NPs in Derm, Plastics, Medical Esthetics, etc?

[danceluver]

Any FNP's or ANPs out there working in derm, plastics, or cosmetics (doing stuff like lasers, botox, juvaderm, medical esthetics, etc)? I am really interested in these fields but haven't seen many NPs but more PAs in this field? If you work in this field, what are your responsibilities, what is your daily schedule like, clinically and are you compensated well? Any information would be helpful! Thanks in advance!

PS: Those of you in this field, during NP school were you able to do a rotation in derm or a related field? Did you have to set it up on our own and or was there plenty of opportunity to do so during clinical rotations?

[Spacklehead, MSN, NP]

My classmate and good friend wound up becoming an FNP in the derm setting. He actually knew the doc while he was going through school so he worked there PT as an RN (for about a year) while also following around the doc/NPs/PAs who also worked there to learn the meds typically used and the various procedures. Once he graduated and became certified as an FNP, he was able to fly completely on his own in about 2 mos. I do know that he is compensated VERY well.

Our very last clinical semester allowed us to choose a specialty in which we could spend 1/2 of the required hours for that semester in. The school tried to set it up for us if they knew of preceptors in the specific specialty, or we were on our own to find a preceptor who we knew. One word of advice - if you do have to find your own preceptor, start looking around and try to have one picked at least a full semester before your time to start because the school will have to have paperwork processed, contracts signed, and face-to-face time between a member of the faculty and the chosen preceptor (at least that is how it worked at my school).

[linearthinker, DNP, RN]

I get my botox from a NP. She also does restalyne, though I haven't had it. There is a non nurse doing facials and waxing, etc and they sell skin care and makeup. A physician owns the business, but he pretty much only does surgery. He does a ton of reconstructive work and much of it is pro bono. He needs the NP doing the elective stuff to give him the freedom (time and money) to do the work he really wants to do, and where his talent runs rampant. He doesn't offer lipo (he says the risk-benefit ratio is unfavorable), and I don't think I've ever heard of a NP or PA doing lipo anywhere. He does do facelifts, etc, but AFAIK he doesn't have or need midlevel assist for those procedures. I wonder if NPs/PAs could do the vein treatments that are getting so popular? Big money maker from both cash pay and 3rd party reimbursement I've read.....