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How To Be A Cosmetic Nurse: Your Step-By-Step Guide

nurse giving botoxIf you think that assisting in cosmetic procedures like giving Botox injections and helping patients look as good as they feel is a career path you’d like to explore, why not train to become a cosmetic nurse? Also called an aesthetics nurse or plastic surgeon’s nurse, a cosmetic nurse works hand in hand with doctors to help patients.

With your cosmetic nurse training and a Botox training course, you can make a real and direct difference how patients look and feel. And it all starts with the right training for people who have the right core skills and makeup.

Cosmetic Nurse Job Requirements

To be a cosmetic nurse, you’ll need to be able to stand for a long time, have good bedside manner so you can work with patients and have a strong tolerance for being around blood. Your job will involve taking care of patients before and during surgical procedures as well as after them and administering some kinds of injectable treatments yourself. It’s a good job with the likelihood of easily being able to find steady work.

Education can vary from a one-year certificate program to a Master’s degree in nursing, and you will have to be licensed in the state where you work.

You also need certain personal characteristics, including compassion, attention to detail, patience, strong interpersonal skills, public speaking skills and more. Plus, you’ll need to learn peripheral skills like how to use computer software — particularly healthcare systems software and Microsoft Office. You’ll need good stamina too, because shifts are often long.

Determining The Career Path For You

A number of different kinds of credentials can lead you to a career as a cosmetic nurse, and the licensing requirements and prospects for employment vary significantly based on the level of training and experience. Additional skills like Botox training can also contribute to employability.

Practical and vocational nurses have the least training, but these nurses don’t get the best positions that are open only to registered nurses and to nurse practitioners. A nurse practitioner can perform many procedures that are otherwise reserved for doctors. Those who want to become cosmetic nurses can choose their training level and how far they want to advance in their career. Some first become licensed vocational nurses before becoming registered nurses — or they may pursue advanced training from the beginning.

After determining how to proceed, here are the steps to success:

Step 1: Get the right education.

For LPNs, the educational program is usually about a year and includes both work in a classroom and in supervised care of patients. Classroom education usually includes pharmacology, physiology, pediatrics and nutrition, among other things. Supervised practice is usually done at a hospital.

For RNs, a Bachelor’s degree in nursing is usually required, and this can take four years or more to achieve. Some RNs may have only an associate’s degree, but there are fewer employment choices for nurses with this type of degree. Those with an associate’s degree often get a Bachelor’s degree later.

To become a nurse practitioner, a Master of Science in Nursing or similar degree is required. Some states have additional requirements.

Step 2: Get a nursing license.

Licensing requirements for nurses vary from state to state and can depend on what type of license is desired. An LPN must pass the National Council Licensure Examination-Practical Nurse or NCLEX-PN exam as well as any specific licensing requirements of the state. An RN must pass the National Council Licensure Examination-Registered Nurse or NCLEX-RN exam and additional state requirements and must be a graduate of a nursing program approved by the licensing agency. Nurse practitioners must have a Master’s degree and an RN license.

Step 3: Specialize in cosmetic nursing.

It may be possible to get experience as a cosmetic nurse while still in school. Specific education may be offered in areas relevant to cosmetic nursing, including fat grafting, chemical peels and liposuction. Botox training may or may not be available while in school. Often, the first step in employment is to seek an entry-level job nursing at a place where cosmetic procedures and plastic surgery is performed. In some cases, LPNs can get these sorts of jobs out of school, while other employers require experience even for entry-level jobs in their practices. Employers will look for specific skills in assessing skin aging, doing Botox injections, handling clinical application and caring for patients after surgery.

Step 4: Consider certification.

It isn’t necessary for cosmetic nurses to have an additional, separate certification to work in cosmetic nursing or plastic surgical nursing. Certification can help with career advancement as well as professional development, however. No single organization provides this type of certification, but cosmetic nurses can choose to be certified by the Plastic Surgical Nursing Certification Board, the Center for Nursing Education and Testing and other groups. It’s also possible to become a member of the American Association of Medical Esthetic Professionals for greater respect within the industry. Our Botox Training Course also includes certification from Dr. Katz, who is the inventor named on all the patent applications for Botulinum Toxins (Botox).

Step 5: Never stop learning.

Cosmetic nurses are required to have continuing education to get license renewals and to maintain other voluntary certifications. Things like online Botox training courses and instruction in how to inject dermal fillers are especially useful. There are a variety of other seminars and courses available as well, and a cosmetic nurse will take many such courses over the course of a career.

Following this process, a person without good job prospects can prosper as a cosmetic nurse for years or even decades to come.

