How to Become a BOTOX Injector

How to Become a BOTOX & Aesthetic Injector

People around the world care more about their appearance than any other time in history, and are taking proactive steps to stay beautiful. The goal is achieving and maintaining facial and body features that are youthful, sculpted, and vibrant. 

With steadily increasing rates of celebrities and social media influencers speaking out about receiving anti-aging treatments, the demand for aesthetic procedures is higher than it has ever been. With more influencers becoming open about both surgical and non-surgical aesthetic options, the cosmetic market is only expected to grow.

Consistent trends show that patients are seeking out nonsurgical treatments through cosmetic injectables like BOTOX, dermal fillers, or fat reduction injections. Everyone is excited about getting profound results without going under the knife.

The types of providers who can perform these types of injections varies widely, and is not limited to MDs. In fact, many patients prefer to see an RN or Nurse Practitioner who specializes in aesthetic medicine when choosing a provider. 

The time to begin a career in aesthetic medicine has never been more opportune.

So, how can you start your own journey to become an aesthetic injector? 

In this article, we will address some of the most commonly asked questions about becoming an aesthetic injector. Regardless of whether you have zero experience or you are already a medical professional, you’ll find answers to your questions below. We will also discuss how you can rise from being freshly qualified to becoming sought-after in this highly competitive market. 

As long as you are prepared to put in the time and market your services well, the tools below will help you become a successful aesthetic injector.

Choose to become a cosmetic injector for the right reasons. It's not an easy road, however it can be a very rewarding career change.

What are Aesthetic Injections?

Aesthetic injectables are ideal for patients who wish to enjoy the desirable results of plastic surgery without experiencing the invasive nature of it all. Injectables allow patients to avoid the downtime, anesthesia, and potential health hazards of traditional cosmetic procedures. 

Almost all aesthetic injectable procedures can be done on an outpatient basis, and allow patients to return to their normal activities within a short time frame following treatment. 

Injectable Products:

The world of aesthetic injectables is constantly expanding and improving. However, some of the injectables that are current patient favorites include: 

  • BOTOX: When most people think of aesthetic injections, they think of BOTOX. That is because it is the most popular and most well-studied cosmetic injectable worldwide. BOTOX has been around for several decades, and remains a widely popular wrinkle-reduction neurotoxin wrinkle reduction treatment. 
  • Other Neurotoxin Injectables (Dysport, Xeomin, Jeuveau): There are several other neurotoxin injectables that have a similar makeup to BOTOX. While they are not as well-known, some patients and providers prefer these brands to create youthful and smooth faces. 
  • Dermal Fillers (Juvederm, Restylane, Radiesse, Bellafill, Revanesse Versa): Dermal fillers have become increasingly popular for their capacity to provide exceptional nonsurgical results.There is a growing number of dermal filler products for providers to choose from, depending on the type of procedures they are performing.
  • KYBELLA: KYBELLA is the only fat-reduction injectable currently available on the market. Once injected, it permanently reduces fat cells in the area of treatment, allowing patients to spot-reduce fat in a way that diet and exercise cannot. 
  • Sculptra: Sculptra is composed of Poly-L-lactic acid and helps patients’ skin to stimulate collagen production.

Injectable Procedures:

As injections have become more popular, many practitioners have expanded their use of certain products to help patients achieve significant aesthetic results without surgery. 

Popular injectable procedures include:

  • Wrinkle reduction: Wrinkle reduction can be achieved with neurotoxins or dermal fillers (depending on the area of the face). Commonly treated areas include crow’s feet, glabella lines, forehead lines, smile lines, marionette lines, smoker’s lines, and other areas prone to fine lines. 
  • Lip augmentation: This procedure has grown in popularity over the past five years with 20-30 year old patients, but remains popular with all age groups, as lips lose volume with aging. Lips are plumped, shaped, and/or augmented with dermal filler. 
  • Cheek augmentation: Cheek augmentation is an effective way to treat hollow cheeks that result from aging. This procedure is executed with dermal fillers like Juvederm Voluma.
  • Facial contouring: Facial contouring can be done on any area of the face, such as the cheeks or temples, at any age to achieve a more defined facial structure. This treatment is done with dermal filler, neurotoxins, or a combination of the two.
  • Fat Reduction: KYBELLA is used to permanently spot-reduce fat in unwanted areas such as under the chin or on the abdomen, flanks, thighs, or buttocks. 
  • Nonsurgical nose job: Now, there is a way to reshape the nose and add symmetry with dermal fillers like Juvederm, Restylane, or Bellafill. Of course, this treatment cannot repair structural abnormalities that require rhinoplasty. 
  • Hand rejuvenation: Patients can address the fat degradation that occurs in the hands through the years. Fillers such as Radiesse or Restylane restore a youthful appearance. 
  • Migraine relief: Neurotoxins like BOTOX and Dysport are FDA-approved as migraine treatments. Providers should seek out specialized training for this type of procedure. 
  • PRP: This treatment involves using a patient’s platelet rich plasma from their own blood to promote skin rejuvenation, hair regrowth, or other skin enhancements.
  • Sclerotherapy: One of the most popular treatments for spider veins, sclerotherapy involves injecting a salt solution into visible veins to dissolve unwanted veins in the treated area. 

