
See the Foundational Toxin and Filler Training Classes that have satisfied all 8 quality criteria for the Aesthetic-Training.com Buyer's Guide. These are the courses having published Faculty credential, Small Groups, AMA and ANCC Accreditation, no risk of Paid Models, and Hands-On with Real Products included in the tuition price.

Are you eligible to become an Aesthetic Provider? Which procedures should you learn and how can you choose the best training programs in Botox, Dermal Fillers, PRP, Microneedling and other Aesthetic Procedures. How do you then add aesthetics to your practice? Follow the steps to success and find out more.
Quick, evidence-based comparisons for clinicians starting or growing an aesthetic practice.
FDA-Approved Botulinum Toxins Compared
Botox, Dysport, Xeomin, Jeuveau, Daxxify, and Letybo side by side: onset, duration, unit conversion, approved areas, storage, and cost.
View the comparison →Hyaluronic Acid Dermal Fillers Compared
FDA-approved HA fillers by indication, from lips to deep folds: crosslinking technology, firmness, labeled uses, duration, and lidocaine content.
View the comparison →RN vs Aesthetician Scope of Practice
How registered nurses and licensed aestheticians differ in the procedures they can perform, the supervision they need, and where each license fits.
Read the guide →Memberships, titles that mean nothing (like “Master Injector”), and Fake Boards are not necessary.
Side by side look at the features and downsides of the major training programs.
Learn the process of taking your training and practicing full or part-time

First FDA-Approved for cosmetic use in 2002, Botox and the other Botulinum Toxins are the core non-invasive aesthetic treatment procedure, growing in popularity over the last 25 years. Should you get Botox® Injection Certification? Find out More...

Hyaluronic Acid Dermal Fillers, FDA-Approved since 2004, represent the most popular and sought after way to replace age-related volume loss in the face. Often taught along side Botox®, Dermal Filler technique is highly complimentary to Botulinum Toxin treatments. Should you become Certified in Fillers? Find out More...

The isolation of natural growth factors from your patient's blood and reintroducing those back into problem areas of the face to achieve a natural, drug-free stimulation of tissue under the influence of aging. Should you get this Certification Training? Find Out More...

The fastest growing, minimally-invasive, aesthetic procedure provides way more than an exfoliation. Microneedling is rooted in deep evidence-based science that forms a perfect fit to any new or growing aesthetic practice. Should you pursue Microneedling Certification? Find out More...


When you invest your money and take time away from practice, your first course should prepare you to offer the treatments patients ask for most. For botulinum toxin and dermal fillers, those treatments can be taught safely in one well-structured, small-group foundational course that covers:
✅ All FDA-approved toxin indications
✅ Proven, commonly requested off-label toxin uses and reconstitution volumes
✅ Nasolabial folds and marionette lines
✅ Lips and perioral lines
✅ Vascular occlusion recognition and hyaluronidase management
Many training programs, including some of the largest, reserve key topics for “Level 2” and “Level 3” courses, sometimes with a membership offered to soften the total cost. Completing every level can cost several thousand dollars plus travel to multiple events, and many “advanced” topics take longer to perform and need more follow-up than the treatments most patients actually request.
Questions to ask before you register:
See the full A-T.com Core Curriculum and Buyer’s Guide criteria →
How to Identify and Avoid these Aesthetic training programs…The vast majority of searches for terms like “Botox Training” and “Dermal Filler Certification” return tons of results that have zero accreditation, meaning that their training certificates are worthless in the eyes of your state licensing board and your liability insurance carrier. Even the search “AI” summary may contain misinformation from an unaccredited clinic source, especially if they are local to you. The word “certification” does not also legally mean “accreditation” which is necessary. Accreditation is earned by a training provider and it’s courses being reviewed and offering CME credit to prove the educational materials are complete and free of bias. At best, an unaccredited, single instructor, single-site course would be considered a “shadowing”. And while that may have value for some providers who want additional exposure, it should never be considered sufficient for “training”.
Unaccredited training programs often share the same criteria. Avoid any training program that is…
Single Location or has a physical presence in one state or region.
Is run or taught by a single person.
That person is a Registered Nurse Acting Without a Listed Medical Director
They do not have CME accreditation
Does not state the exact street address or instructor bio.
Does not guarantee the amount of Toxin, Filler you will use for hands-on and include it in your tuition

aesthetic-training.com was created by Gregory Zengo, MD, a board-certified physician who has taught aesthetic procedures for nearly 20 years while running an aesthetic and wellness practice and supervising nurses and nurse practitioners. Over that time he and his physician colleagues have trained more than 1,000 physicians, nurses, and nurse practitioners, both as faculty for other training organizations and as founder of PracticalCME.
PracticalCME is a small program, and no single program can train every clinician entering this field. So we approach every physician, nurse, and nurse practitioner the way we would a colleague caring for a mutual patient in the hospital: with honest information and a shared goal of good outcomes. Training options have multiplied faster than oversight, and quality varies widely. Whichever program you choose, we want you to know which questions to ask, so you can start your aesthetic practice with the right training and the best possible results for your patients.
aesthetic-training.com is owned by AT Holdings, which shares common ownership with PracticalCME. Every training provider, including PracticalCME, is reviewed against the same published criteria.
Your Training in Botox, Fillers and other Aesthetic Procedures could be the most satisfying and productive career change in your lifetime. Or it could be a complete waste of time and money. The most important criteria in choosing the best aesthetic training courses are:
You need two things before embarking on that exciting career in aesthetic medicine.
Absolutely Not!
Memberships sold by many training companies are a cash grab scam. Once you have trained in an accredited training program, you have those CME/CEU credits for life. Re-training or adding additional training courses is solely up to you. This type of training never expires.
Moreover, to become successful doing 90% of the most common treatments that 90% of the people want, you should not waste money on "advanced" or "level 2 and level 3" courses which teach fringe applications that few people want and often have poor outcomes that erode your reputation, not enhance it.
