If you’re passionate about skincare, beauty, and helping people look and feel their best, becoming an aesthetician is a great career choice. But did you know there are two main […]
If you’re passionate about skincare, beauty, and helping people look and feel their best, becoming an aesthetician is a great career choice. But did you know there are two main types of aestheticians?
In 2025, many people are asking:
“What’s the difference between a spa aesthetician and a medical aesthetician?”
This guide will walk you through the key differences in job roles, training, salaries, work environments, and career opportunities—so you can choose the path that fits your goals.
A spa aesthetician (also known as a traditional aesthetician or skincare specialist) works in non-medical aesthetic environments like:
Their focus is primarily on cosmetic, wellness and relaxation services, helping clients improve their appearance and enjoy a spa experience.
Spa aestheticians do not perform medical treatments or work under a physician.
A medical aesthetician (also called a clinical aesthetician) works in healthcare or medical settings such as:
Medical aestheticians are trained to assist with clinical-grade procedures, often working under a physician or nurse practitioner.
They bridge the gap between beauty and medicine.
Both spa and medical aestheticians must attend state-approved aesthetics programs, but medical aestheticians usually pursue additional training.
Tip: Look for schools that offer a medical aesthetics track or advanced diploma.
| Spa Aesthetician | Medical Aesthetician |
| Day spas, salons, hotels | Dermatology clinics, plastic surgery offices |
| Cruise ships, wellness centers | Med spas, cosmetic surgery centers |
| Focus on wellness & relaxation | Focus on treatment & results |
| Calmer, more luxurious environment | Clinical, fast-paced medical environment |
Spa aestheticians often work in luxury settings, while medical aestheticians work closely with medical professionals and patients.
Aesthetic careers are booming in 2025. However, salaries differ based on specialization, location, and experience.
| Role | Average Salary (USA) |
| Spa Aesthetician | $40,000 – $55,000/year |
| Medical Aesthetician | $55,000 – $85,000/year |
| With laser certification | Up to $95,000/year |
| In cities like LA, NYC | Can exceed $100,000/year |
Medical aestheticians generally earn more due to their advanced skills and the medical setting.
You can also transition from spa to medical aesthetics with further training and certifications.
At Birecruit, we post jobs across both sectors—from spas to clinics, med spas to hotels.
Spa aestheticians focus on wellness and relaxation in non-medical settings. Medical aestheticians perform advanced skin treatments and work in clinical environments.
Yes! You don’t need to be a nurse. You do need advanced training in procedures like chemical peels, lasers, and medical skincare—but you won’t inject unless you’re an RN or NP.
No. Injectors must be licensed nurses or doctors. Medical aestheticians often support injectors by prepping skin, educating clients, or offering advanced skincare treatments.
Yes! It’s a high-demand, well-paying, and fast-growing career—especially in cities with booming aesthetic markets like Miami, Toronto, Los Angeles, and NYC.
Whether you want to provide relaxation facials in a luxury spa or advanced skincare in a medical clinic, both spa and medical aestheticians play vital roles in today’s aesthetic industry.
Spa aestheticians focus on relaxation and wellness.
Medical aestheticians focus on treatment and results.
If you’re just starting out, begin with a general aesthetician license and then specialize based on your interests.
Ready to start or grow your career?
Visit Birecruit.com to explore real jobs in spas, med spas, clinics, cruise ships, and more!
