Getting started in aesthetics for doctors

As a medical professional, transitioning to a career in aesthetic medicine can be both exciting and challenging. The aesthetic industry presents unique opportunities for doctors to apply their clinical skills in new ways, allowing them to enjoy more flexible work arrangements, higher income potential, and greater autonomy.

So, if you want to know how to become an aesthetic/cosmetic doctor, this article is for you.

What is an aesthetic doctor?

An aesthetic doctor is a medically trained professional, often with a background in general medicine, surgery, or dermatology, specialising in non-surgical cosmetic treatments designed to enhance a patient’s appearance and confidence. Unlike traditional medical roles that focus on diagnosing and treating illnesses, aesthetic doctors work closely with their clients to achieve aesthetic goals through minimally invasive techniques. Their expertise combines medical knowledge with artistry, making sure treatments are safe, effective, and tailored to individual needs. To practise under the title “doctor”, practitioners must maintain their registration with the General Medical Council (GMC).

Why pursue a career in aesthetic medicine?

The aesthetic industry has experienced exponential growth, with non-surgical procedures such as botulinum toxin injections and dermal fillers seeing high demand. In addition, we have seen a huge shift towards wellness and overall health as an integral part of aesthetic practice and regenerative medicine, both of which hold exciting opportunities for doctors.

For doctors, working in aesthetics can offer:

• Flexibility and autonomy: Aesthetic practitioners often have control over their working hours, allowing for a better work-life balance. Many doctors who work in aesthetics can still maintain commitments to the NHS or other medical roles, adjusting their aesthetic practice around these schedules. For more information you can read our article on making the transition from the NHS to aesthetic practice.
• Higher income potential: Unlike NHS salaries, which may be capped, aesthetic work can be highly lucrative. The combination of high demand and the ability to set your rates makes aesthetics a profitable option, with the potential to scale income by offering specialised services or managing a private practice.
• Patient centred care: In aesthetics, practitioners build long term relationships with clients, focusing on personalised care and achieving desired outcomes. This can provide a more patient centred experience compared to conventional medical settings, where time constraints can limit interactions.
• Growth and professional development: As a doctor in aesthetics, you have the opportunity to establish your own brand, build a reputation, and grow a loyal client base. Many practitioners eventually open their own cosmetic doctor clinic or even develop training programs, becoming mentors and leaders within the industry.

Key challenges in the aesthetic industry

While there are significant advantages, the shift to aesthetic medicine is not without challenges. Understanding these early on can help you prepare effectively:

• Loss of professional identity: Moving from traditional medicine to aesthetics may create a sense of disconnection from the healthcare goals that initially motivated your career. Aesthetic medicine is client driven, focusing on appearance and patient satisfaction rather than health outcomes, which may require a shift in perspective. The RSM has recently recognised aesthetic medicine as a specialty, giving it more professional credibility. The new Section for Aesthetic Medicine and Surgery will be a scientific medical, surgical and dental forum with the aim of promoting best practices in the speciality based on up to date research to improve outcomes for patients.
• Lack of business knowledge: Running an aesthetic practice requires more than clinical skills; it involves knowledge in marketing (including social media), finance, and customer service. Many medical professionals may find this challenging, especially when first starting out. Learning business basics or hiring experts can help ease the transition.
• Isolation: Doctors coming from a team oriented NHS environment may find independent work isolating. In aesthetics, practitioners often work alone or in small teams, requiring self motivation and a proactive approach to networking.
• Risk of negative feedback: In aesthetics, your work is subject to public scrutiny, with clients leaving reviews that influence your reputation. Managing online feedback, maintaining high customer service standards, and handling criticism constructively are essential skills for success.
• Keeping up with industry standards: The aesthetic sector is evolving rapidly, with new treatments, techniques, and regulatory requirements. Staying competitive means committing to ongoing training and adhering to best practices set by governing bodies.
• Lack of regulation: One of the significant challenges in the aesthetic industry is the lack of comprehensive regulation, which has led to concerns over patient safety and the quality of services provided. This regulatory gap has allowed individuals with minimal training to perform complex procedures, increasing the risk of adverse outcomes for patients. That’s why  Hamilton Fraser has partnered with the Joint Council for Cosmetic Procedures (JCCP), working closely with government and national bodies to seek greater regulation on non-surgical aesthetic treatments and hair restoration surgery in the UK.

