Aesthetic Medicine NP Certificates: Your Complete Guide for 2026

Florida alone generates $3.78 billion in annual aesthetic procedure revenues, and industry forecasts project the global market could quadruple by 2035. For nurse practitioners, the demand is real, but so is the scrutiny. Med spas and cosmetic clinics face increasing pressure to verify provider qualifications, and NP scope of practice is tightening across states as boards clarify who can inject, laser, or peel.

The University of Miami's new aesthetic medicine certificate, launched in June 2026, offers a formal pathway for NPs entering this high-growth field. Led by an adult-gerontology NP clinician, the program emphasizes safety, ethics, and supervised clinical training, not just a weekend workshop.

As the market expands, academically trained NPs will have a distinct advantage, while those relying on informal instruction may find themselves locked out of the most lucrative roles.

University of Miami's New Aesthetic Medicine Certificate: What Nps Should Know

What exactly does the University of Miami's new aesthetic medicine certificate entail, and how does it compare to the short courses many NPs turn to? In June 2026, the School of Nursing and Health Studies at the University of Miami launched a 12-week Aesthetic Medicine Certificate program designed specifically for board-certified advanced practice registered nurses.¹ It's a structured, hybrid program that combines on-campus instruction with a supervised clinical practicum, a deliberate step away from unregulated weekend training.

A 12-week hybrid model with real clinical hours

The program packs 60 total contact hours into three months: 40 hours of on-campus didactic sessions and 20 hours of supervised clinical practicum.¹ The didactic work takes place on-site at the university's Miami facilities, ensuring you get hands-on exposure to equipment, injectables, and aesthetic techniques under direct faculty oversight. That clinical component means you're not just watching demonstrations; you're performing procedures in a controlled, supervised environment. For practicing NPs who may have only encountered aesthetic medicine through brief commercial courses, this depth of in-person feedback can build confidence and skill far beyond what a one- or two-day workshop provides.

Stricter eligibility: What you need to apply

Not every NP can sign up. The certificate is open to APRNs who hold board certification, a master's (MSN) or doctoral (DNP) degree, and an active Florida APRN license. You'll also need current BLS and ACLS certifications.¹ This bar is notably higher than many aesthetic training programs that accept any licensed nurse or even non-nurses. By requiring full APRN licensure, the University of Miami signals that the curriculum is built for experienced clinicians, not beginners. If you're an adult-gerontology, family, or other NP specialty looking to move into aesthetics, understanding your NP certification credentials is essential before applying, since board certification is a firm prerequisite.

Dean's vision: Safety, ethics, and academic rigor

Hudson Santos, Dean of the School of Nursing and Health Studies, frames the program around a pressing industry need. "Aesthetic medicine is no longer a niche specialty," he said. "It is a high-growth discipline where patients deserve providers who are academically trained, clinically supervised, and held to a rigorous standard of safety and ethics."¹ That statement underscores why a university-based certificate matters. As the aesthetic market expands, state boards and employers are increasingly scrutinizing practitioners' training backgrounds. A certificate from an accredited nursing school signals a commitment to that rigorous standard, something a generic CME workshop cannot match.

Led by a board-certified AGNP and aesthetic expert

The program director, Daniel L. Campos, D.N.P., APRN, brings a powerful blend of credentials. He holds an MSN in adult-gerontology primary care from the University of Miami and a DNP from Nova Southeastern University, where he graduated with highest honors.¹ He is board certified through the American Academy of Nurse Practitioners in adult-gerontology primary care and works extensively in aesthetic medicine, often recognized as "El Doctor de las Estrellas" for his media presence and patient following. Having an AGNP-certified clinician at the helm ensures the content is clinically grounded and tailored to the NP scope of practice. His dual background in primary care and aesthetics helps bridge the clinical judgment needed to manage complications and tailor treatments to each patient's health history.

Academic Certificates Vs. Cme-Based Training: What 'certificate' Actually Means

The word "certificate" gets thrown around loosely in aesthetic medicine, and not all certificates carry the same professional weight. As an NP considering advanced training, you need to understand the difference between a formal academic certificate from a regionally accredited university and a certificate of completion from a private CME provider. Employers, malpractice insurers, and state boards often view these credentials very differently, and that distinction can affect your hiring prospects, scope of practice, and reimbursement.

