It really depends on what it is you want to do. Do you see yourself as the circulating nurse in the OR in a Plastics office? Or being a chaperone in the room following up surgical cases, suture removal, preop consultations. Anything in a Privates office will pay less than lets say the Plastics dept in a teaching hospital. In NY, aesthetic Derms and Plastic surgeons hire esteticians to do their peels. I am an NP and have my own Aesthetics practice. I do injectables, like fillers and Botox, sclerotherapy and peels. I think an exciting position for an RN would be to work in a medispa as the professional who oversees OSHA standards and Hippa compliance; manage customer service issues, be both medical and business minded. Larger medispa and destination spa/ hotels have these kinds of positions.