Medical Esthetician (Aesthetician)

Taking care of skin requires specialized knowledge and training. In order to do so many clients rely on an esthetician’s expertise to make recommendations on how to keep their healthy skin. Either in a salon or medical clinic, these skincare professionals utilize their expertise to provide facials, chemical peels, makeup consultations, and hair removal.

Licensed skincare specialists who work in a clinical setting are called medical estheticians. They are employed in dermatology offices, plastic surgeon clinics, hospitals, and medical spas. The title can be misleading, however, as there are no requirements for any medical training. Medical estheticians are required to attend cosmetology or esthetician school and obtain state licensure upon graduation. Often, to practice in medical clinics, hospitals, or dermatology offices, estheticians will pursue specialized training such as how to use lasers for skin treatments or hair removal.

According to the U.S. Bureau of Labor Statistics (BLS 2019), skincare specialists—a professional field that includes medical estheticians—are expected to see 11 percent growth in job openings nationally between 2018 and 2028, adding 7,800 positions.

The path towards becoming a medical esthetician is outlined below, including a step-by-step guide to joining this profession, top programs of study, and an overview of typical job duties.

Medical Esthetician Specializations & Degree Types

Medical estheticians earn an esthetician degree at dedicated esthetician schools, two-year colleges, or cosmetology schools. These programs involve a combination of classroom instruction and hands-on practice to gain the necessary skills to enter this profession. Students must complete a required number of hours in order to be eligible for state licensure. In order to graduate, students typically also have to complete a required number of treatments to demonstrate competency and experience.

Students who want more training can complete specialized medical esthetician courses after completing their initial esthetician program. These courses range in length from a few days to a few weeks and can cover skills that require hands-on training such as laser hair removal or collagen injections.

Admissions Requirements for Medical Esthetician Programs

Admission requirements for esthetician programs vary based on the location, quality, and length of the program. The only requirements for most schools is for applicants to have completed high school or have obtained a GED.

Medical Esthetician Program Accreditation

There are several medical esthetician school accrediting agencies recognized by the U.S. Department of Education. These agencies include:

  • Accrediting Commission of Career Schools and Colleges (ACCSC)
  • Accrediting Council for Continued Education & Training (ACCET)
  • Council on Occupational Education (COE)
  • National Accrediting Commission of Career Arts and Sciences (NACCAS)

Students should ensure the program they attend is accredited as this ensures a minimum level of quality of education as well as meeting coursework and content requirements. Attending an accredited program is not required for licensure but can boost job applications and employment opportunities.

On-Campus Medical Esthetician Degree Programs

Aveda Arts & Sciences Institutes

Aveda is a well-known and respected cosmetics company that has high-end salons and spas across the country. In order to work at one of their prestigious establishments, applicants must have specific training with their products. Graduates of Aveda Arts & Sciences Institutes are eligible for state licensure and have the necessary training to provide medical esthetician services.

The length of this program varies based on the licensing requirements of the state where the program is completed. Most programs are at least 750 hours and 27 weeks in length. The Aveda program provides unique training in using plants and flower essences in treatments. Students participate in the theory, practice, and clinical study of skincare. Over the course of the program, students will take quizzes, participate in demonstrations, and pass practical exams to ensure competence in all aspects of medical esthetician care.

  • Location: 17 locations in nine states
  • Duration: 750 hours or 27 weeks (length can vary based on state licensing requirements)
  • Accreditation: National Accrediting Commission of Career Arts and Sciences (NACCAS)
  • Tuition: Varies based on location, but starts at $7,904 per year

Citrus Community College

Students at the Citrus College Esthetician program can develop the necessary skills to help clients achieve and maintain healthy skin. Throughout the course of the nine-month program, students will gain knowledge and skill in both classroom and hands-on settings. Citrus College offers both an esthetician certificate of achievement and a two-year associate degree of science (AS) in cosmetology.

Required coursework includes three levels of esthetician courses and 600 hours of practical experience. Students will learn how to remove hair, recommend facials based on skin type, do makeup, and perform proper sanitation and disinfection procedures. Graduates of this program are eligible to sit for the California State Board of Barbering and Cosmetology Esthetics licensing exam.

  • Location: Glendora, CA
  • Duration: Nine months to two years
  • Accreditation: Accrediting Commission for Community and Junior Colleges, Western Association of Schools and Colleges
  • Tuition: $307 per credit-hour

College of the Mainland

In just nine months students can complete their esthetician certificate program at College of the Mainland. This program prepares students to pass the Texas Department of Licensing and Regulations test for licensing in esthetics. This program is offered once a year in the fall.

Students are required to complete 20 semester credits of coursework, including the applications of facials and skincare technology, an introduction to salon developments, and licensing test preparation. In addition to classroom work, students gain hands-on experience by providing facials, chemical peels, waxings, and anti-aging treatments in the school salon.

