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Eligibility and Licensing for Aesthetic Practice

A detailed reference on which licenses qualify for aesthetic practice, how scope is set, and what to confirm with your state board before you invest in training.

Exclusively for Registered Nurses and advanced licensed medical providers.

Last reviewed: 2026-07-14

Which licenses qualify

Medical aesthetic procedures typically require an active license as a Registered Nurse (RN), Nurse Practitioner (NP), Physician Assistant (PA), or Physician (MD/DO). Other advanced medical licenses may qualify depending on the treatment and state. A cosmetic or esthetics license is generally not a substitute for medical licensure for these procedures.

How scope is set

Scope is set by your license type and state law. State nursing and medical boards define which procedures each licensee may perform, under what delegation, and with what supervision. A training certificate documents completion; it does not change your legal scope.

License types and typical scope

Registered Nurses (RNs) typically perform aesthetic injections under delegation and supervision from a physician or advanced practice provider. Nurse Practitioners and Physician Assistants may have broader independent authority in some states but often work under collaborative agreements or protocols. Physicians generally have the broadest authority but still carry documentation, consent, and oversight obligations. Confirm the specifics for your state.

Delegation and supervision

Delegation is how a qualified provider authorizes another licensee to perform specific tasks under protocol. Supervision defines the oversight the delegating provider maintains. Both vary by state, license, and treatment.

Ownership considerations

Corporate-practice-of-medicine rules in some states restrict who may own a medical aesthetic practice and which structures are permitted (MSO, employment, collaborative models). Confirm ownership rules with legal counsel before structuring a practice.

What to confirm before training

  • Your license is active and appropriate for the procedures you want to perform.
  • Your state board has guidance on aesthetic procedures for your license type.
  • The delegation and supervision model you plan to use is permitted in your state.
  • Any ownership restrictions that affect your plans.
  • The training course aligns with your state's scope and supervision model.

Where to confirm

Use the official sources below — your state nursing board, medical board, and qualified legal counsel. Board guidance and statutes are the authority; summaries are not.

Sources and professional guidance

Primary regulatory, clinical, and safety authorities referenced on this page. Confirm current guidance directly with the issuing body.

External links open in a new tab. NOVI is not responsible for the content of third-party websites.

Frequently asked questions

Can an esthetician perform aesthetic injections?

Generally no. These injections typically require medical licensure, delegation, and supervision. State scope rules determine who may perform them.

Does a certificate expand my scope of practice?

No. Scope is set by your license and state law. A certificate documents training; it does not change what your license authorizes.

Can an RN own an aesthetic practice?

It depends on your state's corporate-practice-of-medicine rules, which may restrict non-physician ownership. Some states permit specific structures; confirm with legal counsel.

NOVI is not intended for estheticians, cosmetologists, nonmedical beauty professionals, or individuals without an active qualifying healthcare license.

This content is provided for general educational purposes and is not legal, regulatory, or medical advice. Scope-of-practice, ownership, delegation, supervision, examination, and medical oversight requirements vary by state and may change. Providers should consult the applicable licensing board, qualified legal counsel, and appropriate clinical leadership before offering services.