Become a Certified Botox & Filler Trainer in the USA
Run an accredited injectable Foundation Day in your own US clinic under the Harley Street Institute name. We supply the CPD-approved online pre-course modules, the curriculum, the assessment bank and the certificates. You teach the practical, set your own delegate fee in dollars, and keep 75% of what you collect.
Open to registered medical, dental and nursing professionals only, in line with our training eligibility policy.
Why the US market rewards a credentialed trainer
The United States is the largest injectable market in the world, and the training layer around it is fragmented: most courses are run by device distributors, single-clinic operators or weekend seminar companies. Very few carry an independent, internationally recognised accreditation that a delegate can point to years later.
That fragmentation is the opportunity. Nurse injectors, PAs, dentists and physicians entering aesthetics are increasingly asked by employers, medspa groups and insurers what their training actually consisted of and who verified it. A certificate backed by an audited CPD framework and a peer-reviewed journal answers that question in a way a distributor-run afternoon does not.
A UK Harley Street lineage also carries real weight in US aesthetic marketing. Delegates value being taught a European technique standard — conservative dosing, anatomy-first planning, documented complication protocols — rather than a product-led sales curriculum.
The full licence terms, curriculum breakdown and quality-assurance framework are on the main HSI Global Trainer Licence Programme page.
The US regulatory reality — read this before applying
We would rather lose an application than mislead one. HSI accreditation is a continuing professional development credential — it never replaces national or state regulation.
Scope of practice is state-level, not federal
Who may inject, who may supervise and what delegation looks like varies materially between states. You are responsible for confirming that both your delivery of hands-on training and your delegates' practice on live models are lawful in your state.
HSI accreditation is CPD, not state licensure
Delegates receive an HSI certificate and AiCE/CPD points. This is a portable, internationally recognised training credential — it does not confer a licence, prescriptive authority or the right to practise in any state.
Medical direction and model consent
Practical days must run with appropriate medical oversight, documented model consent, adverse-event protocols and hyaluronidase immediately available for filler work. HSI supplies the consent and complication frameworks; you apply them within your state's rules.
Insurance must cover teaching
Most US malpractice policies cover treating, not training. You will need written confirmation that your carrier extends to supervising delegates injecting live models.
Who can apply in the United States
- Physician (MD/DO), dentist (DDS/DMD), nurse practitioner, physician assistant or registered nurse with a current, unrestricted US state licence.
- At least two years of independent aesthetic injectable practice with an evidenceable caseload.
- A clinical training space meeting state hygiene and safety requirements, plus reliable access to consenting models.
- Malpractice insurance explicitly extending to the training of other practitioners.
- Written commitment to HSI delegate ratios, assessment integrity, complication protocols and periodic audit.
From application to your first US cohort
Most US applicants move from first enquiry to teaching their own accredited Foundation Day inside a single quarter. Timings assume your state licence, insurance extension and training space are already in order.
- 1
Application review
Within 10 working daysHSI faculty review your licence, injectable caseload, teaching facility and malpractice cover. You are told plainly if anything is missing before you invest further time.
- 2
Faculty interview and technique review
Weeks 2–3A video interview covering dosing philosophy, anatomy-first planning and complication management, plus a review of your own case documentation against the HSI technique standard.
- 3
Trainer onboarding
Weeks 3–5You complete the HSI trainer modules — curriculum delivery, assessment integrity, model consent, adverse-event escalation — and receive the full teaching pack, slide decks and certificate templates.
- 4
Licence issue and listing
Week 5–6Your licence is issued with no upfront fee, your clinic is listed as an approved US training venue and your delegate booking and pre-study links go live.
- 5
First supervised cohort
Weeks 6–12You run your first Foundation Day with a maximum of six delegates. HSI reviews delegate assessments and feedback, then confirms you for independent scheduling.
What a US Foundation Day can look like commercially
You set the delegate fee for your city and specialty mix — a New York or Los Angeles day prices differently from a mid-market metro. The table below is a planning illustration only, not a promise of earnings, and excludes your local costs: venue, model fees, product, staff and taxes.
| Pricing tier | Delegate fee | Six delegates | Your 75% share |
|---|---|---|---|
| Entry pricing (regional metro) | $1,500 | $9,000 | $6,750 |
| Mid pricing (major metro) | $2,500 | $15,000 | $11,250 |
| Premium pricing (small-group, coastal) | $3,500 | $21,000 | $15,750 |
There is no upfront licence fee and no franchise payment. HSI retains 25% of collected course revenue to fund accreditation, quality assurance, certification and the learning platform your delegates use.
Becoming a licensed trainer in the United States — frequently asked questions
Regulation, recognition, pricing and delegate requirements.
Apply to become a licensed trainer in the United States
Tell us about your practice and training facilities. Applications are reviewed by HSI faculty, usually within ten working days.