Unfortunately in my experience, most places will not hire unless you're certified, but the classes and certification are very expensive and it doesn't guarantee you a job. I looked up reputable medical spas in my area and sent emails introducing myself and explaining my passion for aesthetic nursing. I am fortunate in the sense that I've been a hairstylist for 14 years, so I found a very small office with a provider that has taken me under their wing and has shown me the ropes. I hope this helps and good luck!!