Two Categories: Academic Certificates and CME-Based Training

Academic certificates, like the new University of Miami Aesthetic Medicine Certificate, are university-issued credentials that typically include didactic instruction, supervised clinical hours, and faculty oversight from experienced NP educators. They are backed by the institution's accreditation and academic rigor. In contrast, CME-based training programs offered by companies such as Empire Medical Training, AAAMS, Elite NP, and the American Academy of Aesthetic Medicine (AAAMed) provide continuing education credits and a certificate of completion after a workshop or course. These are valuable for skill-building and may meet state CE requirements, but they do not carry the same institutional endorsement.

Neither Equals Board Certification

It's crucial to recognize that neither an academic certificate nor a CME completion certificate is a board certification. The only nationally recognized board certifications in aesthetic medicine for NPs are the Certified Aesthetic Nurse Specialist (CANS) and the Dermatology Certified Nurse Practitioner (DCNP) credentials. Both require a combination of clinical hours, validated experience, and passing a certification exam. Your certificate, however, can help you meet eligibility requirements, especially if it includes supervised clinical practice. If you want a broader look at how NP certificate programs compare across specialties, that context is worth reviewing before you commit to a pathway.

How to Evaluate a Program

Before you enroll, ask these practical questions:

• Clinical supervision: Does the program provide direct, hands-on patient care hours under a qualified preceptor, or is it observation only?
• Institutional affiliation: Is the certificate issued by a regionally accredited university, or by a private training company? This affects how employers and credentialing bodies view the credential.
• CANS eligibility: Does the curriculum align with Plastic Surgical Nursing Certification Board requirements? Many academic programs structure their clinical components to count toward the required hours.

Choosing the right pathway depends on your career goals. If you plan to work in a nurse-led aesthetic clinic or seek hospital privileging, the academic route may offer a stronger foundation. If you're adding a quick skill to an existing practice, a high-quality CME course might suffice, but make sure you understand what the certificate actually represents.

Comparing Aesthetic NP Certificate Programs: Curriculum, Cost, and Format

Elite NP's aesthetic training carries a $5,999 price tag,¹ while the American Academy of Aesthetic Medicine (AAAMed) charges $5,500 for its certificate course.² The University of Miami's newly launched program has not yet disclosed tuition, though its 12-week, 60-hour structure differs markedly from the 2- to 5-day intensives common in the market. Below we compare three options that serve working nurse practitioners, noting what each includes and what format best fits your schedule.

What You'll Learn: Curriculum Highlights

Curricula across programs share core competencies but vary in depth and duration. The University of Miami certificate stresses didactic rigor with 40 hours of on-campus instruction covering facial anatomy, pharmacology of neurotoxins and fillers, laser physics, and complication management, followed by 20 supervised clinical practicum hours. Elite NP's hybrid program awards 32 CE credits and blends online modules with hands-on training in Botox, dermal fillers, PDO threads, and microneedling.¹ AAAMed's Level 1 course, completed in 2 to 5 consecutive days, delivers 14 CE credits and focuses live-injection training on foundational neuromodulator and filler techniques.² AAAMS (American Association of Aesthetic Medicine and Surgery) offers a 17-credit curriculum,³ though its cost and format details were not immediately available as of mid-2026.

For NPs who already work in adjacent specialties, a dermatology NP career path can provide useful clinical context before choosing an aesthetic certificate.

Cost and What's Included

• Elite NP: $5,999 total, including all supplies, a starter kit, pre-recorded lectures, and lifetime access to updates. Hands-on sessions occur in small groups with model patients.¹
• AAAMed: $5,500 for the Level 1 certificate (2026 pricing), covering course materials, live demonstrations, and supervised practice. Travel and lodging are additional since the course is on-site.²
• University of Miami: Tuition not yet published; the school notes the program requires an on-campus commitment for didactic and clinical portions in Florida. No out-of-state licensure support is implied.

Regardless of the provider, confirm whether the fee covers malpractice insurance, product samples, or post-course mentorship. These extras can significantly affect the true cost of training.

Format: Online, In-Person, or Hybrid

Working nurses need flexibility without sacrificing high-touch clinical training. Elite NP uses a hybrid model: online theory at your own pace, then 2 to 3 days of in-person clinical intensives scheduled throughout the year.¹ AAAMed runs entirely in person over a condensed 2- to 5-day block, which demands a full-time, on-site commitment.² The University of Miami's certificate is also hybrid, with 40 hours of on-campus didactics and 20 clinical hours in South Florida, spread over 12 weeks. AAAMS did not provide format details in recent listings.³ If you require significant online flexibility, Elite NP's or the longer Miami model may suit you best; those who can take a week away from practice might prefer AAAMed's immersion.

