Aesthetic Nurse Vs. Botox Injector: Find the Right Med Spa Career

Aesthetic Nurse Vs. Botox Injector: Find the Right Med Spa Career

If you’re curious about working in the medical spa business, you’ve likely seen that there are many positions out there, all of which focus on different aspects of the industry. There’s the medical spa director, who assumes responsibility for all procedures.

There are client coordinators and med spa receptionists working to ensure things run smoothly and clients are happy. And then there are the nurses, doctors, and med spa technicians performing and assisting in treatments. However, understanding various titles and responsibilities can feel a little overwhelming, especially since there are different ways people refer to the same positions.

med spa receptionists

Why Do You Want to Work at a Med Spa?

Your intentions behind career choice are an important factor. Of course, money is crucial for living. But you can make money with any job. The most successful med spa professionals are those who do it to help people. You’ll be in an uplifting environment that’s aesthetically pleasing, with the rewarding benefits of knowing you’re making a difference in the lives of others.

Some of the best benefits of working at a medical spa include:

Building and Maintaining Client Relationships

One of the most fulfilling aspects of a med spa career is the one-on-one time you spend with clients. As you gain experience and more clients, you’ll start having consistent interactions with the same people. They are looking for a solution to their skincare needs. You have that solution. And you get to watch their transformation happen, knowing that your specialty is the reason their confidence is skyrocketing.

Staying Ahead of Beauty Trends & Technologies

When your everyday routine involves medical aesthetics, you become familiar with how quickly new treatments come about. You’ll be at the forefront of the activity, recommending the latest and greatest to offer your clients the best. This keeps people coming back, as they know they can trust you to find revolutionary solutions.

Expanding Your Treatment Capabilities

No two days need to be alike in this industry. Unless you want to specialize in a particular area, like some do with mobile Botox businesses, you’re free to explore all sorts of medical and cosmetic treatments within your licensing. Plus, you can choose how far you go with training and certification. There are practically unlimited possibilities for your career.

The medical aesthetics industry is booming, which makes scalable success all the more attainable. Cosmetic treatments have been popular for years, and continue to become more normalized as people realize the benefits.

Enjoying a Flexible Schedule

Yes. No matter where registered nurses practice, a Medical Director must oversee injections and day-to-day activities. They will ultimately end up as your business partner, offering peace of mind to patients through their expertise.

Aesthetic nurse holding a syringe in Hampton, NH

Understanding Your Med Spa Career Options

If you love being surrounded by beauty, helping people feel better about themselves, and always learning something new, this might be the right career for you. But, with the amount of titles, degrees, and certifications out there, it can feel overwhelming to understand your next steps. Let’s go through your med spa career titles and what they mean, to help clear things up.

As a note, rules and regulations vary by state. Be sure to check with your state’s Board of Nursing and State Medical Board to find the proper guidelines as you establish your med spa career.

Aesthetic Nurse

Also known as cosmetic nurses, aesthetic nurses treat patients with both cosmetic and medical procedures. As Registered Nurses (RNs), they assist plastic surgeons and dermatologists in more advanced procedures while also performing some treatments on their own.

Some of the services that aesthetic nurses perform or assist with include:

  • Microneedling

  • Body contouring

  • Chemical peels

  • Photofacials

  • Dermal fillers

  • Botox injections

  • Tattoo removal

  • Laser hair removal

Part of the duties in this career path include assessing a patient’s needs during consultations, educating patients on the risks and benefits of treatment, and offering post-treatment instructions.

How Long Does it Take to Become an Aesthetic Nurse?

Becoming an aesthetic nurse can take anywhere from four to seven years, or less if you already have a Bachelor’s degree. There is an initial two to four years of nursing school before two or three years of necessary experience to become an RN. With the right training in place, you can get an aesthetic nurse job if you don’t have the experience.


Estheticians are licensed within the state and have the proper training to provide cosmetic services. Their focus is on the health and wellness of clients – improving overall appearance and reversing the signs of aging and sun damage.

