THMA Consulting

Looking to sell a VERY gently used World PRP centrifuge. Used maybe 10 times total. Selling only because I purchased Cellenis to be able to offer Naturagel.
Retails for $3800 plus tax with 20 kits but will sell for $1500 plus tax — in Miramichi, NB.Brandy Lynn Donald

Book now to attendee a full day of education and networking in Aesthetic Medicine We can’t wait to welcome you to the beautiful city of St. John’s, Newfoundland for our first THMA Symposium — a full day of high level education dedicated to patient safety, regulatory updates, and the evolving standards shaping our specialty.
This is your opportunity to have your questions addressed directly by a panel of experienced aesthetic providers.
What topics, concerns, or regulatory challenges do you want the panel to tackle?
Your input will shape the conversation.

Registration: Non Members: $250 Members: $200 with discount code

The recent CBC story on the College of Nurses of Ontario’s new aesthetic‑practice guidelines has sparked an important conversation. First, sincere thanks to the CNO for formally recognizing aesthetic nursing as a specialty and for the work invested in developing these new guidelines. They are detailed, thoughtful, and long overdue.

But many of us are asking the same question: Are they enough?

CNO members received a survey requesting feedback on the use of client‑specific orders for all patients undergoing aesthetic treatments requiring authorized prescriber oversight. Across the province, nurses and NPs are expressing a shared concern: Client‑specific orders alone will not resolve the patient‑safety issues that have been repeatedly identified in our specialty. In fact, many providers believe this approach may increase administrative burden for both RN/RPNs and NPs, while simultaneously reducing nursing autonomy—despite nurses still practicing fully within their legislated scope.

Those of us who have worked in aesthetics for 10, 15, even 20+ years know that our specialty needs tighter, clearer, and more consistent regulatory structures. This is not just in Ontario, this is a national and global issue expressed by many of my colleagues outside of Canada as well.

As a collective group of independent aesthetic nurses, we are identifying patient‑safety gaps—supported by clinical evidence—that we feel will strengthen safety, clarity, and accountability across all settings.

This is a pivotal moment for our profession. Let’s continue advocating for the standards our patients deserve and the regulatory clarity our specialty requires.

Resources:

Gaskell A & Brondstater K (2025) The need for regulated training and certification for providers entering into aesthetic medicine. Journal of Clinical and Aesthetic Dermatology • Volume 18 • Number 7–8 • Supplement 1

Harrison, J & Hotta T (2020) Evidence-Based Education Is Essential in Medical Aesthetics Nursing. Plastic Surgical Nursing 40(3):p 127-129

Jones, J. K., Bennett, S., Erlandsson, M., Gamborg, C., Hauser-Glitz, S., Jubert, I., Manis, H., Rusher, R., Sommereux, L., Walsh, S., Welch, K., Wiking, C., Young, C., & Partridge, J. (2018). Aesthetic medicine nurses and qualified nonmedical practitioners: Our role and requirements as aesthetic medicine adapts to worldwide changes and needs. Plastic Surgical Nursing, 38(4), 171–176.

New CNO Guidelines and Client Specific Orders Survey | THMA - National Training and Mentoring Academy for Aesthetic Medicine The recent CBC story on the College of Nurses of Ontario’s new aesthetic‑practice guidelines has sparked an important conversation. First, s

Thank you to the CNO for formally recognizing aesthetic nursing as a specialty and for developing the new CNO guidelines.
However, many providers are expressing a shared concern: client‑specific orders alone will not effectively address the patient‑safety issues that have been identified as perceived gaps in our current system.
Aesthetic nursing requires consistent standards, predictable clinical pathways, and regulatory structures that reflect the realities of this practice environment. As our specialty continues to evolve, providers are hopeful that future regulatory conversations will move toward solutions that strengthen safety, clarity, and accountability across all settings—not just those operating under traditional medical models.

Procedures like Botox are booming in Ontario. But not all doctors, nurses agree on how they should be provided | CBC News Guidelines on esthetic procedures recently got a face lift in Ontario, and they've largely been welcomed by nurses and doctors alike. But additional changes could impact how some nurses practice, and they're drawing mixed reactions from medical professionals.

Stepping into independent aesthetic practice feels exhilarating — the autonomy, the artistry, the chance to build something that’s truly yours. But beneath the surface of a thriving cosmetic businesses lies a legal landscape far more complex than many nurses realize. The moment you agree to provide cosmetic services, you enter a world where your clinical decisions, your documentation, your business structure, and even your advertising can carry significant professional consequences.
Independent Practice Nurses deserve to understand exactly what they’re stepping into — not to create fear, but to build confidence grounded in clarity, competence, and protection.

The Legal Realities Every Independent Aesthetic Nurse Must Understand | THMA - National Training and Mentoring Academy for Aesthetic Medicine Tracey Hotta RN, BScN, CPSN-R, CANS, ISPAN-F Independent providers entering the speciality of aesthetic medicine often focus on clinical ski

If you are in aesthetic medicine and looking to elevate your education, this is the meeting for you! Can't wait to see you there.

Register Today - ISPAN 2026 Annual Meeting Email from International Society of Plastic and Aesthetic Nurses Register today... Registration Agenda Hotel The conference will be held October 28 – November 1, 2026, at the Hilton Toronto. This year

THE IMPORTANCE OF BEING AN EDUCATION INFLUENCER IN AESTHETIC MEDICINE
Those who have heard me speak at national and international meetings know my unwavering commitment to elevating aesthetic medicine through evidence based education. In today’s social media landscape, patients are increasingly exposed to medical advice from Instagram influencers rather than credentialed practitioners.

