Level 4 Advanced Skin Rejuvenation Course

Centred around clinically effective skin treatments and the knowledge required to practice ethically & efficiently. Suited to Doctors, Nurses and Therapists who strive for exceptional outcomes in skin health.

  • Suits existing therapists or nurses
  • Dermal science
  • Micro Needling
  • Chemical Skin Peels
  • Laser and Light
Now includes full level 4 diploma in Laser & Intense pulsed light

Please note: You can enrol into this course at any time, the first stage of the course is online learning, from there we start your practical skills training.

View course dates: click here

Ireland’s most advanced skin care course

Another ATAI first for Ireland our unique advanced skin therapy and rejuvenation courses designed to instil a deep understanding of skin science and practical techniques. Based on the new Level 4 to Level 7 format the course has a core and elective components to tailor the structure to your existing skill set and your personal goals within the aesthetics industry.

Open to doctors, nurses and beauty therapists holding a Level 3 beauty specialists qualification or CIDESCO.

Level 4

We begin with the core Level 4 qualification a foundation to build upon and designed to meet Health Education England’s 2016 Qualification Requirements for Delivery of Cosmetic Procedures. You can read here why we follow UK standards in training.

  • Module 1: Aesthetic Practice Core of Knowledge
  • Module 2: Professionalism, Law & Ethics
  • Module 3: Occupational Health & Safety
  • Module 4: Advanced Consultation Skills
  • Module 5: Anatomy & Physiology
  • Module 6: Psychology in Aesthetic Practice
  • Module 7: Topical Skin Therapy (AHA’s, BHA’s, Chemical Skin Peels, Cosmeceutical Products)
  • Module 8: Principles of Very Mild Chemical Peels
  • Module 9: Practice of Very Mild Chemical Peels
  • Module 10: Principals of Microneedling
  • Module 11: Practice of Microneedling

Foundation Day

The foundation day is to introduce you to ATAI, the course, the eLearning system and the treatments carried out in the course. It is part of the learning pathway to observe the procedures being performed and a general introduction to the clinical process.


The theory side of the course is delivered through eLearning. It provides approximately 150 hours of CPD accredited learning where you can learn at your own pace and in your own time. Facilitated through a purpose-built learning management system for aesthetic courses it remembers where you left off. Throughout the course, you will be challenged with a variety of testing aids designed to help you learn while making sure you have understood each modules content.

Practical Training

With the course theory content delivered through eLearning, this allows us to concentrate far more on practical skills. Depending on the electives taken, for example, IPL or RF will have an impact on the time spent in clinical training. As a guide, you perform 12 case studies for skin peels and 12 case studies for micro needling.

This is performed in typical clinical setting, i.e. from consultation through to delivery of the procedure. Practical training days are Mondays, and Tuesday’s and an average duration is three to 5 weeks depending on electives from 10 am to 3 pm. We keep class numbers low, typically six people or under to maximise the learning experience.

ATAI Clinic

While it is not compulsory, we highly recommend after the practical training you attend the ATAI educational clinic to further your experience and hone your skills. Leaving ATAI feeling fully confident in your abilities and client care will make your viability as an employee far more attractive to potential employers. If you are setting up on your own, you will have much more confidence in your abilities to practice without oversight.


Our bespoke course designed to meet the latest standards in training and meeting the JCCP/HEE code of delivery for aesthetics courses exceeds any single course available from awarding bodies.

The syllabus exceeds any single qualification available from ITEC, and by completing this course, you gain three ITEC qualifications.

  • ITEC Level 4 Certificate in Skin Peeling
  • ITEC Level 4 Certificate in Skin Needling
  • ITEC Level 4 Certificate in IPL for Skin Rejuvenation

Course Learning Structure

Orientation Day

Introduction to the eLearning system, introduction to facial peels and micro needling. General introduction to ATAI, your tutor and support details.


After the orientation day you have access to the eLearning modules, to learn in your own time and at your own pace. During eLearning, you will also submit assignments as outlined in the course content, your tutor will advise you throughout this process.

Practical Training

Once you have completed the eLearning modules you call ATAI to arrange your practical days, these are held on Mondays and Tuesdays for a typical duration of 5 weeks depending on electives taken. During your practical training, you build a portfolio of treatment evidence performed on models supplied by ATAI. • 12 Case studies facial peels • 12 Case studies micro needling


After completing all stages of the course we arrange exams at ATAI, and you will be informed of exam dates.


After completing the exams, we notify you of results and present you with your qualifications.

