Where Clinical Precision Meets Aesthetic Expertise
Unlock procedural confidence with hands-on, evidence-based training led by Dr. Rebecca Small, pioneer of the Safety Zone methodology and trusted mentor to aesthetic providers nationwide.
Liquid Lifts
Combination treatment with botulinum toxin and dermal fillers for facial contouring
4k
Providers Trained World Wide
Residents and academic
lectures
14k
Medical Textbooks
Translated to 8 languages
52k
Built by a Practitioner, For Practitioners
At RSMD Aesthetics Training, we don’t just teach techniques, we teach critical thinking. Dr. Small’s methodology is grounded in more than two decades of hands-on experience and incorporates the UCSF curriculum that she’s used to train hundreds of aesthetic providers with an emphasis on safety, anatomical precision, and predictable results.
Whether you’re new to aesthetics or seeking advanced procedural refinement, every course is structured to build your confidence, sharpen your eye, and deepen your clinical skill set.
Next Hands-On Training: March 7th
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Next Hands-On Training: March 7th /
RSMD Methodology
We teach injectors to think anatomically and procedurally, using a stepwise framework to deconstruct movement, reconstruct muscular relationships, and skillfully contour with combination treatments. This method is designed to produce refined, natural-looking results while upholding the highest standards of safety and patient care.
Deconstruct: Target Individual Muscles
Precisely target muscles with botulinum toxin by learning to analyze and visually deconstruct facial movements into component muscles.Reconstruct: Treat Multiple Muscles
Treat multiple muscles with botulinum toxin by reconstructing facial anatomy through functional relationships to enhance symmetry and balance.Contour and Lift: Combine Treatments
Restore facial contours with the RSMD Liquid Lift-a combination treatment using botulinum toxin and dermal fillers. Learn expert techniques for safely layering fillers in different anatomic planes to achieve subtle, natural-looking results.
Explore Our Training Options
Hands-On Workshops
Small-group, high-impact trainings with direct precepting by Dr. Small. Gain real-world experience, anatomical understanding, and stepwise procedural protocols that you can immediately apply to your practice. Topics include neuromodulators, dermal fillers, Sculptra, cannula work, laser applications, and more.
Online Training Courses
Learn at your own pace through RSMD’s online curriculum. Each module includes stepwise video instruction, annotated cadaver illustrations, treatment demonstrations, and clinical case reviews. You’ll walk away with repeatable techniques, not vague overviews.
Ongoing Mentorship: RSMD Rounds
Our private provider community gives you continued access to Dr. Small, where you can ask case questions, receive anatomical clarifications, and build community with like-minded injectors. Whether you're troubleshooting complications or refining outcomes, RSMD Rounds ensures you're never learning alone.
Harvard-Trained. Cambridge-Educated.
Internationally Recognized Author.
Dr. Rebecca Small is a Clinical Professor at UCSF School of Medicine, where she has taught since 2003 and continues to train plastic surgery, family medicine, and nurse practitioner residents using a curriculum she helped develop. She is Harvard‑trained, Cambridge‑educated, and the author of the internationally recognized The Practical Guide textbook series, used as core training material in academic and clinical programs worldwide.
Dr. Small is the originator of the Safety Zones methodology, now widely adopted to improve injector safety and reduce complications. She is also the Director of Medical Aesthetics Training at Natividad Medical Center, a faculty member with the Morehouse School of Medicine–Dominican Hospital Residency, and a Medical Expert Reviewer for the California Medical Board.
At RSMD Aesthetics Training, Dr. Small personally teaches, precepts, and mentors providers, bridging academic rigor with real‑world clinical application so you leave with not just knowledge, but true procedural confidence.
An Introduction to Dr. Rebecca Small
“Dr. Small is an expert educator and aesthetic clinician... In the ten years that I have been on the plastic surgery faculty at UCSF, I’ve observed many instructors and training programs and I can unreservedly say that Dr. Small is the best instructor of botulinum toxin and dermal filler outpatient procedures I’ve seen.”
Esther A. Kim, MD, FACS
Associate Professor, Division of Plastic and Reconstructive Surgery Associate Program Director, UCSF Plastic Surgery Residency Co-Director, UCSF Microsurgery Fellowship University of California, San Francisco
The RSMD Difference
Originator of the Safety Zones
First introduced in Dr. Small’s A Practical Guide to Botulinum Toxins (2012), the Safety Zone concept has since become a widely adopted teaching tool for reducing complications in aesthetic medicine. RSMD training integrates this anatomical precision into every injection protocol, so you learn where, and why, to treat.
