For Licensed Medical Professionals
Botox Certification (Level I)
from $200/mo with a payment plan
- Neuromodulators — face, glabella, crow's feet, hyperhidrosis
- Real consented patients (not gel pads)
- Certification letter + procedure log
Programs · For MD/DO · NP · PA
Core didactic and supervised clinical training, plus elective tracks in injectables, energy-based devices, threads, and device body contouring. Designed for credentialed clinicians who cannot leave their practice for a year of residency-style training.
CME accreditation in progress. Limited hands-on groups.
Rolling enrollment · Hybrid program
149 hours of theory are online at your own pace. 71 practical hours happen on campus, scheduled with your campus at a minimum of 3 days per week, Monday–Saturday, 9:00 AM–5:00 PM.
If you hold a clinical license and are considering — or already practicing — aesthetic medicine without formal training, this training program was designed for you.
Family medicine, ER, OB-GYN, dermatology, plastics. You're considering a second-half-of-career shift into aesthetics — full or part-time.
You've already secured collaborative-practice with a Florida physician. You need formal injectables training to back up your protocols.
Currently in dermatology, family practice, or surgical specialty. You want to credibly add aesthetic procedures under your supervising-physician relationship.
You don't inject personally but you medical-direct a team. You want to train your own clinicians and audit their work to the standard you hire to.
You hold an MD from outside the U.S. and a Florida medical license. You want a U.S.-recognized aesthetic credential to anchor your practice.
You're 6–18 months from finishing training and considering a private-practice aesthetic role rather than a hospital path. Take the training program in parallel with your final months.
Five weekend modules spread across approximately three to five months, depending on module cadence. Each module combines clinical anatomy, evidence-based pharmacology, hands-on supervised practice, and complications management.
Layered facial anatomy from a clinician's eye. Vasculature, fat compartments, ligamentous structures, danger zones. Taught by Dr. Tali Arviv and visiting plastic-surgery faculty.
Botulinum toxins (Botox, Dysport, Xeomin, Daxxify, Jeuveau). HA fillers (Juvederm, Restylane, Belotero, RHA). Biostimulators (Sculptra, Radiesse). Adipocytolytics (Kybella). Hyaluronidase, lidocaine, epinephrine pharmacokinetics.
Live supervised injections. Neuromodulator full-face protocols. Filler in 9 target zones (lip, NLF, marionette, chin, jawline, mid-face, temple, tear-trough, glabella). Cannula vs needle criteria. Photo documentation standards.
Laser physics for clinicians. Device classes (Q-switched, fractional ablative/non-ablative, IPL, RF microneedling). Photothermolysis. Patient stratification by Fitzpatrick. Hands-on with selected device platforms.
Vascular occlusion recognition algorithm. Hyaluronidase reversal dosing. Embolism management. Nerve injury workup. Tyndall, granulomas, biofilms. Florida AHCA reporting thresholds.
Standing protocols. Delegation agreements with NPs/PAs/RNs. Documentation systems. Informed consent. Florida AG enforcement patterns. Insurance and risk management.
Take electives in any order after completing the core. Each is its own standalone weekend (or two).
The highest-skill regions. Cannula safety drills, layered volumization, periorbital anatomy intensive.
Mono and cog threads. Mid-face lift, jawline definition, neck banding. Includes 6 supervised patient cases.
Device body contouring (CoolSculpting, Emsculpt, cryolipolysis) and injectable body contouring (Kybella beyond submental, biostimulators in body applications). PDO threads in body applications.
CO2 fractional, Er:YAG, Nd:YAG resurfacing, tattoo-removal pigmentary protocols. Combined modality protocols. Device purchase economics.
P-shot, O-shot protocols. Vulvovaginal energy treatments. Patient selection and consent standards.
HRT for the aesthetic patient. Peptide therapeutics. IV nutrient therapy regulatory framework. GLP-1s in the aesthetic practice.
Minoxidil/finasteride/dutasteride. PRP for hair. Exosomes. Introduction to FUE/FUT surgical referral pathways.
