Cosmetic Injecting FAQ

WHO CAN ADMINISTER COSMETIC INJECTABLES?

Muscle/wrinkle relaxants and most dermal fillers are Schedule 4 medications that require a prescription by a Registered Medical Practitioner (Doctor).

Registered nurses can inject these products but only under the supervision of a Medical Doctor and once they have completed the appropriate training course.

CAN ENROLLED/DIVISION 2 NURSES PERFORM COSMETIC INJECTABLES?

Enrolled or Division 2 Nurses can enrol in the 52852WA Graduate Diploma of Cosmetic Nursing and Injectables, however ahpra has outlined additional requirements that ENs must meet if performing cosmetic injections in their January 2022 Position Statement:

ENs currently working in the area of cosmetic medical procedures

The NMBA expects that an EN currently working in this context of practice:

  • is directly supervised by an RN for a minimum period of 75 hours for cosmetic injections, until competence is demonstrated and documented following an assessment by an RN
  • does not undertake high-risk injections (such as around the nose, forehead and glabella region)
    engages in continuing professional and skills development relevant to this context of practice.

  • If the RN is at a different location within the organisation, (providing indirect supervision), there must be a medical practitioner or nurse practitioner working in the same facility (on-site) as the EN, in order to respond and provide direction during a medical emergency.
  • If an EN ceases employment in the area of cosmetic medical procedures and later seeks to return to the area of cosmetic medical procedures, the EN must then meet the entry requirements outlined below.

ENs planning to practise in area of cosmetic medical procedures in the future

ENs intending to practise in the area of cosmetic medical procedures in the future, in addition to the expectations above, are required to demonstrate the following experience and education requirements:

  • practise for a minimum of one-year full-time equivalent post initial registration to consolidate the foundational skills and knowledge of an EN, plus
  • two years’ full-time equivalent experience in a related area of practice (for example dermatology, general surgery) prior to practising in the area of cosmetic medical procedures, and
  • completed formal education that is relevant to the practice in the area of cosmetic medical procedures practice.

Advice from AACDS

AACDS advises ENs who are interested in pursuing a career in cosmetic nursing, but who’ve not yet met the above requirements, to firstly complete the 52854WA Graduate Diploma of Dermal Science. This qualification provides an employment pathway in a cosmetic medical practice (eg. with a Cosmetic Physician, Cosmetic Surgeon, Plastic Surgeon and/or Dermatologist) in which relevant experience can be obtained.

When all requirements (as outlined by ahpra at the time) are met, ENs may enrol in the 52852WA Graduate Diploma of Cosmetic Nursing and Injectables and complete the theory and practical components of the unit CDNEIP02 Evaluate and perform cosmetic injectable procedures. Successful completion of this unit means the EN will also be awarded the 52852WA Graduate Diploma of Cosmetic Nursing and Injectables.

WILL MY INJECTABLES PRACTICAL TRAINING CONTRIBUTE TO THE REQUIRED 75 HOURS OF SUPERVISED TRAINING?

This information is applicable to ENs only

Ahpra requires ENs to complete 75 hours of supervised training. 25 hours of the 4-day injectables practical training will be allocated to and signed off by a RN as meeting the supervised hours.

DO AACDS OFFER A STAND-ALONE COSMETIC INJECTABLES COURSE?

No. We do not offer a stand-alone cosmetic injectables course, it is only offered as part of the Graduate Diploma of Cosmetic Nursing and Injectables.

A safe and effective cosmetic nurse injector must have a broad knowledge of both surgical and non-surgical treatment procedures /consultation in order to properly select the most appropriate treatment for each patient. Not all patients will be suited to cosmetic injections and most require a multi-treatment approach to effectively address cosmetic concerns.

You also need to learn the associated theory, including;

  • patient assessment
  • facial anatomy
  • pharmacology/ dilutions
  • nerve blocks
  • contraindications and the management of complications

The modern cosmetic medical practice requires the cosmetic nurse to be skilled and knowledgeable in a number of areas, not just injectables. This role will often encompass the following;

  • dermal therapies
  • theatre assisting
  • providing consultations and handling enquiries
  • pre and post-operative care plus some aspects of practice management/administration

For further information, you can visit https://cosmeticnursing.com.au

I'M NOT A NURSE OR DOCTOR THOUGH I WANT TO PERFORM INJECTABLES.

In Australia, only Medical Doctors, Registered Nurses and Enrolled Nurses (with a medications endorsement) are able to perform cosmetic injections and there are no plans to change this criteria or regulations in the near future.

Cosmetic injections are Schedule 4 medications and can only be purchased and prescribed by a Medical Doctor. There are NO exceptions to this law.

Your best pathway to becoming a Cosmetic Nurse is as follows:

CAN A NURSE PRACTITIONER PRESCRIBE WRINKLE RELAXERS AND/OR DERMAL FILLERS?

The following information is an excerpt from Aphra's Position Statement on Nurses Performing Cosmetic Procedures (June, 2022):

*"NPs are authorised to prescribe medicines in accordance with state and territory legislation and their context of practice. At all times, the prescribing practice of NPs must be supported by their education, skills and knowledge. This underpins the assessment of, or consultation with, the person receiving cosmetic injections. NPs must not prescribe Schedule 4 cosmetic injections unless they have a consultation with the person receiving the cosmetic injection either in person or via video conferencing. Remote prescribing of cosmetic injections by phone or email (or equivalent) is not acceptable."


"NPs working solely in the area of cosmetic medical procedures are unlikely to meet the requirements for endorsement as an NP, as the NMBA considers that practising in the area of cosmetic medical procedures, such as cosmetic injecting, is not working at the advanced practice level (in line with the definition provided). Advanced practice in nursing is demonstrated by a level of practice and is not by a job title or level of remuneration, or a set of procedural skills. Owning and running a health and/or nursing related business for example is not by itself an indication of advanced practice."

CAN DENTISTS COMPLETE THE TRAINING IN COSMETIC INJECTABLES?

AACDS does not currently offer specific cosmetic injecting courses for dentists. For dentists interested in expanding their practice to include dermal therapies, the 52854WA Graduate Diploma of Dermal Science is the recommended course.

I HAVE NOT FINISHED MY PREREQUISITE QUALIFICATION YET AND/OR I'M NOT REGISTERED WITH AHPRA YET, CAN I ENROL?

You MUST complete your prerequisite qualification and gain registration with AHPRA before enrolling in the 52852WA Graduate Diploma of Cosmetic Nursing and Injectables. However, you can initially enrol in the 52850WA Advanced Diploma of Cosmetic Dermal Science and then transfer to the Graduate Diploma upon completion of your prerequisite qualification and/or registration with AHPRA.

HOW LONG DOES IT TAKE TO GAIN A COSMETIC INJECTABLES QUALIFICATION AT AACDS?

At AACDS, we don’t offer the cosmetic injectables training as a single unit. You must complete the 52852WA Graduate Diploma of Cosmetic Nursing and Injectables course to start performing cosmetic injectables. The Graduate Diploma of Cosmetic Nursing can be completed in as little as 10 months on a full-time study load.

WILL STUDENTS BE PERFORMING COSMETIC INJECTABLES IN THE GRADUATE DIPLOMA OF COSMETIC NURSING AND INJECTABLES?

Yes. Students enrolled in the Graduate Diploma of Cosmetic Nursing and Injectables will be able to evaluate and perform cosmetic injectables. Full time students will start in semester two and part time students will start in semester three or four. The theory component will need to be completed before students can start performing cosmetic injectables.