How to Become an Aesthetic/Cosmetic Nurse


    GUIDE
    January 27, 2021
    How to Become an Aesthetic/Cosmetic Nurse

    Nurses make a difference in people’s lives in many different ways, and that’s just as true for an aesthetic or cosmetic nurse. In this career path, you’d be helping people through the use of non-invasive, in-office treatments such as injectables and skincare treatments. 

    Aesthetic nurses often help plastic surgeons and cosmetic dermatologists, providing pre-and post-operative care related to plastic surgery as well as delivering care to patients under the supervision of a physician. 

    In this guide, we will answer many of the questions you might have if you’re considering a career as an aesthetic/cosmetic nurse.

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    Part One What Is an Aesthetic/Cosmetic Nurse?

    Aesthetic/cosmetic nurses are registered nurses who provide a variety of services. These can include injections of dermal fillers and Botox neurotoxin; photofacials; dermabrasion; micro-needling; tattoo removal; and non-surgical body contouring. 

    Note: some employers use the alternative spelling “esthetic nurse” or “esthetician’s nurse” in job descriptions and job listings. In this guide, we’re using the traditional spelling, “aesthetic nurse.”

    These nurses usually work in private offices or medical spas affiliated with plastic surgery practices or cosmetic dermatology practices. Cosmetic nurses provide services to a wide range of patients who are seeking a boost in their appearance and self-confidence. 

    Most patients who seek this kind of treatment are women, but men are increasingly seeking these treatments too, adding even more demand for medical aesthetics procedures.  

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    Part Two Average Salary for an Aesthetic Nurse

    The salary for aesthetic/cosmetic nurses can vary based upon education, certification, experience and geographic location within the country. ZipRecruiter reports that the average annual pay for a cosmetic nurse is $85,621, though some cosmetic nurses are earning as much as $124,000, with the middle 25th percentile of the country ranging from $69,000 to $99,500.

    As is true in most other patient care professions, cosmetic nurses with higher levels of experience in their field receive the highest levels of compensation. Pay is often boosted by additional benefits including paid vacation and sick leave, health, dental, and vision insurance policies, prescription coverage, reimbursement for educational expenses and more. 

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    Part Three How To Become an Aesthetic Nurse

    If you want to become an aesthetic nurse, you’ll need to complete the following steps. 

    Step 1. Earn Your Registered Nurse Degree

    Becoming an aesthetic/cosmetic nurse begins with a registered nurse degree, which you can earn through either a two-year associate’s degree in nursing (ADN) or a four-year bachelor of science in nursing (BSN) degree. 

    Some nurses decide to go beyond the BSN and earn their master of science in nursing in keeping with the national push for advanced practice nurses. 

    Step 2. Pass the NCLEX-RN

    Once you've earned your RN degree from an accredited nursing program, you'll then need to pass the NCLEX-RN exam to become licensed by one or more states. 

    Step 3. Gain Experience 

    You’ll need to spend at least two years working in core competencies with a board-certified physician in plastic/aesthetic/cosmetic surgery, dermatology, facial plastic surgery, or ophthalmology.

    Step 4. Earn a Certified Aesthetic Nurse Specialist Credential 

    To position yourself for the best aesthetic/cosmetic nurse jobs, consider earning the Certified Aesthetic Nurse Specialist credential through the Plastic Surgical Nursing Certification Board

    To earn this certification, you’ll need to take an exam which the PSNCB typically offers in the spring and fall of each year. Unlike some certifications, no special training courses are required to earn the PSNCB certificate. 

    Timeline for Becoming an Aesthetic Nurse:

    • 2-5 years to earn ADN, BSN or MSN degree
    • Pass NCLEX-RN exam
    • 2 years working in core competencies with a board-certified physician in plastic/aesthetic/cosmetic surgery, dermatology, facial plastic surgery, or ophthalmology

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    Part Four What is the Career Outlook for Aesthetic Nurses?

    The need for nurses in the United States is expected to continue for the foreseeable future. The U.S. Bureau of Labor Statistics (BLS) reports that registered nurse jobs are expected to grow by 7% through the year 2029.

    With new clinical treatments being developed every day and a growing enthusiasm for cosmetic and aesthetic services, nurses with experience and education in medical aesthetics can expect job security. Especially as this field is projected to continue growing for the next several years. 

    Part Five What Do Aesthetic Nurses Do?

    Aesthetic/cosmetic nurses help plastic surgeons and dermatologists provide cosmetic procedures. These healthcare procedures -- whether invasive or non-invasive -- are usually designed to improve patients’ appearance. 

    In some cases, patients seek treatment for medical purposes; for others, the procedures can provide a boost of confidence and a more youthful look. 