Pricing architecture, P&L analysis, marketing for clinicians, hiring an injector team, when to add a second location.
Electives carry separate CME credit. Take them at your pace; we run each at least twice annually.
The core training program runs Friday afternoon (3pm–8pm) and full Saturday and Sunday (8am–6pm) per weekend module. Five weekend modules total, spaced two to four weeks apart. The full core is completable in three to five calendar months without missing a single weekday at your practice.
Hands-on patient work takes place at the Miami campus, adjacent to the Arviv Plastic Surgery Center. Lecture-based modules are delivered in person; livestream attendance is offered for international participants on a case-by-case basis.
CME · Accreditation · Documentation
MSI is pursuing an accredited continuing medical education provider partnership for this program. Specific CME credit designations and credit counts will be published once the accreditation arrangement is finalized — we will not advertise credit amounts that haven't been awarded.
Participants in early groups will receive a Certificate of Completion documenting hours of supervised training. CME credit, when issued, will be communicated directly to participants and applied retroactively where the provider arrangement allows.
The all-in bundle for clinicians ready to launch or scale an aesthetic practice. Four core courses — one investment. Confirm with your tax advisor.
All-in bundle
Four core courses plus a business bonus — all materials, lunch + coffee on training days. CME accreditation in progress.
Individual courses priced separately when not purchased as a bundle.
Group rate: enroll 3+ clinicians from the same practice at the same time, save 15% across the group. Email fellowship@msi.institute to coordinate.
For licensed medical professionals
For active FL RN, PA, ARNP/NP, MD, DO. Live patients. Real credentialing docs. Two days to a billable new service line.
For Licensed Medical Professionals
from $200/mo with a payment plan
For Licensed Medical Professionals
from $200/mo with a payment plan
For Licensed Medical Professionals
Monthly options available
For All Aesthetic Professionals
Monthly options available
Next start: Nov 21
For All Aesthetic Professionals
Monthly options available
Next start: Nov 21

A Note from the Program Director
I have practiced and taught in this field for two decades. The single thing that separates a credible aesthetic medicine practice from a dangerous one is whether the clinician understands what is happening one layer below the skin — and what to do when something goes wrong.
A weekend injectables course is not enough. Watching YouTube videos of a colleague injecting is not enough. The training I built with MSI is what I wish had existed when I completed my internal-medicine residency — because I did not do a plastic surgery residency, and I had to assemble this education the hard way over years of practice.
It is rigorous. It is taught at the standard I would want a clinician injecting my own family to have completed. And it is structured so a working physician, NP, or PA can complete it without abandoning their patients for a year.
If that is what you are looking for, we'd like you in the room.
— Tali Arviv, MD
Physician-directed faculty
The Aesthetic Medicine Fellowship is directed by Dr. Tali Arviv and taught by practicing MDs and specialists. Meet the MSI faculty →
Review our Florida licensing and accreditation or talk to admissions about fellowship seats.
Quick answers
The core program runs about four months as five Friday-through-Sunday modules, so most participants complete it without missing a weekday clinic day. Elective tracks in injectables, devices, threads, and body contouring can extend that timeline.
The core program is $14,800. Elective tracks are priced separately, ranging from about $1,800 for the business-of-aesthetic-medicine track up to $2,800 for the threads track.
Cohorts are scheduled a few times a year in Miami — see the upcoming session dates above, or schedule a meeting with Dr. Arviv to plan your start around your current clinical schedule.
No separate state exam is required. You already hold your MD/DO, NP, or PA credential and existing procedural scope under Florida law; this program builds the technical training to use that scope competently, it does not expand your legal scope.
Inquiries from MD/DO, NP, and PA applicants are reviewed by Dr. Arviv personally. Expect a call from his office within two business days.
Limited to 16 participants per hands-on group. Application is non-binding — most applicants decide after a brief phone consult with the training program office.
Talk to admissions
Tell us a bit about you and an admissions advisor will reach out within one business day — no application required.