As the demand for skincare professionals continues to rise, estheticians who hold a license stand out with stronger career opportunities, higher earning potential, and the credibility clients look for.
If you want to know how to become a licensed esthetician, this guide will walk you through every step—from education and exams to state license requirements and career opportunities. By the end, you’ll have a clear roadmap to confidently launch your esthetics career.

They typically work in spas, salons, wellness centers, and resorts. Some also find opportunities in dermatology or plastic surgery offices, often under a physician’s supervision. At its core, the role is really about improving skin appearance, promoting relaxation, and enhancing confidence.
It’s important to note that estheticians do not perform medical procedures such as Botox injections or laser resurfacing. Those require additional medical licensing. A typical day may include back-to-back appointments, maintaining sanitation protocols, and consulting with clients about skincare routines.
While traditional estheticians focus on beauty and relaxation services, medical estheticians (sometimes called paramedical estheticians) work in clinic environments.
Both roles require a state license, but medical estheticians often pursue additional training to work in healthcare-related environments.
Every client’s skin is unique. Each treatment is an opportunity to problem-solve and create results.
Work flexible hours or even open your own business.
Help clients feel more confident and get a deeply rewarding experience in return.
With rising demand for skincare, job opportunities are expanding across the United States.
According to the Bureau of Labor Statistics, skincare specialists are projected to see a 7% growth rate between 2024 and 2034—faster than the average for most occupations.
How old do you have to be to become an esthetician? Most states require candidates to be at least 16 to 18 years old with a high school diploma or GED.
Enroll in a state-approved program, typically lasting 6–12 months. Training includes classroom instruction in skin science and hands-on practice with clients. Some schools also offer hybrid or distance-learning options for busy students who are exploring how to become a licensed esthetician online.
Training hours vary widely, usually between 600 and 1,200 hours. For example, New York requires 600 hours, while some states require closer to 1,000.
Most states use exams from the National Interstate Council (NIC). Tests evaluate theoretical knowledge and practical application, such as performing facials or hair removal under exam conditions.
Submit your exam results, application, and fees to your state board. Some states may also require fingerprinting or background checks before approval.
These services fall within most PAs’ scope of practice. Acquiring these skills makes them well-qualified to work in aesthetic medicine.
Most states require estheticians to renew their licenses every two years, often with continuing education in areas such as sanitation, safety, or new skincare technology.
For the most up-to-date details, consult the TDLR website.
Most programs take 6 to 12 months to complete, depending on state medical aesthetician requirements and whether you attend full-time or part-time. After training, you’ll also need to schedule and pass your licensing exams.
Generally, you must meet age and aesthetician education requirements, complete a state-approved esthetics program, fulfill the required training hours, and pass licensing exams. Exact details vary by state.
Becoming a licensed esthetician opens the door to a rewarding career in skincare and wellness. With rising demand and diverse career options, now is the perfect time to take the first step.
If you’re considering advancing into medical aesthetics, the Texas Academy of Medical Aesthetics (TAMA) offers hands-on training, expert mentorship, and state-specific guidance to help you grow with confidence. Contact us today to know more about our programs.