    Whether working full-time or part-time, the job responsibilities that aesthetic/cosmetic nurses perform can include:

    • Consulting with patients, including scheduling, interviewing and medical screening prior to services being provided.
    • Examination of skin to assess both aging and other health problems.
    • Performing pre-operative and post-operative care.
    • Assisting the physician with procedures and surgeries.
    • Preparation and sterilization of instruments and surgery suites.
    • Administering injections of Botox and fillers, performing chemical peels, laser hair removal, dermabrasion, CoolSculpting, removing tattoos, and more.

    Aesthetic nurses work in dermatology and plastic surgery offices and medspas, and they may also assist in hospital operating rooms. Occasional emergencies and adverse reactions to treatments can create some schedule unpredictability for surgery nurses, but in most cases, aesthetic nurses work regular hours with no night shifts.  

    In addition to being able to work in an environment dedicated to improving patient quality of life, aesthetic nurses can also build long-term relationships with patients who return for maintenance of existing treatments or to investigate additional treatments. 

    Nurses who work in medical aesthetics can see the improvements their treatments provide and observe the boost of confidence patients can get from achieving their individual aesthetic goals.

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    Part Six What Are the Continuing Education Requirements for Aesthetic Nurses?

    Aesthetic/cosmetic nurses who meet the requirements for Certified Aesthetic Nurse Specialist status need to be recertified every three years.

    Requirements for recertification include accumulating 45 contact hours with at least two hours related specifically to patient safety.

    At least 30 contact hours must take place within the core specialties: plastic/aesthetic/cosmetic surgery, dermatology, facial plastic surgery, or ophthalmology.

    Nurses could also re-take the CANS exam every three years to maintain this certification. Once again, there’s no training course required for recertification. 

    Part Seven FAQs About Becoming a Cosmetic/Aesthetic Nurse

    What Is an Aesthetic/Cosmetic Nurse?

    Aesthetic nurses, also known as cosmetic nurses, are registered nurses who provide aesthetic and cosmetic services and care to their patients. These nurses have specialized training in services ranging from fillers, laser skin treatments, liposuction, tattoo removal, aesthetic surgery, and more.

    How Do I Become an Aesthetic/Cosmetic Nurse?

    To become an aesthetic nurse, you must first complete the education required to become a registered nurse, noting that nurses with their four-year BSN degrees are likely to find it easier to find a job in their chosen profession. 

    After getting your degree and licensure as a registered nurse, look for jobs in skincare clinics, cosmetic surgery practices, or similar areas of the medical field. Then you can seek certification from the Plastic Surgical Nursing Nursing Certification Board (PSNCB).

    How Much Does an Aesthetic/Cosmetic Nurse Make?

    According to ZipRecruiter, the average annual salary for an aesthetic/cosmetic nurse in the United States is just over $85,000. Keep in mind this average reflects advanced practice nurses (APRNs) as well as entry-level nurse salaries.

    What Does an Aesthetic Nurse Do?

    Beyond providing inpatient and outpatient cosmetic services such as laser hair removal and skincare treatments, dermabrasion, Botox injections and fillers to provide a more youthful appearance, they also work by the side of physicians such as dermatologists and plastic surgeons as they perform clinical and surgical procedures for patients.

    What Are the Educational Requirements to Become an Aesthetic Nurse?

    The path to becoming an aesthetic/cosmetic nurse starts with completing an ADN or BSN degree and passing the NCLEX-RN exam in order to be licensed in your state. Though certification with the PSNCB is not required, it is available and preferred by many employers in this healthcare field.

    How Long Does it Take to Become an Aesthetic Nurse?

    Once a registered nurse has her license she can apply for jobs as an aesthetic nurse immediately, but if you are interested in being certified as an aesthetic/cosmetic nurse by the Plastic Surgical Nursing Certification Board you will need two years of experience, including one year in a related specialty area. 

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    Part Eight Aesthetic Nurse Resources

    Several organizations support aesthetic nurses within the scope of their practice and as they advance their careers. These organizations provide resources to help nurses’ professional development, education and research. They also promote patient safety and best evidence-based practices.

    These organizations include:

    You can also learn more about aesthetic/cosmetic nursing through Nurse.org! Check out our other related articles:

    Part Nine Where to Learn More About Aesthetic Nursing Careers

    Beyond reading job descriptions, one of the best ways to determine whether medical aesthetics is the career path for you is to speak directly to a cosmetic/aesthetic nurse currently practicing within a private practice or medical spa. 

    Nurses trained in cosmetic and aesthetic procedures can raise the level of care for patients who seek improvements in their appearance. These nurses can also earn competitive pay while enhancing the quality of life for their patients.

    Whether helping a patient to look younger, removing a regretted tattoo, or smoothing away old acne scars, cosmetic nurses provide their patients with a sense of possibility and self-confidence unlike any other type of nursing specialty. 

    Helping patients and earning competitive pay: As a nurse -- whether an RN or an advanced practice registered nurse (APRN) -- you can’t ask for more from your profession.

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