How to become a medical esthetician

How to become a Medical Esthetician

Becoming a medical esthetician involves a combination of general esthetician training and specialized education in medical esthetics. Here’s an outline of the pathway to the career:

High School Diploma or Equivalent
Most esthetician programs require a high school diploma or GED as a prerequisite for enrollment.

Accredited Esthetician Program
Enroll in an esthetics and skincare program accredited by a recognized body, such as the National Accrediting Commission of Career Arts and Sciences (NACCAS) or state cosmetology boards in the United States, or a similar accrediting organization in your country. These programs are offered by cosmetology schools, vocational schools, or community colleges. The number of required training hours can vary, but generally ranges from 600 to 1,500 hours. Accredited programs meet requirements for licensing and typically take six to 12 months to complete, depending on whether you attend full-time or part-time.

The curriculum includes both classroom instruction and hands-on training in areas such as:

• Skin anatomy and physiology
• Skin analysis
• Sanitation and safety practices
• Body treatments (e.g., wraps, scrubs, masks)
• Hair removal techniques (e.g., waxing, sugaring)
• Basic massage techniques
• Use of esthetic equipment
• Client consultation and communication

Some programs offer optional specialized courses or modules, such as:

• Advanced body treatments and therapies
• Laser and light therapy
• Cellulite reduction techniques
• Aromatherapy
• Lymphatic drainage massage

Licensing Examination
Upon completion of an accredited training program, you must pass a state or national licensing exam. The exam typically includes:

• A written test covering theoretical knowledge of skincare and body treatments
• A practical skills assessment where you demonstrate your ability to perform various esthetic procedures safely and effectively

Internship or Apprenticeship (Optional but Beneficial)
Gaining practical experience through internships or apprenticeships in medical settings, such as dermatology clinics, plastic surgery offices, or medical spas can be highly beneficial. This hands-on component allows you to apply what you've learned in a real-world setting under the supervision of established professionals.

Specialization
Identify and develop a niche or specialization within medical esthetics based on your interests and career goals. Options include plastic surgery, oncology, or paramedical esthetics. This can help differentiate you in the market and attract employers or clients seeking specific expertise. For a complete list of specializations in the field, please see the What does a Medical Esthetician do? section in the career overview.

Dedicated Medical Esthetics Training and Certifications
Pursue additional education and certifications relevant to medical skincare. Certification programs typically involve additional coursework, practical training, and passing an examination to demonstrate competency in the specialized area. Here are some notable ones:

Medical Esthetician Certification

• Certification Provider – National Institute of Medical Aesthetics (NIMA)
• Best For – Estheticians, Medical Spa Professionals, Dermatology Assistants, Cosmetic Surgery Assistants, Licensed Cosmetologists seeking medical specialization, Skincare Consultants with esthetic experience
• Description – The Medical Esthetician Certification is a specialized program designed for those seeking advanced knowledge in the field of medical esthetics. This certification focuses on comprehensive skincare, advanced facial treatments, and pre- and post-operative skin care. It also covers the use of medical-grade equipment and products. Graduates are equipped with the skills necessary to work alongside healthcare professionals in medical spas, dermatology offices, and plastic surgery clinics, enhancing patient care and esthetic results.

Oncology Esthetics Certification

• Certification Provider – Oncology Training International
• Best For – Licensed Estheticians, Medical Spa Professionals, Oncology Skincare Specialists, Cosmetologists with skincare focus, Spa Managers with esthetics background, Dermatology Clinic Staff with esthetic training
• Description – The Oncology Esthetics Certification equips estheticians with specialized skills to safely and compassionately care for individuals undergoing cancer treatments. This certification focuses on understanding the effects of cancer therapies on the skin, modifying skincare treatments to accommodate sensitivities, and implementing wellness strategies to enhance the quality of life for oncology clients. Participants learn to tailor esthetic services, ensuring they are both effective and soothing, while adhering to strict safety protocols.

Advanced Esthetics Certification

• Certification Provider – The Aesthetic Science Institute
• Best For – Licensed Estheticians, Medical Estheticians, Spa Managers with esthetic experience, Cosmetic Dermatology Assistants, Skincare Specialists, Cosmetologists seeking advanced esthetic knowledge
• Description – The Advanced Esthetics Certification is designed for skin care professionals seeking to deepen their knowledge and expertise in the field of esthetics. This program covers advanced techniques and cutting-edge treatments in skin care, such as chemical peels, microdermabrasion, and laser therapy. It emphasizes both theoretical knowledge and practical skills, preparing estheticians to provide high-level services and to stay competitive in the rapidly evolving beauty industry. Successful completion of this certification signifies a commitment to excellence and a readiness to excel in advanced esthetic practices.

Chemical Peel Certification

• Certification Provider – Associated Skin Care Professionals (ASCP)
• Best For – Licensed Estheticians, Medical Estheticians, Spa Professionals, Cosmetologists with skincare focus, Dermatology Assistants, Skincare Specialists
• Description – The Chemical Peel Certification is a specialized program designed for estheticians seeking to enhance their expertise in chemical exfoliation treatments. This certification focuses on the safe application, potential risks, and post-treatment care of chemical peels. It covers various peel types, their ingredients, and the appropriate selection for different skin conditions. By completing this certification, professionals demonstrate their commitment to safety and efficacy in providing advanced skin care services.

