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Aesthetic Nursing: The Business of Beauty

  • As an aesthetic nurse, you get to work in a culture focused on improving your patients’ quality of life.
  • Aesthetic Nurses keep their focus in the clinical area.
  • The availability of aesthetic nursing jobs varies by region.
Morgan Curry, RN/BSN

Morgan Curry, BSN / RN

Intensive Care, Outpatient Surgery, Aesthetics, Education, and Nursing Leadership

December 31, 2020
Simmons University

Plastic surgery and aesthetics can be a rewarding and exciting field of aesthetic nursing, you get to help patients along their journey to becoming their best self.

This field isn’t all about “Nip/Tucks”, larger breasts, and Kylie Jenner lips—as a nurse in this field, you get to work in a culture focused on improving your patients’ quality of life, while also building long-term relationships with patients.

The availability of aesthetic nursing jobs in this field varies by region. Regardless of where you live, it is a highly competitive field that many nurses desire to work in. This may seem discouraging, but with several years of nursing experience and a drive to succeed, you can achieve this highly sought-after career.

After 5 years of working as a plastic surgery and aesthetic nurse at a well-known plastic surgery practice, I have acquired a wealth of knowledge about what it takes to succeed in this amazing career. I’ve compiled that information for you; I hope this gets you one step closer to your dream job!

So, What Does it Take to Get Into This Field?

If you are interested in the field of plastic surgery and aesthetic nursing, you must have a firm foundation before any credible or reputable practice will hire you. It is a HIGHLY competitive field, so you need to gain experience first.

Employers will want to know how long you’ve been practicing as a nurse, and what settings you’ve worked in. Regardless of the level of your degree, you must be able to show that you are experienced in providing high-quality care.

If you are wondering if credentials are important, it depends on the region you’re looking at.

Aesthetic NursingMany surgery centers, medical spas, and private practices will only consider applicants if they have a minimum of 1-2 years of experience in the ICU, ER, or PACU. However, most skills required for this field are learned during on-the-job training.

Prior to becoming a plastic surgery and aesthetic nurse, I was a Cardiac ICU nurse at a Level I Trauma Center for almost 3 years. Without this background, I likely wouldn’t have gotten the job. I highly recommend working in the hospital setting to gain the fundamental skills that you need to practice on a specialized level.

Are Certifications or Credentials Required in Plastic and Aesthetic Nursing?

Certifications such as BLS, ACLS, and a sedation certification may be required depending on the institution’s regulations.

If you are wondering if credentials are important, it depends on the region you’re looking at. If you are in a larger metropolitan city, credentials will give you a competitive advantage against other applicants. It is also worth noting that some institutions will pay more if you have certain credentials.

There are currently two certifications for nurses offered by the Plastic Surgical Certification Board (PSNCB). They are both valid for 3 years and eligible for renewal through continuing education credits.

Certified Plastic Surgical Nurse (CPSN) Eligibility:

  • Current RN licensure
  • Minimum of 2 years of plastic surgical nursing experience as an RN within the last 3 years
  • 1,000 practice hours in plastic surgical nursing during 2 of the last 3 years

Certified Aesthetic Nurse Specialist (CANS) Eligibility:

  • Current RN licensure
  • Work with physician(s) that are board-certified in either Plastic/Aesthetic Surgery, Ophthalmology, Dermatology or Facial Plastic Surgery
  • Minimum of 2 years nursing experience as an RN in any of specialties listed above (This can include staff nursing, administration, education, or research role)
  • Have worked at least 1,000 practice hours within the specialties listed above (in last 2 years)
  • Have a supervising physician endorse the application

Where Can I Work in Plastic and Aesthetic Nursing?

There are several different settings within the field of plastic and aesthetic nursing. With each setting, there comes a different set of responsibilities and roles for nurses. These settings include:

  • Plastic Surgery Clinics
  • Plastic Ambulatory Surgery Centers
  • Dermatology Offices
  • Medical Spas
  • Head and Neck Clinics (ENT)

You may hear plastic surgery nurse and ‘aesthetic nurse used interchangeably; however, they are quite different.

Aesthetic Nursing RolesDifferent Roles

Plastic surgery and aesthetic nursing encompasses many different roles that a nurse can choose from. You may hear plastic surgery nurse and “aesthetic nurse used interchangeably, however, they are quite different 

Plastic Surgery Nurses keep their focus on surgical procedures that improve the appearance of the body and face via a variety of invasive and non-invasive procedures. They work alongside the physician/surgeon in caring for surgical patients. 

