Hi, I found this board and hope to get some great advice from all the knowledgeable people here! First of all I majored in International Business and I'm 38 yrs. old. I was never passionate about my career and want to make a change. I have always had te dream of having a small boutique type medical skin care clinic in upscale Del Mar or La Jolla (CA), which is where I live. I have been thinking of imersing myself in Esthetician classes at a local school for 3 months (600 hrs), get licensed and rent out a room at a salon. This would allow me to tap into their clients, obtain experience, and grow a bok of business. However, my goal is to have a small medical spa where I can administer Botox, fillers and laser treatments. I understand that I need to be an RN to do that and so I was thinking I can work a few hours here and there doing facials and attend nursing school for 2 years and get an Associates degree. With this degree I can take the CA test and become a licensed RN. QUESTION- Can a non-physician such as an RN own a medical spa or do is it required that a doctor be present at all time? So basically my goal is to be an RN but I think the Esthetician license would help me build up a small clientele before having the RN license under my belt. I think it's much smarter to go this route than doing the RN program, graduating and then be faced with the challange of having to pay student loans and no clients. In conclusion, I read stories all over the place but am wondering which is the smartest route to take... HELP! Thanks! AMG