As healthcare professionals, we must uphold the standards of our specialty. That means avoiding the provision of medical advice to individuals with whom we have no therapeutic relationship, and instead focusing on creating content grounded in research, clinical experience, and ethical practice. Every educational post should clearly state the provider’s name, credentials and include references that support the information being shared.

We are educators and advocates by nature. Yet within aesthetics, there has been a concerning trend toward prioritizing follower counts over professionalism. Content designed for entertainment or virality often misrepresents the role of aesthetic providers and undermines the credibility we have worked so hard to build.
Regulators have begun scrutinizing social media content more closely, recognizing its impact on public perception and professional conduct. While our collective image has improved, we still have work to do to restore the reputation our specialty held before social media blurred the lines of professionalism.

Our responsibility is to uphold evidence based practice, protect patient safety, and ensure our online presence reflects the integrity of our profession.

Buzzaccarini, G., Munoz-Lora, V. R. M., Germani et al (2026). Journal of Cosmetic Dermatology, 25(6), e70984.

Brackenbury, J (2022) Journal of Aesthetic Nursing,11(8), pp356-358

Guraya et al. (2021) BMC Medical Education 21:381

THMA Aesthetic Medicine Foundation Program (Neuromodulators and Soft Tissue Fillers or Neuromodulators Only)
Before attending your hands-on clinical training, you’ll complete self-paced virtual courses—each designed to prepare you with the foundational knowledge and confidence needed to excel in aesthetics. While you can take these courses on your own schedule, you’ll still have direct access to a clinical instructor for questions, guidance and clarification.

Each course includes:
✅ A detailed study guide / copy of slides
✅ Resource articles to support your learning
✅ Access to a clinical instructor

Foundation Program
1. Facial Anatomy for Aesthetic Medicine
2. Facial Assessment and Good Faith Exam
3. Pharmacology, Clinical Assessment, Injection Techniques and Adverse Events for Neuromodulators
4. Pharmacology, Clinical Assessment, Injection Techniques and Adverse Events for Soft Tissue Fillers
5. Injection and Non-Injection Related Adverse Events
6. Aesthetic Practice Essentials: Business, Compliance & Professionalism
7. Hands-On Training with one-on-one supervision

At THMA, we believe there’s much more to aesthetic medicine than “needle to skin.” Our program equips providers with the clinical expertise, business insight and professional development needed to thrive in this dynamic and rewarding specialty.

The THMA family is devastated to learn of Joelle’s recent diagnosis — a rare and aggressive cancer that began in her hand and has already spread to her lymph nodes.

Joelle completed her THMA training with Jessica Jacob in Winnipeg in 2020, and in 2021 she opened L’atelier Medical Aesthetics in Kenora, Ontario, where she has built a thriving, respected practice grounded in skill, integrity, and compassion.

Our community is incredibly proud of everything Joelle has accomplished, and even more proud of the person she is. Moments like this remind us why the THMA network is so special. In a world that can feel overwhelmingly heavy, we continue to be lifted by the compassion, generosity, and genuine care that emerge when one of our own needs support.

We are holding Joelle close in our thoughts and standing with her as she faces this difficult journey.

Donate to Help Joëlle Fight a Rare and Aggressive Cancer, organized by Sophie Touchette In May, Joëlle was diagnosed with sclerosing rhabdomyosarcoma, an exce… Sophie Touchette needs your support for Help Joëlle Fight a Rare and Aggressive Cancer

Aesthetic Medicine is Minimally Invasive — Not Minimal Risk.

The recent death of Kendal Ascher following a dermal filler procedure is a devastating reminder that severe complications from aesthetic injections are rare — but they are real.

Even the most reputable, experienced injectors can face catastrophic outcomes.

For years, we considered skin necrosis from a vascular occlusion to be the “worst case scenario.” As treatment areas expanded into higher risk zones — nose, forehead, temples — we began to see reports of visual disturbances and even blindness.

Now, we are hearing about fatal pulmonary embolism associated with filler treatments. After a literature search there are only a handful of articles that reference death from PE - related to location of the larger blood vessels and the excessive volume of filler used to achieve the desired outcome.

Have our practices evolved faster than our safety standards? We need to ask ourselves these questions:
• Are we practicing within our scope
• Are we qualified to treat off face and high risk areas
• Are we prepared to recognize and manage complications
• Do our discharge instructions include red flag symptoms of pulmonary distress

Aesthetic providers must understand that high risk and off face procedures require advanced anatomical training, cadaver based education, and competency assessment — not a single workshop or online module.

Aesthetic medicine is minimally invasive — not minimal risk. Safety is not a tagline. It is a professional obligation.

Reference:
Bingoel, A.S., Dastagir, K., Neubert, L. et al.(2022) Complications and Disasters After Minimally Invasive Tissue Augmentation with Different Types of Fillers: A Retrospective Analysis. Aesth Plast Surg 46, 1388–1397 (2022).

Shaheen, S., Al Habbaa, A., Riad, M. S.et al. (2023). Fatal pulmonary embolism following injectable gluteal filler usage: A case report. The Egyptian Heart Journal, 75, 83.