Who Can Perform Aesthetic Injections?

Navigating the rules and regulations for who can provide what types of injections in various states can be tricky, so always check with your state board. However, in general, the following medical professionals can perform aesthetic injections (with certain exceptions/restrictions):

  • MDs
  • DOs 
  • Dermatologists (All doctors should check with their malpractice insurance to find out whether or not aesthetic procedures are covered)
  • Nurse Practitioners (NPs require an MD to order injections and/or supervise practice in many states)
  • Dentists (Dentists are restricted to BOTOX, or BOTOX and dermal filler only in most states)
  • Physician Assistants (PAs typically require MD supervision) 
  • Registered Nurses (RNs require MD supervision) 

How Do I Begin a Career in Medical Aesthetics?

If you are starting from the ground up, the best way to embark on a career in medical aesthetics is to become a registered nurse. Becoming a licensed RN is the minimum qualification one must have to practice aesthetic injections. Undertaking nursing school and exams are necessary steps before specializing in any sort of aesthetic medicine. 

After you have achieved an RN or equivalent qualification such as a BSN, you can begin training as an aesthetic nurse to learn the many specialized procedures of nonsurgical aesthetics.  

What is an Aesthetic Nurse?

Aesthetic nurses, also known as cosmetic nurses, are registered nurses with special training. After becoming an RN, an aesthetic nurse undergoes additional training in services such as fillers, tattoo removal and injectables.

Becoming an experienced injector takes time, patience, and skill. Understanding facial anatomy, injection safety, and the artistry behind complex injectable procedures like facial contouring doesn’t happen overnight. Prepare to have patience and dedication as you study and observe. 

So, what is the best way to specialize in aesthetics?

How can you get the information and training you need to become a skilled aesthetic nurse? 

The real answer—it depends. Every nurse’s journey differs, and how you want to learn is up to you. However, here are some of the best options for becoming a master in aesthetics: 

  • Work under a board-certified plastic surgeon, experienced aesthetic nurse practitioner, or other experienced aesthetic medical professional: Taking a job underneath an aesthetics professional is one of the best ways to learn hands-on. This will allow you to watch procedures and get practice. In general, many nurses will start with less invasive procedures such as chemical peels or tattoo removal before moving on to injectable training when working under a professional like a plastic surgeon. 
  • Attend seminars and formal trainings: Trainings are offered at formal events or in private settings. These are not required, and some nurses choose to learn exclusively on the job. However, these sessions can be very helpful for those learning on their own or just starting out, so trainings or seminars are highly recommended. 
  • Pass the Plastic Surgical Nursing Certification Board: The PSNCB is not a qualification to practice aesthetic injections or become an aesthetic nurse. However, the credential process sets you up for success in aesthetics, and having this certification can  make you a more sought-after provider. Achieving this qualification requires an additional 2 years of practice after becoming an RN, and over 1,000 hours of supervised time working in aesthetics. The extra time may be well-worth the investment if you are hoping to set yourself up for ultimate success in aesthetics.
  • Become a nurse practitioner: In addition to the above steps, expanding your credentials will only increase your knowledge, your credibility, and your list of clientele. Becoming an NP also makes it easier to open your own practice, hire your own staff, or work in more intensive roles with other aesthetic medical professionals. 
Patient expectations from their injectors are at an all time high. At times unrealistic. A great cosmetic injector sets expctations and works with them to establish realistic expecations and long term aesthetic goals.

How Much Does an Aesthetic Nurse Make?

According to, the salary for aesthetic nurses vary based on education, experience and geographic location. ZipRecruiter shows that the average annual pay for a cosmetic nurse is $85,621, with some cosmetic nurses making as much as $124,000.

What Does an Aesthetic Nurse Do Day-to-Day?

Aesthetic nurses work side-by-side with dermatologists, plastic surgeons, and other medical professionals who offer cosmetic procedures.

Beyond administering aesthetic injections, aesthetic nurses are often the first choice to administer other popular aesthetic treatments that require no surgical intervention.

As an aesthetic nurse, you can also perform treatments including:

  • Laser hair removal
  • Laser tattoo removal
  • Chemical peels
  • Microdermabrasion
  • Microneedling
  • Body contouring treatments (Coolsculpting, SculpSure)
  • B12 Shots

Much of your job will involve interacting with patients and informing them about the treatments you offer. On a daily basis, you will provide aesthetic education, administer pre- and post-treatment care, perform consultations, and educate yourself on the latest aesthetic trends and treatments. 

It also is crucial that you maintain a prominent presence online and promote yourself and your work on various social media platforms, apps and websites. Find ways to interact with current and potential patients.

Sources for Prospective Aesthetic Nurses

If you are interested in becoming an aesthetic injector or cosmetic nurse, these are some of the key organizations you will utilize along the path.

Dermatology Nurses Association

The American Association of Aesthetic Medicine and Surgery

International Society of Plastic and Cosmetic Nurses

You might also consider speaking directly to a cosmetic or aesthetic nurse, or a doctor who is practicing aesthetics in your area. Check out local medical spas and cosmetic surgeons’ offices.

