Botox, Lasers, Etc: To Tip or Not to Tip? - We Gotta Talk (2024)

September 15, 2020

To tip or not to tip? That is the question!

Hi friends! This is the most popular post on this blog, so please know that I’ll update it with new information as I get it. But for the time being, here is some advice on if and when to tip when it comes to injectables (i.e. Botox, other neuromodulators, fillers), lasers, and other in-office aesthetic treatments. If you ever have a question, DM me and I’ll put it out to my amazing group of online friends!

I got a direct message on Instagram recently that asked an excellent question—one that I hadn’t thought about before, even after all of the times I’ve gotten treatments at a dermatologist or aesthetics center:

For any type of skin care procedure—from Botox and lasers to facials—when is it appropriate to tip?

Thankfully, I have some really awesome digital friends in that space who were happy to answer, so let’s dig in!

Here’s what an esthetician at a medical skin center says:

“I’ve always been trained to never expect a tip. Some [people] don’t tip, and I’ve learned that from my serving days.

Obviously it’s a super nice gesture. Facials/massage/nails/hair/waxing—those are typical services that many tip on [myself included] and have received tips. Same goes for chemical peels.

Some of the more ‘medical’ treatments, such as microneedling, Botox, fillers, and lasers, many don’t see as a treatment that is deemed a ‘tipping service,’ especially when it’s at a dermatologist’s office.

But when I used to work the front desk I had clients ask if they should tip, and I just say it’s always a nice gesture to show if you enjoyed the service provided to you.

“It’s definitely a touchy subject for some. I’ve worked at spas that are strictly low hourly [rates], so the tips were how you made a bulk of your income. And places where you receive commission … helps on those days [when] the tips aren’t fruitful.”

Here’s what a plastic surgery physician associate (PA) says:

“If it is a medical office and medical professionals, they probably don’t expect tips for the laser treatments. If the facial treatments are facials, etc., with an esthetician, then I would tip individually on those.”

Here’s what a business development manager of aesthetics says:

“Facials are appropriate for tipping—not services such as lasers and injectables.”

Here’s what an registered nurse (RN) working in a cosmetics center says:

“It typically boils down to pay structure for the provider. Physicians will earn 100% of the product price because it is their practice, but an RN, NP [nurse practitioner], PA would earn an hourly rate—let’s say $25/hour and a commission fee which is a small amount (around 3%) of the product price. In those cases I would say it’s entirely appropriate to tip.

Rule of thumb: If your injector own the practice, no tipping necessary. If they are an employee it is customary to tip. That being said, no one expects 20% tip of their service.

Let’s say you get Botox that costs $40. If you tip your provider $20 they will be appreciative and likely to take some extra special care of you next time.

Some offices operate on a commission basis only for RNs but it is not as common. So no hourly rate but 30% of product total.”

And one more super helpful tip to help you know when it’s appropriate to tip:

“If you see small envelopes by the register, that is the best indicator [that you can tip], but in general, if you are seeing anyone aside from the physician that owns the practice, you should tip something. $20 goes a long way in making your provider feel appreciated, in my experience.”

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“Rule of thumb: If your injector own the practice, no tipping necessary. If they are an employee it is customary to tip. That being said, no one expects 20% tip of their service. … $20 goes a long way in making your provider feel appreciated, in my experience.”

Hope that helps! Knowledge is power, friends. Hope you get an extra shot of Botox for being a good tipper next time you go in. 😉

Botox, Lasers, Etc: To Tip or Not to Tip? - We Gotta Talk (2024)

FAQs

Are you supposed to tip your Botox injector? ›

Tipping your Botox injector is generally not a great idea. If you're happy with the outcome of a procedure, like Botox at a medi-spa chain, you may feel inclined to tip, just as you would for a great haircut. But aesthetic medicine is still medicine, and, as a general guideline, you shouldn't leave a tip.

How much do you tip for $500 Botox? ›

If you choose to tip your injector, it should be between 10 and 20 percent of the total bill, which is standard in the beauty industry. But don't be offended if your injector also refuses your offer. Amelina says she politely declines tips from her clients. "Tipping can be viewed as a bribe," she explains.

