A two-day, hands-on residency for LPNs, RNs and Nurse Practitioners — led by Dr. Eli Akbari, MD, FRCSC, double board certified facial plastic surgeon. Live models provided. A curriculum built to the standards BCCNM expects.
In British Columbia, administering botulinum toxin and dermal fillers is within the scope of LPNs, RNs and Nurse Practitioners.
BCCNM — the BC College of Nurses and Midwives — sets the framework: its medical-aesthetics limits and conditions have been in force since August 2, 2022. What the college requires of you is additional education — the knowledge, skill and judgment to inject safely — together with its practice standards on client-specific orders, consent, documentation and medication, in a setting equipped to manage complications.
When that prescriber is a physician, their side of the room — who assesses, who orders, who supervises — is governed by CPSBC, the College of Physicians and Surgeons of BC. (An NP prescriber answers to BCCNM.) The CIFAM residency trains you for both sides of that arrangement: the injecting and the clinical judgment a prescriber will trust you with.
No BC regulator approves or accredits injectables courses — not BCCNM, not CPSBC, not BCCOHP. Any school implying otherwise is selling you a fiction. What actually matters is documented competence: the CIFAM curriculum is built to the standards BCCNM expects of aesthetic nurses, and your certificate documents that training — for insurers, employers and your college.
Under BCCNM’s medical-aesthetics framework, all three designations can inject. The real differences are who writes the order — and how far you can go alone.
Yes — within LPN scope under BCCNM’s framework, with additional training.
A physician or NP writes a client-specific order after assessing your client. You can never self-order.
Required. The ordering prescriber must be in the facility and immediately available.
No. BCCNM is explicit: LPNs cannot give orders for aesthetic procedures.
You may own the business — but every injectable appointment needs a prescriber on-site.
Start as a supervised injector, build a documented case log — the ladder runs LPN → RN → NP.
Yes — within RN scope under BCCNM’s framework, with additional training.
Same rule as LPNs: a physician or NP must assess the client and issue a client-specific order.
Required. Standing orders and phone-in approvals do not satisfy BCCNM’s rule.
No — even certified-practice RNs cannot order aesthetic procedures.
You may own the business — injecting still requires a physician or NP on-site.
Anchor a medspa treatment room, partner with a prescriber — or pursue NP credentials.
Yes — fully within your autonomous scope, with additional training.
You do. NPs prescribe Schedule I, IA and II drugs — botulinum toxin included. No outside prescriber.
You are the prescriber. Your own presence in the clinic satisfies the requirement.
Yes — assess clients and write the orders an LPN/RN team carries out.
Yes — a fully independent, self-employed aesthetic practice is yours to build.
You’ve arrived: prescribe, inject, and serve as the on-site prescriber for a team of nurse injectors.
Whatever your designation, you train shoulder-to-shoulder in the same residency — and leave with the same certificate.
BCCNM includes LPNs in its medical-aesthetics framework — injecting botulinum toxin and dermal fillers is within LPN scope. Yet most BC training programs close their doors at RN. We built our cohorts so LPNs train shoulder-to-shoulder with RNs, NPs, physicians and dentists — and leave with the same certificate.
Every treatment you perform is carried out under a valid client-specific order, written by a physician or NP who has assessed that client. Standing orders and blanket protocols do not qualify.
The ordering professional must be present in the facility and immediately available while you inject. A prescriber on the other end of a phone does not meet BCCNM’s requirement.
That is not a limitation we hide — it is the exact model most BC medspas already run: LPN and RN injectors, paired with a prescriber. Your certificate documents the training that puts you in that room.
Reserve Your SeatThe only nursing designation in BC that can prescribe, inject and own the clinic — with no outside prescriber in the building.
One professional. One assessment. One room. That is what autonomous scope looks like in aesthetic medicine.
Aesthetic nursing is one of the fastest-growing corners of Canadian healthcare — and it runs on a rhythm most nurses have never been offered.
Aesthetics runs on bookings, not rotations. No nights, no rotating shifts, no on-call — hours that finally fit a family calendar.
Demand for cosmetic injectables keeps climbing, and BC’s medspa market is expanding with it. The skill is portable — wanted in clinics across the province.
Aesthetic nurses in Canada typically combine hourly rates with per-treatment commissions — and owners add clinic profit on top. Your ceiling is set by your book of loyal clients, not a collective agreement.
Elective, wellness-oriented care with visible results and repeat, appreciative clients — work many nurses find far less draining than acute care.
And the ladder is real: an LPN can start as a supervised injector, log cases, and carry that experience through RN and NP credentials — injectables experience counts at every rung.
Two days, hands-on, hosted at Monarch MD in West Vancouver. Strictly small cohorts.
Final seats remaining for the July 18 & 19, 2026 residency.
One tuition, every designation — LPNs, RNs and NPs train in the same cohort. Seats are limited and the July intake is nearly full.
"I took another course previous to this and left feeling like I barely learned anything. The amount of hands-on I got here gave me the confidence to treat patients immediately after the course, highly recommend."
"A game-changer for my career. The instruction was clear, supportive, and incredibly detailed. I left feeling fully prepared."
Scope answers below reflect BCCNM’s published limits and conditions for nurses providing medical aesthetic services.
Yes. BCCNM confirms that administering botulinum toxin and dermal fillers is within the scope of LPNs, RNs and NPs — provided you complete additional education and follow the college’s medical-aesthetics limits and conditions, in force since August 2, 2022, along with its standards on client-specific orders, consent, documentation and medication.
Yes. BCCNM includes LPNs in its medical-aesthetics framework, and CIFAM admits LPNs — something many BC programs don’t. You will inject under a valid client-specific order with the prescriber on-site, the same order-based structure that applies to RNs.
For LPNs and RNs, an authorized prescriber — in practice a physician or NP — must assess the client and issue a client-specific order; standing orders and blanket protocols do not qualify. NPs can be their own prescriber for drugs within their authority, which includes botulinum toxin (Schedule I).
Yes. BCCNM requires the ordering (or responsible) professional to be present in the facility and immediately available during the procedure — a prescriber on the phone does not satisfy the requirement. NPs meet it themselves: they are the prescriber in the room.
NPs, yes — fully independent: prescribe, inject and run the practice. LPNs and RNs can own the business, but every injectable appointment still needs a physician or NP on-site issuing client-specific orders. Many nurses build exactly that partnership.
No — and no BC regulator accredits any injectables course, whatever other schools imply. BCCNM requires documented additional education and competence. The CIFAM curriculum is built to the standards BCCNM expects, and your certificate documents that training for insurers, employers and your college.
Yes. Only Health Canada–approved products may be used — never unapproved or imported product. And clients under 19 may only receive medical aesthetic procedures to treat acne or scarring; purely cosmetic injectables on minors are not permitted. Procedures requiring conscious or procedural sedation, or general anesthesia, are not permitted under this framework.
Professional liability protection is bundled into practising BCCNM registration. One honest caveat: not all cosmetic services are automatically considered nursing services, so confirm your coverage extends to aesthetic practice — especially if you plan to be self-employed.
In BC, dentists can provide Botox and dermal fillers with structured, competency-based certification training such as this program. Explore the dentist pathway.
CPSBC expects physicians to be trained and competent in every procedure they perform or delegate. See how the residency fits an MD’s practice.
Two days at Monarch MD in West Vancouver. Models provided. Once the July cohort fills, the next intake is the fall waitlist.