Some of the Topics Covered

The Body

  • The Cardiovascular System
  • The Lymphatic System
  • The Nervous System
  • The Muscular System
  • The Skeletal System
  • The Endocrine System

Topical Skin Therapy

  • The Role Of Topical Skin Treatment
  • How Products Interact With The Skin
  • How Client Factors Influence Topical Skin Treatment
  • Associated Risks Of Topical Skin Treatment

The Skin

  • Skin Anatomy
  • Skin Function
  • Skin Physiology
  • Skin Conditions
  • Skin Management

Advanced Consultation

  • The Client-Focused Approach To Pre Treatment Assessment
  • The Role Of Skin Examination
  • The Importance Of Communication And Informed Consent
  • How To Recognise And Respond To Vulnerable Clients
  • The Role Of A Post Treatment Care Plan
  • The Importance Of Record Keeping In Aesthetics

The course is designed at a level suiting aesthetic medicine, regardless if you are a doctor, nurse, or therapist you will find the course rewarding.

Modules Outline

This module sets out to equip the learner with the fundamental principals that underpin the aesthetics sector. Understand the concept of evidence-based therapies, how to evaluate evidence-based literature, understand systematic review while gaining the knowledge to perform the principles of research methodology. Understand why adherence to evidence-based practice is essential and to rationalise a deviation from an evidence base.

Understand and explain the different terminologies and sectors of the industry, salons, medispas, aesthetics clinics, medical environments, the difference between medical and non-medical, surgical and non-surgical and the role of specialist practitioners. The importance of working in line with organisational procedures and protocols and how they interact with the treatment pathway.

The aim of this module is for learners to understand the role of regulatory bodies within the aesthetics sector, legal, insurance and safety regulations their need and influence in the sector. The learner will need to summarise the methods and processes of ensuring conforming to health and safety standards.

With the awarding bodies originating in the United Kingdom, there is a focus on UK acts, bodies, and legislative influences. While it is important to familiarise yourself with the UK acts for passing exams, it is also important to understand how the UK regulatory bodies such as the JCCP and CPSA are influencing the broader aesthetics sector. The JCCP understand the need for uniformity across jurisdictions and the industry is moving in the direction of ISO standards. 

Learning Outcomes

  • Understand the role of legislation in aesthetics
  • Understand the importance of professional conduct in aesthetic therapies
  • Know the key regulations, legislative influences and responsibilities relating to aesthetic therapies
  • Be able to explain the role of regulatory bodies including
    • The Joint Council of Cosmetic Practitioners (JCCP)
    • The Cosmetic Practice Standards Authority (CPSA)
    • The British Association for Cosmetic Nurses (BACN)
  • Be able to explain the Keogh Report and the HEE Qualification Standards
  • Understand the role of clinical oversight within aesthetic therapies
  • Understand the importance of audit including
    • Reasons for and methods of recording work clearly and accurately
    • Risk management
    • Education, training, CPD and peer review
    • Evidence-based care and effectiveness


The course also requires the learner to perform research to familiarise themselves with the acts and legislative requirements in their jurisdiction.

  • The Environmental Protection Act 1990
  • The WorkPlace Regulations (Health, Safety and Welfare) 1992
  • Health and Safety at Work Act 1974
  • The Management of Health and Safety at Work Regulations 1999
  • The Health and Safety (First Aid) Regulations 1981
  • Dangerous Substances and Preparations (Nickel) (Safety) Regulations 2005
  • The Personal Protective Equipment at Work Regulations 1992
  • The Provision and Use of Work Equipment Regulations 1998
  • The Control of Substances Hazardous to Health Regulations (COSHH) 2002
  • Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) 2013
  • The Electricity at Work Regulations 1989
  • The Fire Precautions Act 1971
  • The Fire Precautions (Workplace) Regulations 1997
  • The Manual Handling Operations Regulations 1992
  • Employers Liability (Compulsory Insurance) Act 1969
  • The Working Time Regulations 1998
  • General Product Safety Regulations 2005
  • Cosmetic Products (Safety) Regulations 2008
  • The Supply of Goods and Services Act 1982
  • Sale and Supply of Goods Act 1994
  • Consumer Protection Act 1987
  • Trade Descriptions Act 1972
  • Local Government (Miscellaneous Provisions) Act 1982
  • Data Protection Act 1998
  • General Data Protection (GDPR) 2018
  • Social Services Act 1970
  • The Equality Act 2010
  • Safeguarding Vulnerable Groups Act 2006
  • Corporate Manslaughter and Corporate Homicide Act 2007
  • The Health Education Report on Non-Surgical Cosmetic Interventions and Hair Restoration Surgery 2016
  • Local, national or European legislation
  • Legal obligations when working with clients and the general public
  • Industry Codes of Practice relating to risk assessment, consultation, informed consent, confidentiality, photography, hygiene, health and safety, use, storage and disposal of hazardous waste and sharps

The unit is designed to develop the knowledge while providing the skills for correct client assessment for advanced aesthetic therapies.

This unit is about understanding the principles of client care when providing professional consultations for advanced aesthetic therapies. Delegates will develop the knowledge and skills required to prepare for and undertake detailed consultations, demonstrating an understanding of the need for client consent. How to work within the limit of own competence, the requirement of always conducting one’s own consultation and the necessity of allowing time for a cooling off period prior to the treatment.

