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What is a Paramedical Esthetician?

Mary McMahon
Updated Mar 02, 2024
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A paramedical esthetician is a skincare specialist who can provide advanced skincare techniques or work in a medical office side by side with a doctor, preparing patients for surgery that is designed to address skin issues. The regulations concerning these estheticians vary widely. In some regions, they are subject to strict regulations and licensing requirements, while in other regions, almost anyone can practice as one. Clients should be aware of this fact because people may advertise themselves with official-sounding titles that actually carry no weight.

Estheticians in general provide care for the skin, along with advice on skincare, and in some regions, they also deal with hair care. The most common official title for someone who has received esthetician training is “licensed esthetician,” a term that is regulated and usually implies that someone has successfully completed a training requirement, taken a written exam, and demonstrated practical skills. Paramedical estheticians have more training, which allows them to perform advanced skincare interventions, and in some regions, they may be subject to licensing.

People can approach this career from a number of perspectives. Some are doctors, nurses, paramedics, or physician's assistants who are interested in focusing on skin care, while others are licensed cosmetologists who want to expand their offerings. These skincare professionals can work in private practice, spas, and medical offices, depending on their preference and the types of services they offer. With the exception of doctors, they not write prescriptions or offer medical advice.

Some services that can be offered by a paramedical esthetician include dermal filling, dermabrasion, Botox® injections, permanent makeup, presurgical skincare, facials, postsurgical skincare, and hair removal. Also known as medical estheticians or paramedical aestheticians, these skincare professionals can offer many services that a conventional esthetician cannot, and they can provide services that would normally only be available through a doctor to patients.

People interested in this career can attend a technical or trade school that offers a degree in paramedical esthetics. They should inquire about the licensing laws where they intend to practice, and they should strongly consider attending a school that has been independently accredited, as this generally implies a higher quality of education and more exacting standards for graduates. Clients interested in the services of a paramedical esthetician should ask the esthetician about the type of training he or she received, and which licenses he or she holds.

Practical Adult Insights is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Mary McMahon
By Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a Practical Adult Insights researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Discussion Comments
By anon998904 — On Sep 18, 2017

I believe in the State of NY you have to have a medical license as a PA, NP, MD or DO to perform botox, microneedling or filler injections. Otherwise you are engaging in the practice of medicine without a license.

By anon948333 — On Apr 29, 2014

In what state are Paramedical estheticians - medical -or estheticians, or aestheticians able to perform botox or fillers?

By seafoam — On May 12, 2011

@ninetydegree - I think you'll find the average entry level salary is between $25,000 and $35,000. Of course, it depends on your skills. Will you offer a wide variety of procedures like laser microdermabrasion, botox injections, tissue fillers, chemical peels and more? The pay range also depends on where you work (metropolitan area or rural), and in what kind of office (medical or day spa).

By ninetydegree — On May 11, 2011

Paramedical esthetician training sounds like a good choice for people looking for a career in skincare. With so many baby boomers working longer, trying to stay healthy and looking good while they're at it, this sounds like a career that won't be eliminated any time soon. Botox injections are a common topic these days in the boomer group.

What kind of pay do these paramedical estheticians start out making?

Mary McMahon
Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a...

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