Can LPNs or CNAs work in aesthetics?

THE BIG RULE

1. Your state board decides

• Each board of nursing sets its own scopeThere's no single national answer
• The same procedure can be in scope in one stateAnd out of scope in the next
• Check your own board firstNot just the job posting

NORTH CAROLINA

2. LPNs: yes, with conditions

• Cosmetic procedures, injections includedWhen a prescriber orders them
• The prescriber evaluates the client firstThen writes the order
• An RN or provider must be on siteSupervising the LPN
• Documented training and competencyRequired for every nurse

Source: NC Board of Nursing position statement, revised 9/2022.

KENTUCKY

3. LPNs: neuromodulators yes, fillers no

• Neuromodulators (Botox-type)Allowed with direct supervision by a qualified provider
• Dermal fillersNot LPN scope in Kentucky: RNs and APRNs only
• Never independentlyNo ordering products or prescribing treatments

Source: Kentucky Board of Nursing AOS #35, revised 6/2026.

CNAs

4. The beauty route for CNAs

• Board rules like NC's cover licensed nursesRNs and LPNs, not nurse aides
• The skin-care path: an esthetician licenseIssued by your state cosmetology board
• Example: Texas750 hours of training plus written and practical exams

Sources: NC Board of Nursing; Texas Department of Licensing and Regulation.

READ THE FINE PRINT

5. No doctor's order? Different rules

• Clients booking without a provider's orderIn NC, nurses then also need a cosmetic arts or electrolysis license
• Dreaming of your own med spa?In NC, LPNs can't own a professional nursing business

Source: NC Board of Nursing position statement. Rules vary by state; check your board.

LEVEL UP

6. The aesthetic nurse certification

• CANS requires an RN licenseLPNs aren't eligible
• 2 years of RN experiencePlus 1,000 practice hours in the last 2 years
• Working with a board-certified physicianLike dermatology or plastic surgery

Source: Plastic Surgical Nursing Certification Board (PSNCB). Checked Oct 7, 2026.