Medical professional who wish to learn Botox for their business, call (858) 550-9533

See how our hands, on, online course works here

102 Responses to “How To Be A Cosmetic Nurse: Your Step-By-Step Guide”

  1. joyce weber says:

    I am interested to receive a certification for botox injections. Have been a LPN for 20 years. Would like to know what my options are to complete this process. Thank you.

    • Botox EDU says:

      Hi Joyce, we can certainly train & certify you, you would just need to check with your state board to make sure you can legally inject patients (in some states Nurse Practitioners can inject solo, in some with supervision from a doctor, and some not at all). If you would like any other information, we are here to help – (858) 550- 9533 or

      – Ari

      PS – details and available course dates are on

  2. Vanessa Lopez says:

    Hello, I am very interested in becoming Botox & Juviderm certified in the state of Iowa. I am currently waiting to take my RN boards next month. My questions are: in the state of Iowa does an RN require a doctor on premises in order to give injections? When is the next certification program offered in or near Iowa? I personally get injections and am excited to share my love of the product with others!!

    • Botox EDU says:

      Hi Vanessa, each states laws are different, you would need to check with your nursing state board to see if you are legally allowed to inject with or without doctor supervision. I don’t believe that Dr. Katz will be giving live courses near Iowa in the near future, however, our live, interactive, online program has been a great success (and also has a hands on component). If you would like to see more about that, see

      If you have any other questions, please feel free to call us at (858) 550-9533, or email
      Kind regards, Ari

  3. Hello
    Would like to become a aesthetic nurse
    I’m really interested in this line of career
    Could you please help me
    My telephone number is 07714476299
    Would be grateful if you could contact me please

    Many thanks

    • Botox EDU says:

      Hi Michalena, I’m not sure what country that number would be for, but please feel free to call us at 858-550-9533 (US number), or email us at with your specific questions, and we would be happy to give you some guidance.

      Kind regards, Ari

  4. brandy says:

    there seems to be a lot of confusion around nursing and if a cosmetic nurse can inject injectables without supervision. Could you elaberate on this ??

    • Botox EDU says:

      Hi Brandy, the reason for that is that the laws in each state are different. The easiest way to find that our is to contact your state board.

      If you have any other questions, please feel free to reach us at or (858) 550-9533.

      Kind regards, Ari

  5. Adrian says:

    I am foreign graduated physician and I am currently preparing for my NCLEX to get my RN license. My questions are: in the state of Florida does an RN require a doctor on premises in order to give injections? Also I would like to know if you give training in Florida

    • Botox EDU says:

      Hi Adrian, the easiest way to check if/how you are legally allowed to inject Botox is to contact your (in your case future) state board. We do not currently have an in-person course scheduled in Florida, however, we do have a live, interactive, online Botox program, the details of which you can find here:

      Kind regards, Ari

  6. Ben says:

    Hi i live in california and have no nursing education but i want to open up my cosmetic clinic and do botox .
    what school should i take and how long it would take me to get my license and start working .

    • Botox EDU says:

      Hi Ben, aside from the education that we provide (which is usually required for insurance coverage etc) the laws in each state differ as to who can legally inject Botox. The easiest thing to do might be to call a local med spa and ask what degree you might need to work for them. In the case of medical professionals that already have a degree, it’s just a matter of calling their state board to ask if they can do so.

      Kind regards, Ari

  7. Donna rake says:

    How do I qualify in Botox and fillers Iam hairdresser atm what do I need to do to go down this path

    • Botox EDU says:

      Hi Donna, as mentioned in the response to Ben’s comment, we can educate anyone (which is usually required for insurance coverage etc), however the laws in each state differ as to who can legally inject Botox. The easiest thing to do might be to call a local med spa and ask what degree you might need to work for them.

      Kind regards, Ari

  8. Nonhlanhla says:

    I am a professional nurse with Section 22 permit.I am in South Africa and interested to do the course online

  9. I am an RN in PA. What is the best way to earn botox and injectables certification to practice in PA?

  10. CAB says:

    I am a registered nurse. I am currently living in Spain on my husbands active duty orders. Will there be any courses held in Spain? I saw on the website that Dr. Katz has taught in Spain. Thank you for your assistance.

  11. Reana says:

    Info on how and wher to become qualified for injection of botox

  12. Tiffany says:

    My name is Tiff. I am an RN in NV and i am entertaining the idea of becoming an aesthetic RN. Can you help me on how to start? Thank you!

  13. Ryann says:

    This is my ultimate goal – is it recommended to take esthetics training & become a skin care Profesional? I am not sure where to start.

