To practice aesthetics in the USA, the initial step is to complete an accredited esthetician training program approved by the state's licensing board. These programs typically include coursework and hands-on training in skin care treatments, facials, hair removal, and non-invasive cosmetic procedures, ensuring students learn both technical skills and safety protocols. After completing the program, aspiring estheticians must pass a licensing exam that tests their knowledge of skin anatomy, sanitation, and professional practices. Obtaining licensure is essential to legally provide aesthetic services. Additionally, staying updated with continuing education and adhering to state regulations are important for maintaining licensure and advancing in the field.