Why Become an Aesthetic Injector?

New aesthetic treatments are developing every day, and the cosmetic industry is booming. Registered nurse jobs are expected to grow by 12% through 2028, according to the U.S. Bureau of Labor Statistics.

If you want to help people achieve new confidence in their appearances, careers and personal lives, consider becoming an aesthetic injector.

I am already a medical professional (MD, DO, NP). How do I add aesthetics to my practice?

If you are an established medical professional and are considering branching out to aesthetics, it’s easy to understand why. The heavy demand for injectables like BOTOX and dermal fillers has many medical professionals like family doctors or OBGYNs wondering if they are missing out on a valuable opportunity with patients they already have. 

Adding aesthetics to your practice can be both lucrative and rewarding, but isn’t an endeavor that should be undertaken lightly. However, if you want to find out how you can tap into the aesthetics market without hurting your existing practice, read on.

  1. Do it for the right reasons

Yes, aesthetics procedures are popular. No, you shouldn’t just add injectables to your services just because you can. 

Naturally, injecting products like dermal fillers without the proper experience or training can lead to unsightly and even dangerous results for your patients, which can leave you with a bad reputation and costly damages. 

If you want to add injectables or other aesthetic services to your practice because you think it may appeal to your current patients, or may bring new patients in the door, go for it, but prepare to invest time and work into the process. If you want to expand your practice because you have a keen interest in aesthetics, that’s even better.

  1. Do it the right way

One of the greatest advantages of injectables is how cost-effective they can be for practices who are hoping to break into the world of aesthetics. 

An unfortunately common and costly mistake for many medical providers has been purchasing a laser or body contouring device worth over $100,000+ that doesn’t appeal to their patients. They may never be able to make their money back. 

Injectables are in-demand and more cost-effective.

If you already are a practicing medical professional, chances are, you’re busy. If time isn’t on your side and you don’t have the expertise already needed to expand your practice into aesthetics, consider bringing on an experienced aesthetic RN or NP part-time to help you grow your clientele. 

If you are looking to grow your own skillbase, invest in training courses with AAFE or AM, or network with medical professionals such as plastic surgeons or dermatologists who can direct you to in-person sessions or sit-ins.

  1. Talk to your patients

Unsure which injectables to add to your practice, or if adding them at all is a good idea? Ask your patients.

Create an optional email survey that your staff sends out to gauge potential interest in your new services. Alternatively, you can ask in-person when you have them in for an appointment. 

How Do I Promote my Aesthetic Services?

Physicians and nurses have responded to the booming demand of aesthetic services. The field is highly competitive, and promotion will be key to your success.

How do you stand out against the competition and get patients in your chair?

The most important thing all injectors must do is provide an exceptional experience for their patients. This is not limited to one aspect of a patient’s interaction with you. Your patients should leave with an impression of their experience of you that makes them want to come back for another treatment, and inspires them to tell others about your expertise. 

Here are the fundamental things you should provide during every patient visit:

  • Education: Whether this is your patient’s first or fortieth injectable treatment, answer each of their questions thoroughly. Inform them of all of their options and tell them about your unique procedures. 
  • Discussion: Take the time to truly understand your patient’s goals and concerns. Listening and being knowledgeable about your patients’ needs is just as important as being knowledgeable about aesthetics.
  • Results: Your results should speak for themselves. Make sure your patient feels satisfied with the treatment. Follow up two weeks afterwards as a courtesy. 
  • Care: Always provide patients with attentive and thorough pre- and post-operative care.

Doing these things will help drive organic visits via word-of-mouth advertising. 

However, in a digital world, more patients than ever are searching online and on social platforms for their next aesthetic provider. If you are not taking advantage of a digital presence, there are hundreds of other providers your patients are likely to hear of before they hear your name from a friend or see your practice on the side of the street. 

Here are some ways you can make yourself stand out online:

  • Get social: Patients of all ages are learning about aesthetic procedures on social media. Showcase your expertise by posting videos and pictures of your treatments on platforms like Instagram, TikTok, or Facebook. The best thing you can do is exhibit fantastic results. Make sure all of your profiles are optimized to include your phone number, address, and website. 
  • Claim your Google listing: Many patients will search for a treatment using the “near me” function in their search bar. Claiming your Google listing using Google My Business is a fast and easy way to add your information to Google so that you show up in search results and patients can contact you with ease. 
  • Utilize influencer marketing: Influencers have major marketing power, and some of the biggest brands in the world (like Nike, Target, and Amazon) partner with social media influencers to promote their services and products. Aesthetic providers have hopped on this trend, and many partner with influencers to help grow their clientele. 

Make Your Mark on the Aesthetics Industry

Aesthetics is growing rapidly, and there is opportunity for new skill, leadership, and innovation to propel the industry into a new era. Aesthetic services allow providers to join creativity and medicine together, and put smiles on their patients’ faces.

Now is the time to consider a career in aesthetics.

Other Sources

If you are interested in starting your career in aesthetics or are looking to grow as an aesthetics provider, we are glad you have found JOY MD and hope that we can be a valuable resource for you along your journey.