    • Botox EDU says:

      Hi Ryann, each state has different laws as to who can and cannot legally inject Botox. If you are already a nurse (or will be studying to become one), I would suggest contacting the nursing state board to confirm that. If you are legally permitted to inject, then you would sign up for one of our courses ( in order to get certified.

      Kind regards, Ari

  14. SOPHIA KOUTRA says:

    I live in Greece having a bachelor degree in nursing and now working in a medical aesthetic center doing mesotherapies in the body and also the face. I would like to pursue a career in botox injections and derma filles in United States of America. What I supposed to do in order to achieve this goal?

    • Botox EDU says:

      Hi Sophia, we can certainly educate you, but the laws in each state are different as to whom is allowed to legally inject patients, so you would need to call the nursing state board wherever you will be moving, and find out if you would be allowed to do so as well.

      Kind regards, Ari

  15. Yvette Meza says:

    Hi, i have a question to start my carrer as a cosmetic Nurse where i can inject solo.i need to go for Registered Nurse or Licensed Practical Nurse? i hope is one of those two because those are my options for my school to be paid.

    • Botox EDU says:

      Hi Yvette, you will want to contact the Nursing state board to find that out (the laws are different in each state).

      Kind regards, Ari

  16. Kelley Lamb says:

    I am a RN working for a plastic surgeon and looking to become certified in botox and other dermal fillers.

  17. Mary hough says:

    I am a registered nurse in Florida and have recently graduated as an esthetician. Im interested in being a cosmetic nurse and seeking training. I live near Orlando. Nay schools in this area to get these certifications
    ? Thankyou.

  18. mae says:

    Hi, I’m a foreign trained dentist currently living in the US. I have experience doing dermal fillers and Botox. what would be the easiest way for me to be able to start practicing injections in the US.
    Right now I am in the process of taking my NBDEs, but I want to be able to do these procedures as way of income before I am able to practice as a dentist, thank you,

    • Botox EDU says:

      Hi Mae, the laws in each state are different regarding who can and cannot inject Botox. We can certainly educate you (, but you will need to find that out before being able to legally inject patients. A good place to start would be to contact your dental state board.

      Kind regards, Ari

  19. Bhavna says:

    How do I go about studying to do botox?

  20. Christopher Patch says:

    Hi, I am interested in training to become an aesthetic practitioner . I am currently a HCPC Registered Paramedic and would like to know if this makes me eligible to train and what options I would have

    Kind regards

    • Botox EDU says:

      Hi Chris, we can certainly train you in Botox & Fillers injection, however, you will want to check with your state laws to determine that you are legally allowed to inject patients as a Paramedic (a good place to ask might be your state Emergency Medical Services Authority). Here is the course page for the live/online Botox program:

      Kind regards, Ari

  21. Sarah Shobe says:

    I am interested in opening my own med spa. I am currently a Nurse with my master’s degree. Continuing my education to become an NP. I have a year left. I want to be able to administer Botox, derma fillers, and do other procedures. Please let me know what you would suggest for classes that I should complete. Thank you

  22. Jessica Gonzalez says:

    Hello. I have always been interested in learning to administer botox. How can I get started?

  23. Joanne woods says:

    Hi I’m looking to be Botox/ filler practitioner… I have no healthcare/nursing qualifications.. I’m a hairdresser but looking to go into beauty.. please could you tell my what I need to do… thank you

    • Botox EDU says:

      Hi Joanne, there are two requirements to injecting patients.. one is the education/certification (which is what we do), and the other is the law in each state. You will need to find out what the regulations are in your state, as many require you to be a doctor or nurse to inject patients. Since you don’t have a state board to ask, a work around might be to call a local med spa, and ask the requirements to work there.

      Kind regards, Ari

  24. Ashley correia says:

    Licenced aesthetician and want to become certified in Botox

    • Botox EDU says:

      Hi Ashley, there are two requirements to injecting patients.. one is the education/certification (which is what we do), and the other is the law in each state. You will need to find out what the regulations are in your state, as many require you to be a doctor or nurse to inject patients. Since you don’t have a state board to ask, a work around might be to call a local med spa, and ask the requirements to work there.

      Kind regards, Ari

  25. Trisha Summeril says:

    I want to start giving notice injections but I am not a nurse. What is the least time and cheapest way from me to be able to legally give notice injections. Please help me.

    • Botox EDU says:

      Hi Trisha, there are two requirements to injecting patients.. one is the education/certification (which is what we do), and the other is the law in each state. You will need to find out what the regulations are in your state, as many require you to be a doctor or nurse to inject patients. Since you don’t have a state board to ask, a work around might be to call a local med spa, and ask the requirements to work there.