Hamilton Fraser’s step-by-step guide to starting your aesthetic practice

If you’re ready to start your journey in aesthetics, follow these steps to make sure you have a solid foundation:

1. Keep your medical registration active
   For doctors, maintaining a valid registration with the General Medical Council (GMC) is essential. Not only does this provide legal standing to practise medicine, but it also makes you eligible for medical malpractice insurance, which is a must-have in aesthetics. Additionally, some aesthetic organisations, like the British College of Aesthetic Medicine (BCAM), offer memberships that connect practitioners with resources, support networks, and additional credibility.
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2. Conduct market research
   Understanding your market is key to establishing a successful practice. Start by identifying the demand for aesthetic services in your area, researching competitors, and pinpointing gaps in the market that you could fill.
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3. Complete recognised aesthetic training
   Training is crucial in aesthetics, as treatments like botulinum toxin injections and dermal fillers require skill and precision. Look for training programmes that are accredited by reputable bodies and provide both theoretical knowledge and hands-on practice. For more information read our guide to training and CPD.
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4. Develop a detailed business plan
   A business plan serves as a roadmap for your aesthetic practice. This document should include an executive summary, business overview, marketing strategy, financial projections, and operational plans. A well structured business plan is also crucial for securing funding if you need financial support to start your practice.
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5. Decide on your working model
   There are various working models to consider in aesthetics. Evaluate each option and decide which one aligns best with your lifestyle, financial goals, and risk tolerance:
   • Mobile practitioner: Working as a mobile practitioner provides flexibility and low overhead costs, as you won’t need a dedicated clinic space. However, you’ll need to be responsible for sourcing clients and may face limitations on where treatments can be safely administered.
   • Partner with a complementary business: Establishing a partnership with an existing business, such as a dental practice or spa, can help you access a ready made client base and shared facilities. This model offers a balance of independence and support with minimal setup costs.
   • Open a clinic: If you own or rent a medical space, running a clinic allows for a more formal setup and potentially higher treatment prices. However, this model requires a larger initial investment and involves managing overhead costs.
   • Work in an established clinic: Joining an established clinic can provide immediate access to clients, equipment, and a supportive team environment. Clinics typically handle marketing and client bookings, with practitioners receiving a share of the revenue.
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6. Establish an online presence and market your services
   In aesthetics, having a strong online presence is vital for attracting and retaining clients. Consider these essential marketing steps:
   • Create a professional website: Your website is the digital face of your practice. Include service details, testimonials, a photo gallery, and a blog or resources page with informative content that establishes your expertise.
   • Engage on social media: Platforms like Instagram and Facebook are ideal for showcasing your work. Share before and after photos, client testimonials, and educational content. Joining aesthetic groups and interacting with other practitioners can also expand your network.
   • Content marketing: Develop blog posts, videos, or social media content that addresses common client questions and concerns. Content marketing can build trust, demonstrate your knowledge, and improve your website’s search engine visibility.
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7. Secure medical malpractice insurance
   Medical malpractice insurance is a critical safeguard in the aesthetic industry, assisting you with legal claims in the event of a treatment related issue. Hamilton Fraser offers comprehensive medical malpractice coverage specifically tailored for aesthetic doctors.
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8. Source reliable and high quality products
   Quality products are essential to patient safety and your professional reputation. When sourcing injectables, skincare products, and equipment, avoid “grey market” suppliers that may offer counterfeit or substandard products.
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9. Focus on patient experience and build a loyal client base
   In aesthetics, patient satisfaction is the foundation of a successful practice. Prioritise the following aspects to give patients a positive experience:
   • Set realistic expectations: Be transparent with clients about potential results and any limitations of the treatments. Managing expectations upfront is crucial for client satisfaction.
   • Build rapport: Take time to understand each client’s needs and establish a genuine connection. Satisfied clients are more likely to return and refer others to your practice.
   • Invest in follow-up care: Providing aftercare instructions and follow up appointments helps maintain positive outcomes and strengthens client trust.
     
