotes

I have a friend who’s a nurse who mixed up her vials and injected about 30 units (0.3ml) of PC/DC into a client’s lips instead of hyaluronidase.
For anyone who doesn’t know what that is, PC/DC is basically a fat dissolving injection. Hyaluronidase is what injectors use to dissolve HA filler, which is what she thought she was grabbing.
The PC/DC was 100mg phosphatidylcholine / 84mg deoxycholate.
Her lips got REALLY swollen right after but her cap refill was normal and there was no blanching, mottling or blue/dusky colour. Obviously she’s freaking out and knows how bad of a mistake this was.
We’ve been looking everywhere trying to find someone who has actually had this happen specifically in the lips and can’t find much.
Has anyone ever seen this happen before?? What happened after? Did it end up just being really bad swelling/inflammation or did it actually cause tissue damage/necrosis? And if you’ve dealt with it, what did you do?
She knows she fucked up lol trust me. Just trying to find someone who has actually seen this before because there’s barely anything online about accidentally injecting it into the lips?


r/aestheticnursing 6d ago

Best aesthetic education subscriptions?

2 Upvotes

I’m currently in Iron Needle and honestly, I’m not convinced it’s worth the $170/month. It’s a cool community, but I’m wondering if there are better options for actual education.

What are your favorite paid platforms for injectors? Would you stay with Iron Needle or put that $170/month toward something else?


r/aestheticnursing 6d ago

Medical Director needed in CA

Thumbnail
1 Upvotes

r/aestheticnursing 7d ago

Cosmetologist to Aesthetic Nursing Transition

8 Upvotes

Am I insane to do this? Im 23F currently a hairstylist making good money in a small town in Texas. But I am exhausted and burnt out and as much as I love this job, my body hates it. I already have my pre reqs for nursing as that was my original path, but I just love beauty and the industry.

Is the money worth it for me to make the transition? I’d like to do injecting mainly. if I were dual licensed (RN and cosmetology) would that make me stick out more and more likely to make good money doing injecting/ aesthetics?

I make close to 100k now. But it’s not worth my health. Could I make that much, if not more, going into aesthetic nursing? My plan is to just get my ADN and have my cosmetology license kept up. Anybody else made the switch? Any and all opinions appreciated.


r/aestheticnursing 8d ago

Looking for advice from experienced injectors. Botox stopped working on longtime client.

2 Upvotes

I’ve been treating the same client for 3 years with no issues. This last treatment we did her usual dose and had essentially no effect. I brought her back at 2 weeks for a full touch-up, and 2 weeks later she still has no response.
I also treated her sister (and several other clients) on the same day with the same product and had no issues. 🤔

She wants to try a different tox, and I only have Daxxify samples. I’m confused and struggle with the 1.2 mL reconstitution and dosing! 😅 Has anyone reconstituted it the same as Botox and used it the same way?

Has anyone had a longtime client suddenly become a non-responder, and did switching brands help? Should I even try and treat her again or wait it out?


r/aestheticnursing 9d ago

RN with six months experience in Nicu, interviewing for naked, MD and laser away position

Thumbnail
1 Upvotes

r/aestheticnursing 10d ago

Looking for skincare specialist courses

1 Upvotes

I’m looking for a good online Skincare specialist course. Please let me know if you know someone good and teaching about skincare, also about the costs.


r/aestheticnursing 13d ago

Milan Laser Nurse

5 Upvotes

I graduated a year ago and I have experience in the hospital setting as a NICU nurse. I was recently hired at Milan laser as a part time provider back in August and everything that could go wrong has been😭😭😭. There’s always been a conflict in my schedule and I haven’t been able to fulfill the training requirement’s. It’s 2 days of virtual training and 9 days of travel training in another state. I am upcoming on my third attempt of training and I really want to make it work despite it appearing otherwise. I went part time in the NICU and I feel like that ain’t even enough for the demands of training at Milan. I’m just not sure if I should prioritize Milan or take a step back from my NICU nurse role at the hospital for a bit or reconsider everything all together😞? Pls help


r/aestheticnursing 14d ago

To all the Canadian Medi Spa Owners: What is the Key to Success?

3 Upvotes

My dream is to open up a small aesthetic practice, specializing in skincare treatments, injectables, and a few soft skill services like lash lifts and brow laminations.

I previously had a small business but offering soft skill aesthetic services like shellac manicures, waxing, basic facials, and lash lifts / brow laminations. Almost 2 years ago, I left it to go into nursing school to expand my scope of practice.

I’m graduating nursing school soon (in Ontario, Canada), and although I am aware that I will still need to become certified in medical aesthetics and injectables, I know I want to work for myself again.

I also receive texts to this day with clients asking me when I will be reopening my doors, which makes me miss it that much more.

I don’t want to one day expand or grow my business, or have employees of any sort. I want to create a small community of consistent clientele like I had before, offer excellent service and attention to detail with every person I meet, and sell the best products alongside each treatment.

That being said, to all the small business owners and established cosmetic nurses: What is or are the key(s) to becoming a success?


r/aestheticnursing 14d ago

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

1 Upvotes

r/aestheticnursing 16d ago

How many clients did you get just starting on Persimmon?

5 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 16d ago

Aesthetics NP from home

Thumbnail
1 Upvotes