The door to medical aesthetics is finally open - no more secrets
Train with a clear, structured pathway into aesthetics, guided by Dr. Rebecca Small’s clinical expertise, designed to give you the skills, judgment, and confidence to treat patients safely from day one.
CEU/CME-accredited training for RNs, NPs, PAs, and Physicians
Combination Treatments
performed in-practice
4k
Providers Trained World Wide
Residents and academic
lectures
15k
Medical Textbooks
Used in Academic and Clinical Programs Daily
53k
Most clinical roles are built around volume, speed, and an unrelenting pace. Over time, it leaves little room for thoughtful practice or life outside of work.
Getting Started in Aesthetics isn’t Always Straightforward
Providers are expected to have experience before they are given the opportunity to gain it. The barrier is rarely ability. It is the lack of a clear, structured path into the field.
Many programs focus on techniques rather than patient assessment and clinical decision making. Without that foundation, it is difficult to build confidence or develop true clinical skill.
RSMD Aesthetics Training was developed to close that gap, built from the perspective of a practicing provider.
“I left medicine because I couldn’t take the stress and demands anymore.
Took a few months off just to breathe and got offered a position at another academic hospital. I tried to break into aesthetics, but everywhere I interviewed, they wanted experience I don’t have.
I felt stuck between going back to what I left… and not knowing how to move forward.”
Built by a Provider, For Providers
Aesthetic medicine is like any other area of medicine. It requires foundational knowledge, thoughtful assessment, and real patient precepting.
RSMD Aesthetics Training was developed and is led by Dr. Rebecca Small, a practicing clinician and educator. The curriculum reflects how providers actually learn, develop skills, and gain confidence over time.
The focus goes beyond technique alone. Training emphasizes structured clinical education through mentorship, repetition, and ongoing feedback, so you are not just learning what to do, but how to assess patients and make sound clinical decisions.
You will develop clinical judgment, including a deeper understanding of anatomy, the ability to create individualized treatment plans, and the skills to deliver a thoughtful, patient centered experience.
Built on over two decades of direct patient care and academic teaching at UCSF School of Medicine and School of Nursing, Dr. Small’s approach prioritizes safety, precision, and natural looking outcomes.
Next Hands-On Workshop: July 10th
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Next Hands-On Workshop: July 10th /
A Clear Pathway: From Learning to Practice
Most training ends with information. RSMD Aesthetics Training bridges the classroom experience with real world clinical application. Wherever you are in your journey, there is a clear next step designed to help you build, refine, and elevate your skills.
Foundation
Develop a strong understanding of anatomy, product pharmacology, and treatment planning.
Application
Apply concepts through case based learning and adapt techniques to each patient’s unique anatomy.
Precepting
Build skill through hands on experience with one on one guidance and real time feedback
Mentorship
Strengthen clinical judgment with continued support as you transition into independent patient care. Extend your training into practice through RSMD Mobile Aesthetics.
Online Training
Hands-On Workshop
Skills
Labs
RSMD Rounds
RSMD Methodology
This stepwise, anatomy based approach helps you break down facial movement, understand how muscles function together, and apply combination treatments with precision so your results are balanced, natural, and safe.
Deconstruct: Target Individual Muscles
Learn how to analyze facial movement and identify the specific muscles contributing to imbalance, so you can treat with precision using toxin.Reconstruct: Balance Muscle Interactions
Understand how muscles function together, allowing you to assess and treat multiple areas in a coordinated way to restore balance and symmetry.Contour & Lift: Combine Treatments to Address Patient Concerns
Combine toxin and filler together to restore structure and refine contours. You will learn how to layer treatments safely across anatomical planes to achieve subtle, natural looking results.
Learn From a Leader in Clinical Aesthetics
Harvard Trained. Cambridge Educated.
Author and Clinical Professor.
Dr. Rebecca Small is a Clinical Professor at UCSF School of Medicine, where she has taught since 2003 and continues to train plastic surgery and family medicine residents, nurses, and nurse practitioner students using a curriculum she developed. She is the author of Amazon’s bestselling Practical Guide textbook series, translated into eight languages and used as core training material in clinical programs.
Dr. Small is the originator of Safety Zones, now widely adopted to improve injector safety and reduce complications. She serves as Director of Medical Aesthetics Training at both Natividad Medical Center and the Morehouse School of Medicine Dominican Hospital Residency, and is an Expert Reviewer for the California Medical Board.