     You can read our article on how to make sure patients leave happy here.
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10. Continue learning and growing your practice
    ‍The aesthetic industry is constantly evolving, with new treatments, technologies, and trends emerging regularly. Stay competitive by investing in ongoing education and networking. Consider advanced training, attending conferences, or joining professional bodies such as BCAM and BAHRS, both of which provide invaluable resources and support for aesthetic doctors

Expert insights for doctors entering aesthetics

Transitioning to a career in aesthetic medicine is an exciting journey but requires commitment, resilience, and strategic planning. Here are some key pieces of advice from some of our industry experts who spoke at this year’s Aesthetics Business Conference to guide you on your path:

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Resilience and boundaries "When starting out in aesthetics, two things are paramount: resilience and boundaries. You’ve got to be resilient—this is not an easy journey. Think of it like running a marathon; it requires hard work, dedication, and persistence. There’s no room for a soft approach—you’ve got to push through challenges and figure things out as they come.

“Equally important are boundaries. Define them clearly—no grey areas. Whether it’s work-life balance or professional expectations, stick to these boundaries without compromise. Blurring the lines makes you vulnerable to being taken advantage of or becoming unproductive. Once established, these habits will come naturally and will help you protect your time and focus.”
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- Dr Priyanka Chadha, Acquisition Aesthetics

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Commitment and accountability "Running a business in aesthetics requires significant personal sacrifice, and it’s important to assess whether this path is the right fit for you. Healthcare professionals have many options, from staying in the NHS to joining private practices, becoming self employed, or even opening their own clinic. Choose the model that best aligns with your goals and lifestyle.

“Accountability is critical, especially if you take on financial and operational responsibilities, such as managing a premises or staff. I oversee every aspect of my clinics—from marketing to medical operations—because I treat them like my baby. Quality assurance is non-negotiable; you’re only as good as your worst outcome. This focus on delivering exceptional service is essential for long term success, but be prepared for the hard work and multi-tasking it requires."

- Dr Leah Totton, Dr Leah Clinics

Commit to excellence "Aesthetic medicine is incredibly rewarding, but it’s important to commit fully and treat it as a serious career. When I started over a decade ago, it was possible to practise aesthetics part time while maintaining another medical specialty. However, the market has evolved. Today, successful practitioners are those who dedicate themselves to becoming true specialists.

“To thrive in this competitive industry, invest in thorough education and continuous development. Attend industry events like Hamilton Fraser’s Aesthetics Business Conference to gain a well rounded understanding of what it means to practise aesthetics. The effort you put in will pay off—every professional I know who has transitioned into aesthetics has found it rewarding, with no regrets.”

- Dr Emily Mehta, Harley Academy

Actionable takeaways

1. Build resilience: Approach challenges with a problem-solving mindset and remain determined in your efforts.
2. Set clear boundaries: Protect your time and avoid overextending yourself, to maximise sustainable growth.
3. Be accountable: Understand that you’re responsible not only for treatments but also for the overall business success.
4. Prioritise quality assurance: Focus on delivering exceptional outcomes, as your reputation depends on it.
5. Invest in education: Attend accredited training programmes and industry events to build your expertise and network.