CANS and DCNP Certification: Requirements, Exam, and How Certificates Help

Board certification is the definitive marker of competence in aesthetic nursing, and two credentials dominate the landscape: CANS and DCNP. Pursuing either one signals to employers, collaborating physicians, and patients that you have met a national standard of knowledge and skill. While the paths share similarities, each carries distinct eligibility rules and examination content, making it essential to evaluate both early in your career planning. A structured certificate program, like the new University of Miami offering, can position you to meet key prerequisites while building clinical confidence.

Understanding the Two Core Aesthetic Nursing Credentials

The Certified Aesthetic Nurse Specialist (CANS) credential is administered by the Plastic Surgical Nursing Certification Board (PSNCB). It is open to licensed registered nurses and advanced practice nurses who have accumulated a minimum number of practice hours in aesthetic nursing, typically in fields such as injectables, laser therapy, and skin rejuvenation. The Dermatology Certified Nurse Practitioner (DCNP) pathway, governed by the Dermatology Nurses' Association (DNA), is specifically designed for dermatology nurse practitioners working in medical and cosmetic dermatology. Both certifications require a combination of clinical experience, continuing education, and successful completion of a comprehensive written examination.

What CANS Certification Entails

Eligibility for CANS demands documented hands-on experience in aesthetic procedures, often counted in hundreds of hours over a defined look-back period. Candidates must submit letters of recommendation, frequently from board-certified physicians or seasoned nurse preceptors, to validate their proficiency. The exam covers a broad array of topics, including facial anatomy, product pharmacology, safety protocols, and complication management. Fees vary depending on PSNCB membership status and the timing of application, with recertification required every few years through ongoing practice and continued education. Because requirements can shift, visiting the PSNCB website and downloading the latest candidate handbook is a non-negotiable first step.

What DCNP Certification Entails

The DCNP exam is tailored to the NP scope of practice, testing advanced assessment, diagnosis, and treatment planning in dermatologic conditions, ranging from medical dermatoses to cosmetic procedures. Eligible NPs typically need a minimum amount of CE hours in dermatology-specific topics, alongside an active license and a current NP certification exam credential in a primary population focus, such as adult-gerontology nurse practitioner or family. The exam format includes multiple choice questions, with fees set by the DNA. Renewal happens on a set cycle and requires proof of ongoing dermatology practice and continuing education. Because criteria differ from CANS, many NPs compare both pathways to determine which aligns better with their daily practice and long-term goals.

How a Formal Certificate Program Supports Certification

University-based aesthetic medicine certificates, like the one from Miami's School of Nursing and Health Studies, are not certification bodies themselves. However, they systematically build the clinical competencies and didactic knowledge that both CANS and DCNP demand. The supervised clinical hours and procedure logs from a rigorous certificate program often help satisfy the experience prerequisites for credentialing exams. Moreover, the academic focus on safety, ethics, and evidence-based technique prepares you for the exam content. While certificate completion does not guarantee certification, it substantially shortens the learning curve and provides a structured bridge to board eligibility.

Staying Current with Changing Requirements

Certifying bodies periodically update eligibility standards, exam blueprints, and renewal policies to reflect advances in practice. What was required three years ago may have changed. Check the PSNCB and DNA websites directly for the most accurate, up-to-date information. Similarly, scope-of-practice laws for aesthetic procedures differ by state, influencing which treatments NPs may perform and under what level of supervision. State nursing boards and professional organizations are the authoritative sources for those legal parameters. Gathering current versions of candidate handbooks and regulatory guidelines ensures you invest your time and money in a pathway that matches current realities, not outdated assumptions.

How Much Do Aesthetic NP Certificates Cost?

A comprehensive aesthetic NP certificate with supervised clinical hours typically costs between $8,000 and $15,000, while entry-level injectable workshops often run $2,000 to $3,000. The University of Miami's new program has not yet published its tuition, but its 60-contact-hour hybrid structure (40 didactic, 20 practicum) places it squarely in the mid-to-high range of university-backed offerings.

What Drives the Price?

