Recently there has been a lot of media coverage, interest and speculation regarding the regulation of all those who practice non-surgical aesthetics. At Visage Academy, we train all individuals that meet the criteria for Aesthetic Insurance and ensure that they are trained and assessed  in line with Health Education England guidelines. Since 2014, we have also included comprehensive training in complications management; something I’m pleased to say that some other training academies have since included in their courses. Although our trainees come from a variety of professions and therefore have varying training requirements, we treat all of our students with the same level of respect and provide them with ongoing support. Our aim is to train all of our students to be safe practitioners who can recognise complications and manage them responsibly and effectively.

Myself and Visage Academy wholeheartedly support moves to regulate the non-surgical aesthetics industry, but believe this should incorporate an inclusive register that seeks to support all safe practitioners, regardless of their entry route into the specialty. Excluding one or more groups from such regulation can only undermine patient safety and cannot be justified with the logical fallacy that certain groups are ‘not well enough trained already to be trained now’.

There are bad practitioners in aesthetics on both sides of the fence and we need to have a robust system to deal with these practitioners medic or non-medic, swiftly and in a manner than enhances public confidence in our profession.

I will continue to work with colleagues and welcome engagement from any other interested parties who share my viewpoint to make aesthetics a safer, more regulated environment and to eliminate bad practices regardless of occupational background.

—Dr Michael Aicken

4 Day Visage Aesthetics Course Format

Treatment Areas Covered on This Course

Across the 2 days of face-to-face training we aim to cover:

  • Toxin to forehead, frown lines and crows feet 3 times
  • Toxin to mouth corners, lipstick lines, bunny lines, masseters, underarms all either on mannequin or on a real-life model, depending on availability of models / time available on the day
  • Filler to lips (3 times minimum), nasolabial folds, marionettes, fine lines
  • Filler to frown lines, lipstick lines, zygomatic arch (cheeks) depending on availability of models / time available on the day
  • Tear trough filler as a demo / jawline filler as a demo, depending on model suitability and time available on the day

Days 1 & 2 – Online and Self Directed Learning

Foundation online modules with online tests.

Compulsory for everyone in order to achieve certification. Modules will include:

  • Facial anatomy and physiology
  • The Anti-wrinkle Toxin consultation
  • Preparing the face for injections with Anti-wrinkle Toxin
  • Anti-wrinkle Toxin injection technique
  • A history of facial filler and currently available products
  • Filler techniques (bolus, linear injection, cross-hatching)
  • Lip filler
  • How to pass your assessment -Anti-wrinkle Toxin
  • How to pass your assessment – Filler

Advanced Online Modules with Online Tests.

Compulsory for non-medics, voluntary for medics or non-medics who have previously qualified prior to the new guidelines. Modules will include:

  • Dermal filler related complications part 1 (Skin ischaemia and blindness)
  • Dermal filler related complications part 2 (infection)
  • Dermal filler related complications part 3 (dissolving lumps)
  • Cheek Augmentation using Dermal Filler
  • Advanced lips filler (correcting asymmetry, fixing mistakes)
  • Anti-wrinkle Toxin complications and follow-ups
  • Advanced Anti-wrinkle Toxin treatments (bunny lines, poppy chin, depressor oris angularis, lipstick lines, lower extended crows feet)

Days 3 & 4 – Face-to-face in London

Foundation (Day 1 in London)

Assessment of foundation-level practical skills using mannequins (3 Anti-wrinkle Toxin cases and 3 filler cases) in the morning followed by an afternoon small group teaching session with real patients in a simulated clinic with an emphasis on foundation skills. In the afternoon, trainees will receive additional assessment and feedback on their practical skills, but in a more group-orientated and informal manner than the morning session.

Advanced (Day 2 in London)

Assessment of advanced-level skills using mannequins (3 Anti-wrinkle Toxin cases and 3 filler cases) in the morning followed by an afternoon small group teaching session with real patients in a simulated clinic- with an emphasis on more advanced skills. In the afternoon, trainees will receive additional assessment and feedback on their practical skills, but in a more group-orientated and informal manner than the morning session.

The assessments (both formal and informal) will form part of the trainee’s self-managed log-book. As part of the new guidelines, trainees are expected to observe 10 Anti-wrinkle Toxin and 10 filler treatments then be observed performing 10 Anti-wrinkle Toxin and 10 filler treatments. Our face-to-face assessments using mannequins will allow trainees the opportunity to record their first cases in their log-book and the afternoon session should allow further opportunities for logging cases. This can be done either using our e-portfolio (found at or simply with pen and paper.