Medical indemnity insurance for doctors

For aesthetic doctors, medical indemnity insurance is a critical safeguard in protecting them against potential claims and compliance with professional standards. Since 1996, Hamilton Fraser has been at the forefront of providing tailored insurance solutions for aesthetic practitioners, offering comprehensive coverage that aligns with the General Medical Council (GMC) requirements and supports the diverse needs of the cosmetic industry.

Aesthetic doctors are not currently required by law to have medical indemnity insurance, but membership is often a requirement of regulatory and industry bodies such as the GMC. This requirement is mandatory and must be in place when applying to join or renew registration and when practising. Insurance will become a legal requirement under proposed new regulations and a licensing scheme for cosmetic practitioners, which are likely to come into effect in late 2025/early 2026.

Aesthetic doctors face unique risks associated with non-surgical cosmetic treatments, ranging from dissatisfaction claims to allegations of negligence. Without adequate insurance, you could be left to cover significant legal and compensation costs personally. Medical indemnity insurance safeguards your professional reputation, provides peace of mind and demonstrates to your patients that you meet the highest standards of care.

• Legal protection: Covers the costs of defending claims against you. This also includes treatment errors, misdiagnosis, or adverse outcomes
• GMC compliance: Make sure you meet the GMC's mandatory requirement for adequate indemnity coverage, protecting your ability to practise
• Reputation management: Helps maintain trust and confidence in your services, which is vital in the highly competitive aesthetics industry

As a leading provider of cosmetic insurance, Hamilton Fraser has built a reputation for excellence, working closely with key industry organisations like the British College of Aesthetic Medicine (BCAM), the British Association of Hair Restoration Surgery (BAHRS) and the Joint Council for Cosmetic Practitioners (JCCP). Here’s why aesthetic doctors trust us:

• Outstanding customer service: Recognised at the Safety in Beauty Awards 2023, our advisors provide personalised support, whether you’re new to aesthetics or expanding your practice
• Award winning coverage: Voted "Best Specialist Insurance Provider" at the Insurance Choice Awards 2023, with a customer rating of 4.96 stars
• Comprehensive policies: From standard procedures like botulinum toxin to specialised treatments, our policies are designed to cover a broad range of risks
• Education and support: Through CPD-accredited events like the Aesthetics Business Conference and resources on our Content Hub, we empower practitioners to grow their careers while maintaining safety and compliance

Hamilton Fraser's insurance packages are tailored to the needs of aesthetic doctors, providing robust protection for both new and established practitioners. Key features include:

• Indemnity limits: Coverage of up to £10 million, with a standard limit of £5 million
• Zero policy excess: No excess for botulinum toxin and temporary filler treatments
• Extended claims reporting: Up to five years of coverage for claims arising after your policy ends
• Public and product liability: Protects against third party injuries or property damage
• Bespoke policies: Flexible options to include additional coverage like cyber liability or clinic insurance
• Free legal helpline: Access expert legal advice when needed with a free 30 minute consultation with a Healthcare legal advisor.

Don’t just take our word for it. Here’s what aesthetic doctors have to say about Hamilton Fraser:

“I couldn't be happier with the service I've received from Hamilton Fraser. From start to finish, they have exceeded my expectations in every way.”

“Hamilton Fraser stands out for its impeccable customer service, wide array of tailored products, and a transparent approach to business. I highly recommend their services to anyone.”

“Hamilton Fraser is one of the most helpful insurance companies I have come across, and their service delivery is exceptional.”

“I have been with Hamilton Fraser for almost 20 years. They always provide a first-class service.”

Explore Hamilton Fraser’s Content Hub for more insights

For further information on how to become an aesthetic doctor in the UK, check out Hamilton Fraser's Content Hub  – a resource designed to support aesthetic practitioners on their journey. Here, you will find our detailed guide on How to become an aesthetic practitioner.

Ready to protect your practice?

With over 25 years of experience supporting aesthetic professionals, Hamilton Fraser is your trusted partner for medical indemnity insurance. Contact our team today to discuss your needs.

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