Understanding the Differences Between Aestheticians and Medical Aestheticians

Leah Nickie ADVANCED AESTHETICS specializes in both skin care (facials, chemical peels, microdermasion, etc.) and more intensive medical aesthetic procedures. We are proud to be medically directed by Dr. Cynthia Ruggero, a Board Certified MD and a member of the International Association of Physicians for Aesthetic Medicine. As a facility with a medical director on-site, we are able to perform many treatments that aestheticians without medical directors cannot, including:

  • Medical depth microneedling (up to 2 mm, providing better correction of wrinkles, scars, and imperfections)
  • Photorejuvenation
  • Laser hair removal
  • Correction of vascular imperfections on the face and body
  • Removal of skin tags and keratoses
  • Medical-depth chemical peeling
  • Laser peels
  • Tattoo removal
  • Radiofrequency Skin Tightening

Clients frequently ask about the differences between aestheticians who work in a medical setting under a medical director and those who do not We explain below.


Aestheticians have completed training from a state-approved institution and are licensed to provide many of the skin care services and treatments offered at Leah Nickie ADVANCED AESTHETICS. Examples include facials, chemical peels, LED light therapy, microdermabrasion, collagen treatments, facial waxing and tinting services, and more. Our aestheticians are skin care experts who are skilled at analyzing our clients’ skin and consulting on the best products and care regimen for the unique needs of the individual.

Aestheticians in a Medical Setting

Aestheticians who work under a Medical Director, on the other hand, work in a variety of settings, including medical offices and hospitals, dermatology clinics, cosmetic surgery clinics, medical spas, and specialty clinics and units (such as a burn unit). In addition to consulting with and advising clients about their skin care concerns and treatment techniques, medical aestheticians may also work with patients whose appearance may have been affected by illnesses, injuries, or surgery. Additional insurance and training are required for these aestheticians, who are able to perform more specialized procedures that smooth and diminish wrinkles, correct small facial imperfections, or give your skin a lift. As a facility with an on-site medical director, Leah Nickie ADVANCED AESTHETICS is proud to provide these services to our clients.

We are pleased to offer you a free initial consultation, where we will assess your individual skin needs and answer questions you may have about our medical aesthetic services. During your consult, you’ll meet with Dr. Ruggero or Dr. Seaman, who will work in partnership with you to create a program that will deliver the best possible results for beautiful skin.

Feature photo via Pixabay