Do you tip for an IPL treatment? ›

Another, Skin Bar, depends on certified aestheticians to give treatments ranging from IPL, Fraxel, Laser Genesis, and laser hair removal to Botox and fillers. Though many of the treatments offered by these facial bars are similar to those offered by aesthetics bars, gratuity is generally accepted.

Do you tip a nurse practitioner for Botox on Reddit? ›

A lot of the injectors are nurse practitioners, which is a very advanced degree, and it's unethical for them to expect a tip for a medical procedure. Most of them make good money to stay on staff at a medspa already, but they get into the job knowing that there is an upside with the tips.

Are you supposed to tip for Microneedling? ›

Tipping also doesn't apply to any medical spa service like Botox, laser hair removal, microneedling, or anything performed by a medical professional. The main reason why these services don't require tips is that they usually cost hundreds of dollars, so following the standard 15% to 20% is costly.

Are you supposed to tip for laser hair removal? ›

Tipping for laser hair removal is not mandatory, but it is generally appreciated. Some sources suggest tipping after each visit, while others say it's okay to tip at the end of a series of treatments.

Are you supposed to tip at a Medspa? ›

While physician-led med spa services are often a no-gratuity zone, services led by other professionals might be more inclined to encourage tipping (much like you would at a standard spa). Consider asking your med spa for more details about this policy if you have any questions or concerns.

Do you tip for a HydraFacial? ›

However, it's always a nice gesture to express your gratitude for a job well done. If you're unsure about how much to tip on a HydraFacial, a good rule of thumb is to leave around 15-20% of the total cost.

What not to do after Botox? ›

Don't get a facial or head massage for a full 24 hours after Botox. You should also avoid rubbing your face in the area that was treated. Don't lie down for at least 1 hour after receiving Botox. Don't go into any saunas, hot tubs, or tanning booths for at least 4 hours.

Do you tip for laser vein treatment? ›

Gratuity cannot be accepted on services such as injectable and laser treatments, medical level microneedling, platelet-rich plasma treatments, and laser hair reduction. If your medical spa provider is asking for or accepting gratuity on a medical procedure, RUN!

Do you tip on CoolSculpting? ›

Many med spa treatments are sold in packages, like laser hair removal, CoolSculpting, and more. In these instances, it can be difficult to determine spa tipping. For packages, you can tip upfront or tip per appointment – either is fine!

How much to tip an aesthetician? ›

Remember that your esthetician is providing you with a service, so you should always tip. What to tip for a facial is much like tipping a server at a restaurant. A 20% tip is good, but base it off the esthetician's performance.

Do I tip my Botox lady? ›

Tipping is customary for “pure” cosmetic services like chemical peels and laser hair removal. If your Botox treatment is bundled with services like these, your provider may expect a tip.

Are you supposed to tip your plastic surgeon? ›

Dr. Melissa Doft of Doft Plastic Surgery, also on The Upper East Side agrees. “We do not encourage patients to tip,” says Doft, although some of her facial clientele insist. “If the physician, physician's assistant or nurse practitioner is performing the procedure, no tip is necessary,” Doft points out.

Do you tip when getting lip fillers? ›

Board-certified dermatologists, plastic surgeons, and nurse injectors typically do not expect or accept tips for lip fillers. For licensed medical providers, accepting tips is discouraged and considered unethical by healthcare ethics associations.

Should you tip an aesthetician? ›

With this in mind, tipping an esthetician for nonmedical services is generally appreciated and encouraged. A standard rate of 15-20% for a treatment is recommended, but the amount is ultimately at the client's discretion. You may even opt to tip more if the quality of service was especially high.

Do you tip if the person owns the business? ›

"Not tipping the owner is an old tradition that's dying out," Post says. She recommends 15 to 20 percent of the fee, whether or not the stylist owns the place. When more than one person (stylist, colorist, blower) attends to you, split 15 to 20 percent among them according to how much each contributed to the outcome.

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