The biggest cost differentiator is the number of supervised clinical hours. Hands-on training with live models under an experienced preceptor is expensive to deliver and heavily regulated. University affiliation adds institutional overhead and faculty salaries but signals academic rigor and eligibility for federal financial aid. Programs that include injectable supplies, cadaver labs, or business operations modules also trend higher. Geographic location matters too: Florida-based programs often attract premium pricing due to the state's large aesthetics market and high demand. If you are still weighing how to secure a qualified supervisor, finding NP preceptors is a process worth researching before you enroll.

• Clinical supervision: The most expensive component; every hour of direct oversight by a board-certified aesthetic provider adds significant cost.
• University credentials: Academic certificates usually cost more than CME-only workshops because they carry graduate-level credit and third-party accreditation.
• Hands-on supplies: Programs that provide Botox, fillers, and live models pass those costs along in tuition.
• CE credit: Accreditation by ANCC or AANP adds administrative fees but allows NPs to apply contact hours toward recertification.

Hidden Costs to Budget For

Beyond tuition, NPs often underestimate travel and lodging for in-person didactic or clinical sessions, especially if the program requires multiple weekends on campus. Some programs require students to bring their own models or pay a per-procedure fee for injectables. Malpractice insurance riders for aesthetic procedures are not always included in standard NP policies; expect an additional $800 to $1,500 annually. Finally, if you need a post-certificate preceptorship to meet independent practice or collaborative agreement requirements, those arrangements can cost several hundred dollars per day in private clinic settings. Understanding NP preceptor costs and compensation can help you budget realistically for that added layer.

• Travel and lodging: Hybrid programs may involve two or three on-campus intensives, particularly for clinicals.
• Supply and model fees: Confirm whether tuition includes all injectable products and patient models.
• Insurance riders: Many carriers exclude aesthetic procedures from basic coverage; a rider is essential.
• Post-program preceptorship: If state law requires supervised hours beyond the certificate, budget for private preceptors.

ROI: When a Certificate Pays for Itself

Aesthetic NPs commonly earn a $20,000 to $40,000 salary premium over primary care roles, especially in cash-pay med spas or high-volume aesthetic practices. Even a $10,000 certificate can pay for itself within six to twelve months if it unlocks a position in a nurse-led aesthetic clinic. Factor in the escalating market demand: Florida alone generates an estimated $3.78 billion in aesthetic revenues annually, and the long-term earnings potential makes the upfront investment a strategic career move. For a broader view of how specialty choice affects compensation, NP salaries by specialty and state offer useful benchmarks. Many employers in competitive metros also reimburse certification costs or offer signing bonuses for credentialed providers.

Online Vs. In-Person Vs. Hybrid Aesthetic Training: Which Format Fits?

Aesthetic training for NPs comes in three main formats: online, in-person, and hybrid. Each has trade-offs in flexibility, cost, and clinical skill development. When choosing an aesthetic medicine certificate, the delivery format matters almost as much as the content.

Questions to Ask Yourself

State Scope-Of-Practice Laws for Aesthetic Nps: What You Can (and Can't) Do

The aesthetic medicine field is professionalizing quickly, but an NP's ability to inject, laser, or peel still depends entirely on the state where they practice. Misreading the rules can cost you a license, so understanding the regulatory landscape is step one. nurse practitioner scope of practice is not just about your degree; it is a state-level patchwork of nursing board regulations, medical board positions, and sometimes even device-specific statutes.

The Three Tiers of NP Authority and What They Mean for Aesthetics

Every state falls into one of three practice categories: full practice, reduced practice, or restricted. The category determines how much physician oversight you need for aesthetic procedures.

• Full practice authority: NPs can evaluate, diagnose, and treat patients without a collaborating physician. In an aesthetic context, this often means you may independently perform injectables, laser treatments, and chemical peels, as long as you stay within your training and follow device instructions. Arizona is a key example here.⁴
• Reduced practice: NPs need a collaborative agreement for at least one element of practice, typically prescriptive authority. While you might handle many aesthetic treatments, certain medications or devices could require documented physician involvement.
• Restricted practice: NPs must work under physician supervision, delegation, or team management for most patient care activities. In these states, performing Botox, fillers, or energy-based procedures almost always requires a supervisory physician or standardized protocol.

How Key States Regulate Aesthetic NP Practice

Where you plan to work dictates everything. Let us look at the states where aesthetic NPs most commonly practice.

