A skincare pro explains the difference between aesthetician vs esthetician as she taeks a look at her client's skin.


You’ve probably heard people use the words interchangeably and figured they meant the same thing. They don’t. Both careers center on skin health, but they move in different directions once the basics are in place. Aestheticians focus on clinical care and medical procedures, while estheticians stay rooted in the spa side of cosmetic treatments.


If you’ve worked in this field for a while, you already know what it takes to give a great facial and keep clients coming back. Still, like many experienced skincare specialists, you may have wondered what it’s like to move into clinical work or where your career could go next.


That’s where the path starts to branch. Both careers build on specialized training and a real understanding of skin health. What separates them is how that training shows up in practice, the treatment techniques they use, the clients they see, and the spaces where they work.


Before looking at how each role plays out day to day, here’s a quick look at how the two paths compare.

Aesthetician vs Esthetician: Quick Comparison of Training and Work Settings

If you line the two paths up side by side, here’s how the work usually compares.

Aestheticians

Estheticians

Where they work

Medical environments and healthcare facilities with doctors or plastic surgeons.

Day spas, salons, wellness centers, or luxury spas.

What they do

Assist with medical procedures, cosmetic procedures, and post-treatment care. Perform restorative skin treatments such as skin resurfacing, laser therapy, and chemical exfoliation.

Offer facials, waxing, eyebrow services, body treatments, and makeup application. Focus on relaxation, prevention, and proper cleansing techniques.

Training

Complete advanced training or earn a master aesthetician license through a vocational school or community college.

Build skills through state-approved programs and consistent, client-focused experience.

Work style

Technical, detailed, and results-driven, often in collaboration with medical professionals and healthcare teams.

Calming, restorative, and relationship-based, built on trust and steady results.

The settings and responsibilities vary, but both careers share one goal: helping people feel comfortable in their own skin.

In the Spa

Spa work has a steadiness that comes from seeing the same faces and knowing their skin well. Each visit builds on the last. Estheticians focus on what the skin needs most: hydration, balance, and care that lasts beyond the appointment. They notice when skin issues like dryness or dullness appear and adjust their approach to bring back that glow. Between visits, they recommend skincare products that keep that progress going and help clients maintain healthy, comfortable skin.

Over time, many estheticians develop long-term relationships with their clients and sometimes open their own salons, creating steady careers within the skincare industry.

In the Clinic

While estheticians build steady relationships in the spa, aestheticians work in clinical settings where the pace is more structured and the focus leans technical. They often see clients recovering from cosmetic surgery or managing skin conditions like acne scarring, hyperpigmentation, or rosacea. Their work includes clinical procedures and treatment techniques such as skin resurfacing, microneedling, and gentle exfoliation to support recovery and repair.

Many clinical aestheticians work in medical spas, dermatology offices, or healthcare facilities alongside medical professionals who perform specialized treatments. Their training blends technical skill with care and compassion, giving those who've experienced sun damage or skin trauma the space to rest, heal, and regain confidence in their skin’s appearance.

An esthetician walks her client through a procedure on her tablet.

Career Outlook and Growth

Both paths keep growing as more people look for skincare professionals they can trust. Medical spas, wellness centers, and dermatology clinics continue to expand, creating more job opportunities across the beauty industry.

For some, growth means staying close to what feels right. It could mean mentoring new facial specialists, sharing what they’ve learned, or adding new skills that keep their work fresh. Others take their experience into clinical settings, working alongside doctors and learning advanced treatments that deepen what they already know about skin health.

The industry shifts constantly, but one thing doesn’t change: there will always be room for people who care about the work, the results, and the clients they help achieve better skin every day.

As the field evolves, so does the need to protect the work you’ve built.

Protecting Your Career Path

Every skincare professional deserves coverage that fits the way they actually work.

Elite Beauty Society offers liability insurance for estheticians, aestheticians, and other skin care specialists. Each plan includes professional and general liability protection, Identity Theft Protection, and access to more than $1,000 in perks and resources, from product discounts to continuing education and tools that help their business grow. 

And it doesn't stop there. Coverage extends to more than 500 beauty and wellness services, including facial specialists and body contouring, giving professionals the freedom to work confidently and focus on what matters most: their clients and their craft.

*Coverage applies to approved skincare and beauty services. Permanent makeup, tattoo removal, and laser hair removal or other laser treatments are not included under Elite Beauty Society policies.

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Frequently Asked Questions

What’s the main difference between an esthetician and an aesthetician? +
Estheticians focus on cosmetic skincare in spas and salons, while aestheticians work in medical or clinical settings. Both are licensed skincare professionals, but their day-to-day work, clients, and treatment techniques differ.
Do aestheticians need additional training? +
Yes. Medical aestheticians complete specialized training and advanced coursework to qualify for clinical procedures. This often includes learning to assist with medical treatments, work alongside medical professionals, and use tools designed for skin recovery and repair.
What kinds of services do estheticians typically offer? +
Estheticians focus on cosmetic treatments like facials, body treatments, and eyebrow services, as well as advising clients on home care and skincare products. They treat issues such as dryness, dullness, and early signs of aging, helping clients achieve healthy, balanced skin.
Where do aestheticians usually work? +
Aestheticians are most often found in healthcare facilities such as dermatology clinics, medical spas, and plastic surgery offices. Their work supports doctors and nurses performing medical procedures and cosmetic procedures, helping clients recover and maintain their skin’s appearance after treatment.
Who earns more: estheticians or aestheticians? +
Earnings vary based on location, experience, and setting. Aestheticians sometimes earn higher pay because of their clinical background, while estheticians often enjoy steady client bases in spas or their own salons.
How can I become an esthetician or aesthetician? +
Both start by meeting their state’s training requirements through a licensed vocational school or community college program. After earning a state license, estheticians may stay in spa work, while aestheticians continue on to specialized training for clinical roles.

See the differences between these two careers now?

Good!

Hopefully, we’ve armed you with enough information and knowledge for you to figure out which path might be right for you.

Who knows—maybe you’ll even try to tackle both of these careers at once to offer the ultimate set of esthetics services (let us know if you do).

No matter which profession you choose, it’s important to protect yourself, your career, your finances, and your future with professional liability insurance

At Elite Beauty Society, we can help you no matter what your esthetician journey might be—from student esthetician to part-time to full-time (medical esthetician or non), we’ve got the coverage, protection, and peace of mind you deserve!

An image is shown of the EBS copywriter Hanna Marcus from Boundless Copy.
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Meet Hanna Marcus, the Founder and Head Copy Gal behind Boundless Copy, a one-of-a-kind copywriting agency that specializes in big, bold brand voice and industry-disrupting copy that’s all about resonating with the right audience. 

Hanna has proudly teamed up with Elite Beauty Society for several years as their go-to copywriter on all things beauty, small biz marketing, and brand voice development. She’s big on feeling-first writing–her personal soapbox is that the best copy starts with telling a story. 

When she’s not writing cheeky, converting copy for clients, she’s mentoring other aspiring copywriters and creating digital copywriting resources designed for service pros and focused on taking the stress out of DIY copywriting.