Learners will develop an understanding of the importance of considering the client’s psychological needs when consulting and advanced therapies. Improving communication skills, and how to identify and advise on suitable treatment options and communicate realistic and appropriate treatment objectives.

Learning Outcomes

  • Understand how effective communication and professional behaviours contribute to client trust
  • Understand methods and processes for gaining information through consultation
  • Know the importance of completing a thorough consultation
  • Know the information required when completing and consultation
  • Know the requirements for recording procedures

This module aims to instil a deep understanding of how and why we age, understanding how therapies and products interact down to a cellular level. With an ageing population more susceptible to skin disease and disorders there is an increasing demand for prevention and corrective treatment. While intrinsic ageing is inevitable for all of us, extrinsic ageing is often the greater influence making us look older than our years actually are. Exposure to ultraviolet light, smoking, excessive drinking, decreased mobility, and environmental factors all take their toll. As our understanding and technology increases, we are better able to control and even reverse many of the visual signs of ageing. Making a few lifestyle changes can also significantly impact physiological effects, providing the best chance to live longer, while lowering our chances of skin disease.

The skin is the largest organ of the human body. It is a complex epithelial and mesenchymal tissue comprising a multilayered stratified epidermis, adnexal structures such as hair follicles, sweat glands and sebaceous glands, a dermis containing collagen and elastic fibres, and underlying subcutaneous fat. More than 1000 disease entities involving the skin have been described and up to 20% of all patient referrals to general practitioners involve skin pathology. Diseases such as psoriasis, eczema, urticaria and melanoma impose a considerable burden on healthcare resources and impact significantly on patients’ quality of life. Knowledge of the structure and function of the skin and its appendages is therefore paramount to understanding the biology of healthy skin and the pathophysiology of skin diseases.

The module sets out to give the knowledge and skills to understanding peoples motivations and the ability to recognise someone with an unhealthy approach to aesthetics an essential component of professional consultation skills. As a professional in your industry, it is your responsibility to assess, recognise and be fully aware of the implications of treating these at-risk groups. This unit equips you with the understanding and knowledge required to safely and ethically operate in the aesthetics space.

There is an increased demand for aesthetic procedures crossing broad demographics of people with varied motivations and expectations. While the majority of people have a healthy approach to cosmetic treatments, it is essential to understand and recognise unhealthy drivers and unrealistic expectations. We coin this cohort ‘at-risk groups,’ susceptible to being disappointed with the treatment outcome while often adding to the psychological anxiety they already feel.

Learning Outcomes

  • Understand the motivations of a client’s desire for aesthetic treatment and the basic knowledge of the psychology of appearance
  • To be able to recognise at-risk groups including those with mental health conditions
  • Be able to use effective communication skills to support shared decision making, understand the need for informed consent and concordance in outcome expectations
  • Knowledge of relevant NICE guidelines and or local jurisdiction guidelines pertaining to Obsessive Compulsive Disorder (OCD) and Body Dysmorphic Disorder (BDD)
  • Understand how to to use appropriate screening tools and questions to identify high-risk groups

This unit aims to develop the learner’s knowledge, understanding and practical skills when using superficial skin peeling products and techniques to rejuvenate the condition of the skin. Learners will acquire skills involved to provide a thorough consultation, skin health checks to establish the client’s suitability for treatment and to formulate a specific treatment plan tailored to suit individual client needs. Learners will prepare and apply a range of skin peels as well as providing the relevant pre and post care.

This is a practical module performed under the clinical environment from client consultation through to delivery of the procedure. Learners are required to perform 12 case studies these follow best practices to conform with aesthetic treatment protocols. A full consultation that includes informed consent, the client’s medical history, before and after pictures and a full workup of the client’s conditions being treated, the condition characteristics, and evaluation of treatment outcome, treatment protocols used, including topical agents and aftercare advice.

This unit aims to develop the learner’s knowledge, understanding and practical skills for delivering skin needling. It covers the skills involved in providing a thorough consultation to establish the client’s suitability for treatment and also the knowledge on how to formulate a specific treatment plan tailored to suit individual client needs. Learners will also develop the knowledge required to provide pre and post-treatment advice and post care to ensure the client receives the full benefit of the treatment.

This is a practical module performed under the clinical environment from client consultation through to delivery of the procedure. Learners are required to perform 12 case studies these follow best practices to conform with aesthetic treatment protocols. A full consultation that includes informed consent, the client’s medical history, before and after pictures and a full workup of the client’s conditions being treated, the condition characteristics, and evaluation of treatment outcome, treatment protocols used, including topical agents and aftercare advice.


How much is this course?

The course is €3750

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Please note: You can enrol into this course at any time, the first stage of the course is online learning, from there we start your practical skills training.

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