This specialization of nursing is multidisciplinary and dynamic. Most plastic surgery nurses work closely with their surgeons and other support staff such as medical assistants, scrub techs, CRNA’s, and surgery coordinators to assist the patient in achieving their desired results. Depending on the individual practice, a plastic surgery nurse may be responsible for one or several of these jobs:

  • Reviewing a patient’s medical and surgical history
  • Educating patients on surgical procedures
  • Screening patients for surgery
  • Answering questions via phone, email, and in person as a follow up resource after surgery
  • Surgical incision and dressing care
  • Chaperoning physicians in rooms for consultations and follow up appointments
  • Managing inventory
  • Pre-op, circulating, and recovery of surgery patients
  • Scrubbing to assist surgeon in local procedures

Aesthetic Nurses keep their focus in the clinical area. They may perform non-surgical procedures and therapies to assist patients in improving their cosmetic appearance. They may be responsible for one or several of these jobs:

  • Injecting neurotoxin or dermal fillers or assisting a physician in doing so
  • Performing HydraFacials, chemical peels, Microdermabrasions, or laser procedures
  • Consulting with patients including scheduling, interviewing, and medical screening prior to performing a service
  • Examining the skin to assess aging and other problems
  • Performing pre- and post-procedural care including education

Personality Is Everything

This field is held to a higher, more specific standard than others. Many of the procedures are elective and because few cosmetic procedures are covered under insurance, the patients are paying a considerable amount for the services that you will be offering.

Body language, tone of voice, bedside manner, and empathy towards patients is imperative when caring for and communicating with this patient population. Personality really is everything in this field. You must be able to comfort patients’ fears, while simultaneously educating them on the risks and desired outcomes.

You must be able to multi-task and think quickly and critically – 2 steps ahead. Especially if you are dealing with multiple physicians, you must learn their preferences for each procedure and how to communicate with them and their strong personalities.

Breast Augmentation is a type of procedure an aesthetic nurse may encounterTypes of Surgical Procedures

  • Breast Augmentation
  • Mastopexy (Breast Lift)
  • Breast Reduction
  • Brachioplasty
  • Abdominoplasty (Tummy Tuck)
  • Circumferential Body Lift
  • Liposuction
  • Rhinoplasty
  • Blepharoplasty
  • Facelift
  • Chin Augmentation
  • Hair Transplant

Non-Invasive Procedures

  • Neurotoxin injections
  • Injectable Dermal Fillers
  • Laser Procedures (Fractionated CO2, IPL etc.)
  • Radiosurgery
  • Chemical Peels
  • Microneedling

Reconstructive Procedures

  • Scar Revision
  • MOHS Closure/Reconstruction
  • Laceration Repair
  • Lipoma/cyst/tumor removal
  • Breast Reconstruction
  • Burn Repair/Grafting
  • Gender reassignment

This is not an exhaustive list of the types of procedures you may encounter in this field, but these are the most common, highly sought-after procedures that are offered today.

Most of the knowledge and skills required to care for patients undergoing these procedures is learned on the job. Each surgeon or physician has their own method of performing their procedures and caring for their patients.

Another bonus that many private practice or med spas may offer is access to discounted procedures.

What Is the Going Rate for Plastic or Aesthetic Nursing?

The pay for a nurse in this field ranges from $25,000 to as high as $124,000, with the average salary being approximately $70,000 per year. Some employers may pay on an hourly scale while others are set on a fixed salary.

The pay varies depending upon institution (hospital, clinic, surgery center, med spa etc.) This large gap in pay suggests there is potential room for advancement based on skill, location, and experience. Some nurses in this field may also work on a bonus compensation structure.

The pay scale may also vary based upon the benefits the institution offers. These things must also be taken into consideration when determining the best fit for you new place of work.

  • Health insurance
  • Dental/Vision Insurance
  • Retirement Plan
  • Family Medical Leave
  • Maternity Leave
  • Certification Reimbursement
  • Education Reimbursement

Become an aesthetic nurseAnother bonus that many private practice or med spas may offer is access to discounted procedures. These may include discounted surgery, facials, skin care, facial procedures (microdermabrasion, chemical peels, dermaplaning etc.), and injectables (neurotoxin or fillers).

Some employers may offer these as a perk or a bonus throughout the year. This is a huge benefit to working in this industry as these procedures are normally very expensive.

Aesthetic Nursing Roles Vary by State

There are specific rules and regulations that vary by state such what license is required to legally inject neurotoxin and dermal fillers, operate a laser, and who can own and operate a medical spa.

It’s important to understand your individual states rules and regulations. Check with your state board of nursing to find that information.

The popularity of injectables, skin care and lasers are on the rise and many nurses and other medical professionals are looking to supplement their current position or move into the field of aesthetics.

Some states allow nurses without Advanced Practice degrees to practice with injectables, while others do not. Some states also allow a nurse to own a med spa and practice without physician ownership or oversight.

The American MedSpa Association gives a summary of each state guidelines; they are a great resource if this interests you. Just remember to stay up-to-date and know your individual practice privileges.

Take the Leap!

Now you have all the information you need to begin your career in the unique field of plastic surgery and aesthetic nursing. Remember, this is not a comprehensive list, just a guideline to keep in mind. Each state and institution will vary, so always do your research.

My experience in this field has been very rewarding; if it interests you, I encourage you to take the leap and pursue a career in plastic surgery and aesthetics.

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