Some of the treatments Estheticians can offer include:

  • Unwanted hair removal

  • Makeup application

  • Hot stone massages

  • Mud baths

  • Aromatherapy

  • Facials and skincare

If you are uncomfortable with blood or wounds, this would be a more suitable career path than a nurse.

a woman getting a facial
Table - Return on Investment (ROI)

What is the Difference Between an Aesthetic Nurse and an Esthetician?

An esthetician will have a license to practice but no degree, which limits some of the skills they possess. An aesthetic nurse (which some might also call a nurse esthetician) will have a degree in the medical field and be able to offer more advanced treatments to clients.

Though they are colleagues, a nurse and an esthetician will have different responsibilities at med spas. Most nursing boards allow aesthetic nurses to perform the duties of an esthetician, but not the other way around. This is because nurses already have a thorough knowledge of facial anatomy.

A nurse injector will usually receive a commission for each dermal filler syringe or Botox unit, while an esthetician will receive a commission for services and skin care sales.

No matter which pathway you choose, you can go into it with confidence knowing that you are helping clients and working with a team to bring improvements to people’s lives.

Aesthetic Injector

An aesthetic injector is an aesthetic nurse – an RN who specializes in beauty services.
There are licenses to obtain, training to experience, and other steps to start a career as an aesthetic injector. Consultations and follow-up care with patients is an important aspect of this career. You’re responsible for helping patients understand their options and achieve their cosmetic goals.

Can You Be an Aesthetic Injector as an RN?

Yes. An Aesthetic Injector is an RN, only they specialize in aesthetic services. In order to become an injector, you need to hold a license as either a:

  • Registered Nurse

  • Physician Assistant

  • Nurse Practitioner

  • Physician

Botox Injector

A Botox injector is someone who specializes in administering Botox neurotoxin injections and dermal fillers. It’s another term used interchangeably with aesthetic nurse and aesthetic injector. To become a Botox injector, you need to have the right certification so that you can safely provide injections. Beyond administering injections, Botox injectors must also be knowledgeable in identifying and managing adverse reactions.

Some of the duties of a Botox or nurse injector include:

  • Consulting with patients on their best treatment options

  • Administering filler and neurotoxin injections

  • Educating patients on the procedure and potential side effects

  • Creating and managing customized treatment plans

Depending on the range of treatments offered, they might also perform hair removal, chemical peels, and laser services.

Are Botox Injectors Nurses?

In most states, you need to be an RN to administer cosmetic injections. Licensed Practical Nurses (LPNs) can also administer Botox in some states. You’ll need at least a Bachelor’s degree in a relevant field, and the right Botox training to become a successful injector.

a hand with a needle in it

Start Your Med Spa Career With DCCM Academy

You deserve a career that you love, one that is fulfilling, uplifting, and rewarding. That starts with finding your passion, and the path that will bring you the most success. If cosmetics and skincare bring you joy, a nurse injector or esthetician might be for you. DCCM Academy offers world-class aesthetic training for you to get certified, master the skills, and set yourself apart in the industry.

Choose the courses that will serve you best in reaching your goals. We offer many options in various areas for you to flourish in whatever you choose, with course costs so that you can plan accordingly.

Don’t hesitate to call (603) 691-2942 with any questions on a career in medical aesthetics.

Tara Delle Chiaie​
Tara Delle Chiaie​

My name is Tara and I am the owner of Delle Chiaie Cosmetic Medicine. I have been in medicine since 2002 as a Registered Nurse. In 2011 I graduated from the accelerated program at the University of New Hampshire (UNH) as an Advanced Practice Registered Nurse (APRN). My goal is to continually fine-tune the art of bringing one’s inner beauty to the surface.

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Tara Delle Chiaie
Owner/Master Aesthetic Injector

My name is Tara and I am the owner of Delle Chiaie Cosmetic Medicine. I have been in medicine since 2002 as a Registered Nurse. In 2011 I graduated from the accelerated program at the University of New Hampshire (UNH) as an Advanced Practice Registered Nurse (APRN) and immediately became nationally recognized through the American Nurses Credentialing Center (ANCC) as a Board Certified Nurse Practitioner. I grew up in the beauty industry and found it was a great union to blend beauty with medicine. I have an astute sense of safety, while my experience guides my practice to produce beautiful and natural results. My goal is to continually fine-tune the art of bringing one’s inner beauty to the surface.

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