I have worked in a privately owned plastic surgery office for several years, starting as a medical assistant, then RN, interim clinical coordinator, and now PRN as I'm in FNP school. It is an office setting with an outpatient ambulatory surgery center (2 full blown ORs and PACU).
Our RNs work in the front office seeing patients, doing H&Ps, pre/post op care, wound care, assisting w/ local/minor procedures. We see cosmetic and insurance pts. Also work in the pre-op and PACU, and OR. We don't have any RN aesthicians per se (we actually have 2 non-nurse aestheticians that do skin care and some laser), but there are a couple of RNs trained in hair and vein lasers, and cosmetic and nipple tattooing (for breast ca reconstruction). The docs do the botox etc.
For RNs with surgical experience, they can assist. Sometimes the docs will train to assist and suture if no experience, or they just "circulate", i.e. paperwork, runner for supplies, managing specimens etc.
Its not a bad place to work. Most patients are healthy and happy (and choose) to be there~the cosmetic ones anyways
Being privately owned, it's M-F, no nights, weekends, holidays or call. Most of the clinical staff work four 10 hour days. We do see alot of skin cancers, skin lesions, wounds (ulcers, burns, hand injuries), carpal tunnel etc.
In Virginia, pay is generally lower for nurses than in other areas. Pay for this office is on the low end which has always been one of my 'issues'. All RNs at this practice start at the same pay regardless of experience. Starting pay is lower than the local hospitals by several $, but the benefits are pretty decent (surgery at cost after 2 years, great 401k match, decent insurance, STD/LTD, montly bonus based on cosmetic revenue, child/family friendly).
Not sure how much this helps you as its based on my experience with just one office, but I did like it a lot. Not too stressful and able to work in different capacities as an RN, not the same type assignment day in day out.