How to Start a Medical Spa

Cosmetic Medical Training specializes in Botox Certification Training for Nurses, Doctors, Dentists, Nurse Practitioners, and Physician Assistants.

“I don’t have an office location right now.”
“Can you tell me how to get started?”

This is what we hear from medical professionals who want to get started in the aesthetic business. Most people think that getting training is the FIRST step.


Look. We are in the training business, and we make money when we train you. As much as we appreciate profits from our training sessions, we enjoy it more when we help you succeed. In the early days of our business, we discovered that some of our trainees did not continue to practice injecting Botox and fillers after we trained them. We asked why. The answer that we got was that they didn’t prepare the necessary business and marketing structure to help them start. Well, that frustrated us. So, here it is:

TOP 3 things that you should do before you book your Botox certification training course with us.

Get legal

First, find out with your state licensing board if you can even open up a medical spa or inject Botox and fillers. If you are a physician assistant, registered nurse or nurse practitioner, then find out your state’s legal regulations. Some states have specific rules on who can inject, and whether the supervision has to be direct or indirect, and on-site or off-site. The rules keep changing and we can’t give you advice. And you should NOT look Google your advice. Please call your state licensing board and get it from the authority.

Also, if you cannot inject on your own without a supervising physician or some other oversight, then please reach out to your friends and colleagues and establish this first. This is a crucial step that should not precede your training.

Market research

Before you start, you need to know if you should even open a medical spa. You need these basic market research.
How many medspas are within the area that you want to open? Find out who your competition is going to be.
How much is the cost per service? Call or visit as a secret shopper and get the price list. This will tell you how much you will price your services. Also, joining their email list will tell you when they will have specials.
How busy are they? See if you can easily book an appointment on a weekend. This will tell you about the number of potential customers in your area.

Get a partner

I’ve had numerous business partners and there are definite positives and negatives in joint ventures. If you have a lot of cash and the business know-how, then go for it alone. But maybe for you, all you have is an idea and a desire to start a business. Then your best option is to find a partner who can scale up your new business fast.

Who is that ideal partner? Well, consider the following: day spas, hair and nail salon with a private room or a medical office that closes on weekends. Approach the owner, and offer to either rent space or start a joint venture by splitting the cost of goods sold, supplies, insurance and marketing expenses, as well as the profit. It is up to you and your new partner on how you want to split the expenses and profits (50/50 or 75/25).

Yes, location is key. But, not necessarily true, if your new partner is an obscurely located day spa with a client list of over a thousand regular customers. That client list is a quick and easy way to market your new joint service of Botox and fillers.

Worse case, if the joint partnership does not work out, then you can leave after 6 months or a year. You can take your new patient list with you and open up somewhere else. However, make sure that you do not sign a “non-compete” contract when you form your partnership.

How do you find this partner? Easy. Google “day spa” and “your city” and you’ll see your potential partners. Click on their websites to see if they offer Botox or fillers. Select the ones that do not offer your new service. Then walk into at least 5 of these locations and speak to the owner. I guarantee you that at least one, if not three, of these locations will say YES to you.

That’s it. Three steps:

  1. Find out your state’s regulations
  2. Do basic market research
  3. Partner up with someone with a client list

You can easily do this in less than one week. After you have done these steps, then call us for your training. This increases your odds of success. Also, Allergan, the maker of Botox, will NOT ship Botox to your home address. We know because we tried. Somehow, they know if an address is residential or business.

If you are looking for a complete turn-key startup kit to open up a medical spa, then check out, which offered all the necessary startup knowledge, such as a business plan, sample profit and loss statement, sample pricing list, patient forms, and marketing material. The good news is that right now, you can get all of this for FREE when you sign up for our On-site Hands-On One Day Botox/Dysport & Dermal Filler Training. But, once again, don’t sign up for our Botox certification training course until you do these three steps first.

We are a company that tells you not to sign up until you are ready. Why? I like to think that it is because we’re a good, ethical company.