  • Location: Texas City, TX
  • Duration: Nine months
  • Accreditation: Southern Association of Colleges and Schools Commission on Colleges
  • Tuition: $3,873 per two semesters

Paul Mitchell The School Sacramento

At Paul Mitchell, students train to become not only top estheticians but also to be skilled business professionals. In this nine-month course, students move through three levels of courses learning the rules of skin care, how to apply them, and how to expand beyond them.

Technical areas of education covered include skin types, how to control infection, sanitation, skin physiology, how to provide consultations, hair removal, chemical treatments, and state laws. As part of the program students are required to purchase a professional kit that is filled with top quality Paul Mitchell products and tools.

  • Location: Sacramento, CA
  • Duration: 600 hours or nine months
  • Accreditation: National Accrediting Commission of Career Arts and Sciences
  • Tuition: $8,750 tuition for the whole program

Online or Hybrid Medical Esthetician Degree Programs

Due to the hands-on nature of medical esthetician training, there are currently no fully online or hybrid programs in the U.S. That said, some associate degree programs may include online general ed coursework.

How Long Does it Take to Become a Medical Esthetician?

Medical esthetician school can be completed in nine months to a year after graduating from high school. State licensure or certification may take additional months to achieve.

How To Become a Medical Esthetician – Step-by-Step Guide

Step 1: Graduate from High School or Complete a GED (Four Years)

Completing high school or obtaining a GED is required in order to enroll in most medical esthetician programs. Students should focus on classes such as biology, chemistry, and anatomy to prepare for this career.

Also, as communication is essential for working closely with clients, classes such as creative writing and psychology can help students gain skill that will help them excel as a medical esthetician.

Step 2: Complete a Medical Esthetician Program (Nine months to Two Years)

The length of time it takes to complete a medical esthetician program varies based on the school or certificate or degree. Certificate programs at cosmetology schools can be completed in as few as nine months.

Esthetician programs at community colleges can take up to two years if the student is pursuing an associate degree. Students in all programs take a combination of lecture courses in a classroom setting followed by hands-on experience. Most programs’ graduation requirements include completing a required number of experience hours and treatments.

Step 3: Obtain State Licensure (Timeline Varies)

Estheticians, medical or not, are required to be licensed in all 50 states. Requirements vary by state and include completing a required number of hours of supervised practice, as well as completing a degree or certificate program. Most states also require passing an exam to demonstrate competency in the field.

What Do Medical Estheticians Do?

Medical estheticians work in clinics, dermatology offices, hospitals, medical spas, and long-term care centers. They work under the supervision of health care professionals to provide skincare services to clients. While job duties vary based on place of employment and clientele, typical day to day responsibilities include:

  • Consulting with clients on skincare needs
  • Providing treatments based on supervising healthcare professional’s orders
  • Educating patients about their skin and providing recommendations for products or treatments
  • Supporting patients who have had burns or surgery with skin treatments and care
  • Teaching clients how to apply makeup to cover up scars or other skin conditions
  • Utilizing technology such as lasers to remove hair, rejuvenate skin, or remove cellulite
  • Injecting fillers such as silicone (in some states)
  • Performing manual lymphatic drainage

Medical Esthetician Certifications & Licensure

Estheticians must be licensed in all 50 states. Requirements for licensure vary by state so students should contact their local board to learn if they meet the qualifications. Generally, all states require candidates to pass an exam and have completed a required number of supervised work hours.

Some states, such as Oregon, offer an advanced esthetician license, which has additional requirements but allows license holders to perform more procedures commonly called advanced non-ablative esthetic procedures.

There are also national certifications medical estheticians can earn that demonstrate competency or advanced training in the field. One top certification is the National Esthetician Certification from the National Coalition of Estheticians, Manufacturers/Distributors & Associations (NCEA). To qualify, candidates must order the training manual (which includes the formal application), get an authorization to take the test, and complete the exam online at home. This process generally takes four to six weeks.

How Much Do Medical Estheticians Make?

According to the Bureau of Labor Statistics (BLS May 2019), medical estheticians fall under the category of skincare specialists. On average, the 56,660 skincare specialists around the country earned $38,970 annually, with the following percentiles:

  • 10th percentile: $20,500
  • 25th percentile: $25,220
  • 50th percentile (median): $34,090
  • 75th percentile: $46,770
  • 90th percentile: $62,540
Kimmy Gustafson

Kimmy Gustafson


Kimmy is a freelance writer with extensive experience writing about healthcare careers and education. She has worked in public health, at health-focused nonprofits, and as a Spanish interpreter for doctor’s offices and hospitals. She has a passion for learning and that drives her to stay up to date on the latest trends in healthcare. When not writing or researching, she can be found pursuing her passions of nutrition and an active outdoors lifestyle.

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