Flexible Access for Busy Providers
For providers who are unable to find time away from their busy practices, whether looking to add new skills or make a career change, we have a solution. Our programs are available online and in person and are designed to deliver concise, practical instruction that fits into real-world schedules.
We’ve designed our trainings to deliver curriculum that’s flexible, practical, and concise. You’ll receive high-quality instruction with a structured learning pathway you can complete at your own pace, in your schedule while focusing on building confidence every step of the way.
Mentorship Beyond the Course
Dr. Small remains directly involved in all levels of training, from hands-on instruction to virtual case reviews. RSMD Rounds, our exclusive provider community, gives you access to expert feedback, peer dialogue, and clinical pearls that continue long after your training day ends.
Access is exclusive to those who have purchased a textbook, an online course or have attended an in-person training
Frequently Asked Questions
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RSMD Aesthetics Training is a premier medical aesthetics education platform led by Dr. Rebecca Small, internationally recognized educator and author of Small’s Practical Guide to Botulinum Toxin Procedures, 2nd Edition. Our programs provide medical professionals with comprehensive, clinically focused training in injectables, skin rejuvenation, and non-surgical aesthetic procedures. Courses blend Dr. Small’s proven teaching methodology with high-quality didactic instruction and real-world clinical insights.
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Our curriculum is designed for licensed medical providers—including physicians, NPs, PAs, and RNs—who want to advance or refine their skills in aesthetic medicine. Whether you are new to injectables or expanding an established aesthetic practice, RSMD Aesthetics Training offers structured, high-level education to support safe and effective clinical practice.
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RSMD Aesthetics Training offers hands-on training and a library of online aesthetic courses, including foundational botulinum toxin techniques, facial anatomy essentials, and advanced procedures. Each course includes book-based core concepts, didactic instruction, real patient demonstration videos, quizzes, and a certificate of completion.
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Yes. Our in-person trainings offer 8.0 AMA PRA Category 1 Credits™, 8.0 ANCC CEUs, or 8.0 AAPA Category 1 CME credits.
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Yes. RSMD Aesthetics Training provides optional hands-on aesthetic training with Dr. Rebecca Small at her clinical practice in California. Providers can register for small-group or 1:1 in-office training sessions, offered several times throughout the year. Hands-on training is open to licensed medical providers.
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Yes. RSMD has a library of online aesthetic courses available. Dr. Small’s medical aesthetics textbooks are also available for purchase on Amazon. These resources offer a strong educational foundation and are valuable for providers preparing to expand into botulinum toxin treatments or other injectable procedures.
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RSMD Aesthetics Training is based in Capitola, California, where Dr. Small has operated her medical aesthetics practice for over two decades. Our online courses are accessible worldwide, and hands-on training is offered in person at Dr. Small’s clinic.
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You can reach our team through the Contact page on RSMDTraining.com or by emailing contact@rsmd.training. Follow RSMD Aesthetics Training on social media for updates on new course releases, hands-on training dates, and educational announcements.
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Do I need experience with injectables to take your courses?
No. Our online courses are open to all learners, and no prior injectable experience is required. Foundational courses provide step-by-step instruction, anatomy-based guidance, and essential clinical considerations to support safe learning. While anyone may enroll in the online courses, hands-on training and in-person precepting require an active medical license.
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All RSMD online courses include 3 months of access, giving you time to complete the content, review videos, and apply the learning to your practice. Your certificate of completion is available for download once the course and quiz are finished.
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Yes. Each course includes a certificate of completion that confirms your training in the specific botulinum toxin or aesthetic procedure area covered.
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Absolutely. RSMD Aesthetics Training is built on the same curriculum Dr. Small developed for UCSF medical residency programs and national professional organizations. Providers use these courses to confidently add botulinum toxin treatments, facial rejuvenation procedures, and non-surgical aesthetic services to their clinical offerings.
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RSMD is grounded in Dr. Small’s 20+ years of clinical experience, academic leadership, and evidence-driven teaching. Our training approach emphasizes safety, anatomy, dosing precision, and practical application—ensuring providers build competence rooted in best practices rather than trends. The combination of textbook-level education, real patient demonstrations, and hands-on training opportunities sets RSMD apart.