Any questions contact: [email protected]

Disclaimer- please check with your insurance company before booking onto our course. Although we have good relations with all of the major insurance companies, the decision whether or not to provide indemnity cover for you post-training is outside of our control and the rationale for providing or not providing cover does change from time-to-time without warning.

I have really enjoyed the videos today. So much more in depth information than a previous course I took lacked, I feel I know so much more now & it’s a really good way to take in information, being able to pause the video & write everything down or re-watch something when I didn’t understand the first time. Really appreciate this learning tool.

—Alexa Tyler-Scott (Aesthetician)

Hi Mike,

Just wanted to say, I’m now almost 20% through & really enjoying your videos!

I’m finding the quizzes easy and mainly due to your really simple deliverance. Your making every step very easy to understand & if I’m not 100% it’s fantastic that i can rewind and replay until I’ve grasped every single concept.

Your not blinding us with technical terms..must get back to the next video now!

Thank you. So glad I found you!

—Louise Fitzpatrick, Aesthetica Medi-Spa (Clinical Director)

Thank you for organising the fantastic course and answering all our questions. And thank you for sending this detailed [post-course debrief] email.

—Dr Mohamed Baba (Ophthalmology ST2)

Eligibility Criteria

It’s really the insurance companies who make the rules as to what the eligibility criteria is as it’s them who will offer insurance to practitioners following training. For ‘non-medics’ we highly recommend speaking with Cathedral or Insync about insurance requirements before making an enquiry with us. Contact them as follows:

CATHEDRAL ASSOCIATES LONDON LIMITED / TEL: 01892 601198 / 601199 / Email:- [email protected]

Insync: Click on the logo for a quote. Note that Insync will insure medics and also non-medics with an NVQ level 3 OR 6 months experience providing SPMU or Microblading.

Please let us know if there is a problem obtaining a quote from the insurers or an issue with their customer service at [email protected]

As a rule of thumb, they do typically accept the following groups

  • Beauty Therapists with an NVQ 3 in Beauty Therapy // CIBTAC // CIDESCO, Dental Hygienists, Dental Therapists,Pharmacists, Paramedics, Physiotherapists, Dental Nurses (there is an additional course to be completed before our course – read about it here. It’s currenly £270)
  • Certain other individuals – if you aren’t sure, best to check with one (or both) of the insurers above. Good luck, and hopefully we’ll meet you soon!

Frequently Asked Questions:

Q: How does the prescribing work after i’m trained if i’m a non-medic?

A: You’ll need a prescriber for Anti-wrinkle Toxin but not for dermal filler. The rules are different because Anti-wrinkle Toxin is a MEDICINE whereas filler is a MEDICAL DEVICE. We recommend that you ask any doctors, dentists or nurse practitioners in your area to be your prescriber. If they would like advice on how to prescribe Anti-wrinkle Toxin, ask them to email us on [email protected] If you do not already have a personal connection to one of these, let us know via [email protected] – don’t forget to tell us the city / town you intend to practice in. It is possible that we can connect you to a prescriber in that area but is not guaranteed. The prescriber must see each patient face-to-face (video and phone calls are not enough unfortunately) before they can prescribe Anti-wrinkle Toxin for them. Typically this will involve the patient paying a fee upfront to the prescriber for the consultation (approximately £30-50) and the practitioner then paying the prescriber an agreed fee / vial or prescription of Anti-wrinkle Toxin (approximately £2-5 per area of Anti-wrinkle Toxin).

Q: What treatments are covered on the course?

A: Anti-wrinkle Toxin and fillers on the face. You can see what areas are covered here:

Aesthetics Training for ‘Non-Medics’

We have until now offered a one-day foundation course in Anti-wrinkle Toxin and Fillers. This course was suitable for Doctors, Dentists and Nurses. Some other professional groups could still attend our course but had to complete a one-day of online self-study with online assessment in order to attend the 1-day course and receive their certification. These other groups are sometimes referred to as “non-medics’ and include Dental Hygienists and Therapists (our biggest training group in our London course due to connections I already have with their professional body), pharmacists, paramedics, Operating Department Practitioners (not doctors or nurses but work in theatres with surgeons) and Beauty Therapists (with NVQ level 3).

In line with new government recommendations ( and recommendations of some insurance companies, we’ve decided to make some changes to our course structure in order to improve the quality of training and give opportunities for those who have attended a previous course (either with us or elsewhere) to receive further training which includes both assessment and mentoring..

“Non-medics’ will now need to complete a four day training course in order to qualify for certification. We have trained lots of Dentists, Doctors and Nurses (collectively referred to as ‘medics’) in London too, so i’ll explain below where they fit in.