Arizona operates under full practice authority states for NPs.⁴ No collaborating physician is required, independent injectable practice is allowed, and the only device limitation is that equipment must be FDA-cleared.² Even here, though, the state draws a line: estheticians cannot inject, which signals that injecting is a medical act reserved for licensed providers.

Florida is a heavily restricted state.¹ A collaborative practice agreement is required, and NPs cannot independently perform cosmetic injectables.³ Laser and IPL treatments mandate direct MD supervision, a position the state has held since 2018.⁵ A new law, HB 1175, takes effect in July 2026 and further tightens med spa regulation,⁶ so anyone practicing in Florida should follow those updates closely.

California and New York are also restricted, though they offer partial pathways.¹ In California, NPs may perform injectables within standardized procedures, but energy-based devices require physician oversight.² New York similarly permits some independent injectable practice but demands physician involvement for all energy-based treatments.²

Texas operates under a restricted model with a physician delegation framework.¹ Independent injectables are not permitted; any FDA-cleared device use requires physician involvement.² The Texas Medical Board has been active in defining what constitutes the practice of medicine in med spa settings, so boundaries are narrowly drawn.

The Device Trap: Lasers, IPL, and Radiofrequency

Even in states with progressive NP scope laws, energy-based devices can be a regulatory minefield. Lasers, intense pulsed light, and radiofrequency equipment often carry their own state-level restrictions separate from general practice acts. A board of nursing may say you can treat, but a medical board rule might classify that laser as the practice of medicine requiring a physician on site. This gray zone is where many NPs get cited. Always check both the nursing board and the medical board before purchasing or using any aesthetic device.

Your Action Plan: Check Both Boards

Because aesthetic medicine straddles nursing and medicine, you need to research your specific state's positions from both regulatory bodies. Start with the Board of Nursing for scope and delegation rules, then review the Medical Board for any cosmetic procedure or device-specific regulations. Professional organizations like the American Med Spa Association and the American Academy of Procedural Medicine publish state-by-state guides, but they are not a substitute for reading the actual statutes. When in doubt, consult a healthcare attorney familiar with your state's aesthetic regulations. The cost of a consult is trivial compared to the cost of a complaint.

From NP Graduation to Aesthetic Provider: A Realistic Timeline

New NP graduates often ask how quickly they can enter aesthetic medicine. The most competitive pathway includes board certification, one to two years of clinical experience, a formal aesthetic medicine certificate, and optionally the Certified Aesthetic Nurse Specialist (CANS) credential. This sequence typically takes two to four years, positioning you as a safety-focused, credentialed provider in a market that increasingly rewards formal training.

Aesthetic NP Salary: What the Data Shows and Where the Premiums Are

While the U.S. Bureau of Labor Statistics reports a median annual wage of $129,210 for all nurse practitioners, aesthetic NPs working in med spas and cosmetic practices often earn significantly more. The median aesthetic NP salary sits at $148,791, already near the 75th percentile of all NPs, and top earners can exceed $180,000. Markets like New York City and Baltimore report aesthetic NP mean salaries of $139,727 and $134,750, respectively, reflecting the premium attached to this specialization.

Aesthetic Medicine Market Growth and NP Demand Through 2035

Is the aesthetic medicine market big enough to support a full-time career for nurse practitioners?

The University of Miami's new certificate program arrives as industry forecasts point to exceptional growth. The school's announcement references projections that the global aesthetic medicine market could quadruple by 2035.¹ Independent market research paints a similarly bullish trajectory: Precedence Research sized the worldwide market at $100.47 billion in 2025 and projects a compound annual growth rate of 9.66 percent through 2035.¹ At that pace, demand for non-surgical aesthetic services will far outstrip the supply of qualified providers, and nurse practitioners are uniquely positioned to fill the gap.

Market Size Projections and Growth Drivers

A 9.66 percent CAGR may sound modest, but sustained over a decade it more than doubles the market, pushing it well past $260 billion by 2035. Some reports suggest even steeper growth once med spa consolidations, direct-to-consumer marketing, and social-media-driven demand for injectables are factored in. The primary drivers are no mystery: an aging population seeking minimally invasive rejuvenation, Gen Z and millennial "prejuvenation" trends, and a steady pipeline of new neurotoxin and filler products that shorten recovery times and widen the addressable patient base.