At RSMD Aesthetics Training, Dr. Small personally teaches, precepts, and mentors, offering clinical guidance to support your development in aesthetic medicine.
“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
Where Training Translates into Clinical Practice
Not all aesthetic training is created equal. At RSMD, every detail, from curriculum to instruction, is built to ensure you don’t just learn, you leave prepared to treat.
Safety Isn’t a Module, It’s Built Into Every Decision You Make
You’ll learn how to use Safety Zones as a practical tool to guide where and why you treat, integrated into every injection protocol to help you minimize complications and make confident clinical decisions.
First introduced in Dr. Small’s A Practical Guide to Botulinum Toxins (2012), the Safety Zones concept has become a widely adopted standard in aesthetic medicine. As an Expert Reviewer for the California Medical Board, her work continues to help shape safe, effective practice.
Long-Term Growth, Not One-Time Learning
RSMD is designed to support your progression beyond the classroom to continue developing your clinical skills, confidence, and career in aesthetics. Training is just the starting point.
From foundational learning to hands-on refinement in Workshops and Skills Labs, to ongoing clinical discussion in RSMD Rounds, you’ll continue to build your skill set through mentorship, repetition, and real-time feedback.
RSMD creates a clear path forward, offering mentorship and the opportunity to move beyond training and into practice through RSMD Mobile.
The Final Step in the RSMD Training Pathway
Most providers complete training with the goal of getting a job, but are unable to move forward without experience, and unable to gain experience without a clinical setting.
RSMD is designed to close that gap.
RSMD Mobile Aesthetics is the final step. Qualified providers begin treating patients within established partner spas in their local community, applying their training in a real-world setting.
This is where training becomes experience, within a system developed and guided by Dr. Small.
From scheduling to patient acquisition, RSMD manages the operational infrastructure so providers can focus on patient care and technique.
For providers ready to move beyond training, RSMD Mobile is here to make the transition seamless.
Ready to Take the Next Step Into Practice?
RSMD is designed to take you from structured training into real patient care, so you can apply what you’ve learned with confidence and continue developing within a supported clinical system.
This is where training becomes practice, and practice becomes opportunity.
Frequently Asked Questions
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RSMD Aesthetics Training is a medical aesthetics education program led by Dr. Rebecca Small. The curriculum is designed to take providers from foundational knowledge into clinical application using an anatomy-based, structured approach.
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RSMD is designed for licensed medical providers, including physicians, NPs, PAs, and RNs, who want to build or advance their skills in aesthetic medicine.
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No prior injectable experience is required for online courses. Hands-on training and in-person precepting require an active medical license.
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RSMD offers online courses and in-person training. Online courses provide structured, self-paced education. Hands-on training focuses on real patient treatment with direct clinical guidance and include Hands-on Workshops and Skills Labs with Dr. Small.
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Hands-on training is offered at Dr. Small’s clinical practice in Capitola, California. Online courses are accessible worldwide.
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Online courses include 3 months of access. A certificate of completion is available after the course and quiz are finished.
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Yes. Select RSMD Aesthetics Training courses are eligible for CME or CE credit.
All upper face online courses offer CME or CE credit, with details provided on each course page.
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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RSMD is designed as a progression, not a single course, with support and mentorship after training. Providers can continue building skills through additional training such as Skills Labs and Rounds with Dr. Small. Select providers may have the opportunity to collaborate with Dr. Small in practice through RSMD Mobile Aesthetics.
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RSMD Mobile is an opportunity for qualified providers to deliver aesthetic treatments in real patient settings while operating within the RSMD structure.
It is designed for providers who want more than training and are ready to apply their skills in practice with clinical oversight and business support.
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RSMD Mobile is best suited for providers who are motivated, proactive, and comfortable building relationships in their area.
Equally important, providers must prioritize patient safety, demonstrate strong clinical judgment, and be committed to delivering high quality care.
If you are looking for a structured path into practice and are willing to take initiative while maintaining a high standard of patient care, this may be a strong fit.
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Most training programs end after education.
RSMD offers a path beyond training, combining clinical development with the opportunity to step into real patient care within a supported model.
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RSMD provides the structure, systems, and support.
Providers take an active role in identifying locations, building partnerships, and generating patient demand. This model is designed for those who want to grow within it, not wait for it.
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The best next step is to connect with our team. Please send an email to contact@rsmdmobile.com.
We will learn more about your background, answer your questions, and help you determine if RSMD Mobile is the right path for you.