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Aesthetics

Med spa vs dermatology vs plastic surgery

Where should you work?

Updated November 5, 2026 · Facts checked against the sources listed below

Med spa vs dermatology vs plastic surgery. Where should you work?
The med spa. Cosmetic treatments only: Clients choose to come in. Often retail-style hours: Evenings and weekends are common. Sales may be part of the job: Ask how you're measured

MED SPA

1. The med spa

  • Cosmetic treatments onlyClients choose to come in
  • Often retail-style hoursEvenings and weekends are common
  • Sales may be part of the jobAsk how you're measured
The dermatology office. Medical and cosmetic skin care: Not just aesthetics. You'll see a wide mix of patients: Skin checks to cosmetic visits. Physicians on site: Usually a clinic schedule

DERMATOLOGY

2. The dermatology office

  • Medical and cosmetic skin careNot just aesthetics
  • You'll see a wide mix of patientsSkin checks to cosmetic visits
  • Physicians on siteUsually a clinic schedule
The plastic surgery practice. Surgery plus aesthetic services: From consults to recovery. Pre-op and post-op care: Your surgical skills matter. Often an office plus a surgery center: Ask where you'd work

PLASTIC SURGERY

3. The plastic surgery practice

  • Surgery plus aesthetic servicesFrom consults to recovery
  • Pre-op and post-op careYour surgical skills matter
  • Often an office plus a surgery centerAsk where you'd work
Before you take the job. Who supervises me, and are they on site?. What training do you provide?. Is any of my pay tied to sales?. What does a normal week look like?

QUESTIONS TO ASK

4. Before you take the job

  • Who supervises me, and are they on site?
  • What training do you provide?
  • Is any of my pay tied to sales?
  • What does a normal week look like?
The CANS credential. Certified Aesthetic Nurse Specialist: From PSNCB. 2 years as an RN in core specialties: Plus 1,000 hours in the last 2 years. Work with a board-certified physician: Like a dermatologist or plastic surgeon

CERTIFICATION

5. The CANS credential

  • Certified Aesthetic Nurse SpecialistFrom PSNCB
  • 2 years as an RN in core specialtiesPlus 1,000 hours in the last 2 years
  • Work with a board-certified physicianLike a dermatologist or plastic surgeon

Source: Plastic Surgical Nursing Certification Board (PSNCB).

Rules vary by state. What nurses can do in aesthetics: Depends on your state. Who can own a med spa: Varies by state law. Check your board of nursing: Before you start, not after

SCOPE

6. Rules vary by state

  • What nurses can do in aestheticsDepends on your state
  • Who can own a med spaVaries by state law
  • Check your board of nursingBefore you start, not after

Varies by state; check your board of nursing.

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