Where Nurse Practitioners Fit Into the Equation

Med spas and aesthetic clinics depend on licensed providers who can assess patients, obtain informed consent, and perform injections, laser treatments, and body-contouring procedures. Nurse practitioners offer exactly that, often at lower overhead than physician-led models. In states with full practice authority, an NP can own and operate an aesthetic practice independently; even in restricted states, NPs are the most cost-effective advanced practitioners to staff the growing number of medical spas. As the market expands, the evolving role of nurse practitioners positions them to capture a growing share of aesthetic hiring, with metropolitan areas potentially seeing aesthetic NP openings increase 50 percent faster than primary-care roles over the next five years.

Fastest-Growing Procedure Categories

Four categories consistently anchor med spa revenue growth and drive NP hiring: - Neurotoxins: Botox and newer alternatives (Daxxify, Jeuveau) remain the most popular non-surgical procedures, with repeat appointments every 3-4 months. - Dermal fillers: Hyaluronic acid and biostimulatory fillers for lips, cheeks, and jawline are projected to see double-digit annual growth. - Body contouring: Non-invasive fat reduction (CoolSculpting Elite, Emsculpt Neo) and skin tightening devices appeal to patients who want results without surgery. - Skin rejuvenation: Laser resurfacing, IPL, and microneedling with radiofrequency all fall comfortably within the NP scope of practice and command premium pricing.

NP Employment Projections and the Aesthetic Premium

The U.S. Bureau of Labor Statistics projects that employment of nurse practitioners overall will grow roughly 40 percent through 2034, far outpacing most other occupations. Aesthetic roles likely exceed that pace: every new med spa location needs at least one clinical director, and chains frequently employ multiple NPs to cover extended hours. Moreover, experienced aesthetic NPs often earn a significant salary premium because their revenue generation is directly tied to procedure volume, making them a high-return investment for practice owners. The convergence of a booming global market, a procedure mix that favors non-surgical treatments, and an already tight labor supply creates a strong tailwind for any NP considering formal aesthetic certification.

Frequently Asked Questions About Aesthetic NP Certificates

Navigating the world of aesthetic medicine credentials can feel overwhelming. Here are clear, direct answers to the most common questions NPs ask about certificates, certification, and career pathways in this growing field.

Is there a formal aesthetic medicine certification for nurse practitioners?

Yes, the University of Miami now offers a formal Aesthetic Medicine Certificate for APRNs with an MSN or DNP and active Florida license. This hybrid program includes 40 didactic hours and 20 clinical hours over 12 weeks, providing academically rigorous training. Additionally, national board certifications like CANS (Certified Aesthetic Nurse Specialist) validate advanced competency through exam and experience.

How much does an aesthetic NP certificate program cost?

Costs vary based on program length, format, and clinical components. University-based certificates such as the University of Miami's often fall in the $3,000 to $6,000 range, while intensive multi-week workshops with hands-on training can exceed $10,000. Always verify current tuition directly with the program, as fees for materials or licensure documentation may apply.

What is the difference between CANS certification and an aesthetic medicine certificate?

CANS certification, offered by the Plastic Surgical Nursing Certification Board, is a board certification earned through an exam and documented clinical hours, demonstrating proficiency. An aesthetic medicine certificate, like the University of Miami's, is an academic credential from a university, providing foundational training through a structured curriculum. One proves competency, the other provides initial skill acquisition.

Can you get an aesthetic medicine certificate for NPs online?

Not completely online. The University of Miami's certificate uses a hybrid format with 40 hours of on-campus didactic study and 20 hours of supervised clinical practice in Florida. Fully online programs lack the hands-on training essential for injectables and laser procedures, so most reputable certificates require in-person clinical components to ensure safe, effective technique.

How long does it take to become an aesthetic nurse practitioner?

For currently licensed NPs, the University of Miami's certificate takes just 12 weeks. Adding board certification like CANS may require additional clinical hours and exam prep. For RNs starting from scratch, the path includes a 2- to 3-year NP program, APRN licensure, then the aesthetic certificate, making the total timeline longer.

What can an NP do in aesthetic medicine without a collaborating physician?

It depends on state law. In full-practice authority states, NPs may independently perform non-surgical aesthetic procedures like Botox, fillers, and laser treatments. In restricted states, a collaborating physician is required. The University of Miami's program is based in Florida, which allows independent NP practice for primary care but may require protocols for specific aesthetic procedures.