      Kind regards, Ari

  26. Hello my name is Carolina I have been an LVN in California for 28 years working different specialties . I am very interested in becoming esthetic nurse and administer cosmetic botox. Can you please help me get started. Thank you.

  27. billie says:

    I am a registered nurse interested I’m specializing in botox and other cosmetic treatments

  28. Salome Kista says:

    I am a Registered Nurse,Registered Midwife.I also have my Bcur Nursing Degree and an advanced diploma in Occupational Health Nurse Practitioner. I also am an Assessor and Moderator. I live in south Africa and I am very keen to do the training course in aesthetic nursing. Kindly provide more info.

  29. Audrey Hoage says:

    Intetested in learning injectibles.

  30. Elizabeth says:

    Hello, I’m interested in becoming an aesthetic nurse, I recently finished nursing school in Mexico, and now looking for more studies in this field, what do you recommend?, where do I start?

    Best regars.

  31. magda says:

    I am a RN, BSN in Florida State and I am interested in become a Cosmetologic Nurse. Could you give me some information?

    Thank you


  32. Jenn says:

    I’ve been an RN (associate degree) and have a BSN in nutrition and sociology for over 11 years in Louisiana. Will by 2 degrees cover the required licenses for Botox etc training ?

  33. Anna says:

    Can I pursue a cosmetic nurse certificate with just a cosmetology license or do I need to be a nurse to start?

  34. Jullia dorado says:

    Im currently a senior in high school. I’m starting a four university next year and I’m not sure what to major in , in order to be able to be certified for Botox. Here’s the problem, I will be playing softball for the school so I will not be able to the usual 4 years to complete my degree in nursing because of the two years of labs. How do I get this done ?
    Thank you so much

  35. Tracy Bryant says:

    I am interested in becoming a cosmetic nurse no then follow up with continued education for injections. How would I go about becoming a cosmetic nurse?

    Thank you

  36. nadine says:

    Hey there,
    I am going into my final year of high school (year 12) and am just wondering, when I leave school how do I get into nursing to then become a cosmetic nurse?
    Is there possibly anything I could do now to kick start my career in this particular field or get a head start before I finish school?

  37. Stephanie P. says:

    I’m an LPN from Canada,
    Looking into Botox courses
    I know it’s slim pickings for jobs as RN and NP are more valued
    However wanted to take the course to learn anyhow
    I just want the best training to do so
    Any recommendations of courses offered in Canada …?

  38. Jennifer Bush says:

    I am trying to find a course to become certified in North Carolina. I am an LPN for 18 yrs and would love to become certified.

  39. Pia says:

    Can you please contact me.Im very interested, just need the right path to go. Aesthetic nurse I will like to work in cosmetology area and be able to perform machinery and Botox.Can you help me know what is my best option to take? I live in Boston , Ma My # 6175383713.Thankyou Pia Giraldo.

  40. Wendy says:

    I am interested in becoming certified as a cosmetic nurse and licensed to give Botox and filler infections. I am currently a MD RN w an AA degree. Please help in guiding me in he right direction to become certified ASAP! Thank you!

  41. Debbie says:

    If you a a degree in respiratory care , are you eligible to train for cosmetic care?

  42. Angela Mizyed says:

    I am interested getting a certification in comestic medicine. I have an RN-BSN as of April 2018.

  43. Cynthia Vega says:

    I’ve been a hospital bedside RN for 14 years. I am very interested in becoming a cosmetic nurse, however I only have an associate degree. How do I start getting certified?

  44. Danielle Murray says:

    Hi how do I find a course near me and what qualifications do I need to achieve

  45. Sabrina otanez says:

    My daughter has her Medical Assistant certificate but is interested to be licensed to give Botox and dermal. What is the quickest way she can get licensed for this?

  46. Joanne says:

    I am interested in becoming certified as a cosmetic nurse and licensed to give Botox and filler infections. This is a complete career change so wondering where to start and the quickest way to become certified?

  47. Kimberly McClung says:

    I’m interested in certification in Botox and I’m a registered nurse and have been a nurse for 32 years . Looking for info

  48. Velvet M. says:

    I am a Medical Laboratory Scientist (ASCP). What do I need to do to become a Botox professional?

    Thank you

  49. Yessie says:

    I have a license as a medical assistant, i have training in phlebotomy and also in PRP. Can i still train to do botox?

  50. alicia says:


    I see you mentioned we can become a LPN within about 1 year.. do you have links to those offering the courses? I am in Canada.

    Thank you


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