Microdermabrasion Certification

• Certification Provider – The International Dermal Institute
• Best For – Estheticians, Medical Estheticians, Licensed Skincare Specialists, Cosmetologists with a focus on skincare, Spa and Salon Professionals, Dermatology Assistants
• Description – The Microdermabrasion Certification is a specialized program designed for skincare professionals seeking to enhance their expertise in advanced exfoliation techniques. This certification focuses on the safe and effective use of microdermabrasion equipment, skin assessment, and the customization of treatment protocols. Graduates of this program will be equipped with the knowledge and practical skills necessary to perform microdermabrasion services, ensuring improved skin texture and clarity for clients, while adhering to high standards of safety and hygiene.

Certified Laser Technician

• Certification Provider – National Laser Institute
• Best For – Estheticians, Medical Spa Technicians, Dermatology Assistants, Plastic Surgery Nurses, Cosmetic Laser Practitioner, Skincare Specialists
• Description – The Certified Laser Technician certification, equips individuals with the necessary skills and knowledge to safely operate medical lasers and intense pulsed light (IPL) devices. This program focuses on laser physics, safety protocols, and hands-on practice, preparing participants for a role in medical spas, dermatology offices, and plastic surgery clinics. The certification emphasizes a comprehensive understanding of skin types, hair removal, photofacials, and laser safety, ensuring technicians are proficient in both the technical and practical aspects of laser treatments.

Certified Acne Specialist

• Certification Provider – Face Reality Skincare
• Best For – Estheticians, Medical Estheticians, Cosmetologists, Dermatology Nurses, Skincare Consultants, Spa Owners
• Description – The Certified Acne Specialist certification equips skincare professionals with in-depth knowledge and techniques to effectively treat acne. Focusing on a holistic approach, it covers topics such as acne causes, types, and skin analysis, as well as product ingredient selection and lifestyle factors that affect skin health. This certification involves comprehensive training on customized acne treatment plans to help clients achieve clear skin, emphasizing ongoing education to stay abreast of the latest in acne management and skincare science.

Certified Esthetician

• Certification Provider – National Coalition of Estheticians Association (NCEA)
• Best For – Licensed Estheticians, Medical Estheticians, Spa Managers, Skincare Specialists, Cosmetic Laser Technicians, Esthetician Instructors
• Description – The Certified Esthetician credential represents a gold standard in the field of esthetics. This certification demonstrates an individual's commitment to the highest standards of practice, encompassing advanced knowledge and proficiency in skin care. Candidates undergo rigorous training and assessment, ensuring they are well-versed in various esthetic procedures, safety protocols, and client care. Achieving this certification signifies a dedication to professional development and excellence in the esthetic industry.

Master Esthetician License

• Certification Provider – State Board of Cosmetology (varies by state)
• Best For – Licensed Estheticians, Medical Estheticians, Spa Managers, Skin Care Specialists, Esthetician Instructors, Cosmetic Laser Technicians
• Description – The Master Esthetician License represents an advanced level of expertise in skin care beyond the basic esthetician license. This certification typically requires additional education and practical experience, focusing on specialized techniques such as chemical peels, laser treatments, and lymphatic drainage. Candidates must pass a rigorous examination to demonstrate their proficiency in advanced esthetic practices, safety protocols, and state regulations. This credential is essential for professionals seeking to elevate their career in the esthetics industry and provide high-level services.

Continuing Education and Networking
Stay current with the latest trends and techniques in medical skincare by attending workshops, seminars, and conferences. Ensure that you renew your licenses and certifications as required by your state and certifying bodies.

Connect with other professionals in the medical esthetics and skincare industry through networking events, professional organizations, and social media. This can provide support, mentorship, and opportunities for growth.

Professional Organizations
There are several professional organizations and associations specifically dedicated to medical estheticians and skincare professionals. Here are some prominent ones:

• American Med Spa Association (AmSpa) – AmSpa provides legal, business, and clinical training resources to build legally compliant, profitable, and safe medical esthetic practices.
• National Coalition of Estheticians, Manufacturers / Distributors and Associations (NCEA) – The NCEA offers advanced certification programs and advocates for high standards of practice in esthetics.
• Society of Plastic Surgical Skin Care Specialists (SPSSCS) – This organization focuses on skincare professionals working in plastic surgery practices. It offers conferences focusing on collaboration with plastic surgeons and courses aimed at enhancing skills in medical skincare.
• Associated Skin Care Professionals (ASCP) – ASCP is a membership organization offering support and resources for estheticians, including those practicing in medical settings. It provides liability insurance, business support, and educational resources tailored to the needs of esthetic professionals.
• American Society for Laser Medicine & Surgery, Inc. (ASLMS) – The ASLMS is focused on advancing medical laser treatments and technologies. It provides education, research, and networking opportunities for professionals involved in laser medicine and esthetics.
• International Association for Applied Corneotherapy (IAC) – The IAC focuses on advanced skin health and therapeutic practices. It offers education and certification in corneotherapy, a holistic approach to skincare focusing on restoring and maintaining the skin barrier function.
• American Academy of Dermatology (AAD) / American Society for Dermatologic Surgeons (ASDS) – While primarily for dermatologists and dermatologic surgeons, the AAD and ASDS offer resources, education, and conferences that may be beneficial for medical estheticians working closely with these doctors.