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Quick AnswerAt a GlanceDeep DiveWhen AAFE FitsWhy EmpireFAQ
27+
Years Training
200,000+
Healthcare Pros Trained
5
Specialized Academies
35+
Cities Nationwide
AMA PRA Category 1 Credits™
ACCME Accredited
Live-Patient Hands-On
Founded 1998

Quick Answer

Empire Medical Training vs. AAFE in 60 Seconds

Empire Medical Training is typically the better fit for physicians, nurse practitioners, physician assistants, and registered nurses seeking hands-on CME across aesthetics, pain management, functional medicine, cosmetic laser, and business & marketing. The American Academy of Facial Esthetics (AAFE) is strongest for dental professionals who want facial-esthetics and orofacial pain programs taught within a dental-education framework.

Healthcare professional evaluating continuing medical education options in a bright modern clinic

Both Empire Medical Training and the American Academy of Facial Esthetics (AAFE) are CME/CE-accredited continuing education providers serving the medical aesthetics market, but they serve very different primary audiences. Empire Medical Training was founded in 1998 and has trained more than 200,000 healthcare professionals across five specialized academies — Aesthetic Medicine, Pain Management, Functional Medicine, Cosmetics, and Business & Marketing. AAFE was founded in 2005 by Dr. Louis Malcmacher and focuses on facial esthetics, orofacial pain, and Botox/filler training primarily for dental professionals.

The most important distinction between the two organizations is who they are built for. Empire's courses are open to the full range of licensed healthcare professionals — physicians, NPs, PAs, registered nurses, dentists, pharmacists, estheticians, and med spa owners — with curriculum designed for each profession's scope of practice. AAFE's curriculum, while open to non-dental providers, is structured primarily around the dental workflow and dental-CE credit system. If you're a non-dental healthcare provider looking to build a diversified aesthetic or procedural practice, Empire's multi-academy approach typically provides broader value.

Physician building a successful multi-specialty cash-pay practice

Why This Comparison Matters

Your Training Provider Decision Is Really a Practice-Strategy Decision

Choosing between Empire Medical Training and AAFE isn't just about one course. It's about the service menu you'll be able to offer three years from now — because the practitioners who win the next decade of cash-pay medicine won't be the ones who mastered a single procedure. Here's what's actually at stake:

1

Patients leave for the one-stop provider

Convenience wins. Patients bouncing between providers eventually consolidate with the one who offers the most.

2

Single-service revenue is fragile

One supply disruption or new competitor nearby puts your entire income at risk. Multi-service practices absorb shocks.

3

Existing patients are your highest-ROI growth

Every new service turns the same patient into 2–4x the lifetime revenue with zero acquisition cost.

4

Breadth builds a competitive moat

A new injector opens every month in every city. A full-service practice is almost impossible to replace.

This is the real question when you compare Empire Medical Training to AAFE: which provider can actually train you to deliver enough services to be the only provider your patients need? Scroll down to the side-by-side to see exactly how the two stack up on course breadth, pathways, and the full practice toolkit.

Side by Side

Empire Medical Training vs. AAFE at a Glance

A fact-based comparison across the criteria most practitioners use to choose a training provider. Competitor data is from public sources as of April 15, 2026.

17
Empire wins
of 18 categories
1
Tied
categories
Criterion
★ Best Choice
Empire Medical Training
AAFE
Overview
Overview
Founded
Founded
Empire
1998 (27+ years)
AAFE
2005 (20+ years)
Primary Audience
Primary Audience
Empire
Physicians, NPs, PAs, RNs, Dentists, Pharmacists, Estheticians, Med Spa Owners
AAFE
Dental professionals (dentists, hygienists); open to non-dental
Curriculum
Curriculum
Academies / Specialty Areas
Academies / Specialty Areas
Empire
5 academies: Aesthetics, Pain Management, Functional Medicine, Cosmetics, Business & Marketing
AAFE
Primarily facial esthetics and orofacial pain
Course Breadth
Course Breadth
Empire
50+ individual workshops across 5 academies
AAFE
Focused curriculum: Botox, fillers, PDO threads, orofacial pain, TMJ
Business & Marketing Track
Business & Marketing Track
Empire
Yes — dedicated academy on pricing, AI marketing, med spa operations
AAFE
Not a primary focus
Structured Learning Pathways
Structured Learning Pathways
Empire
Yes — guided multi-course pathways from foundational to advanced specialty certification across all 5 academies, inside the student portal
AAFE
Offers dental CE fellowship and proficiency tracks focused on facial esthetics and orofacial pain
Preceptorships & Clinical Fellowships
Preceptorships & Clinical Fellowships
Empire
Yes — customizable preceptorships across aesthetics, pain management, functional medicine, and cosmetic laser, plus clinical fellowships: small-group training with more hands-on practice time and tailored instruction for each cohort
AAFE
Dental-scoped Fellowship in Orofacial Pain and Dental Sleep Medicine
Delivery
Delivery
Training Locations
Training Locations
Empire
35+ cities across the United States
AAFE
Multiple US cities (regional rotations)
Hands-On Live-Patient
Hands-On Live-Patient
Empire
Yes — live patients in every hands-on course
AAFE
Yes — live patient hands-on in most programs
Livestream / Virtual Option
Livestream / Virtual Option
Empire
Yes — livestream + on-demand for most courses
AAFE
Live seminars; some online components
Credentials
Credentials
Accreditation
Accreditation
Empire
AMA PRA Category 1 Credits™ (ACCME)
AAFE
Dental CE credits (AGD PACE, ADA CERP); medical CE on select courses
Faculty
Faculty
Empire
Majority of Empire faculty are practice-owning physicians — you learn clinical technique AND the real-world business of running the practice from instructors actively operating the same kind of practice you're building
AAFE
Led by practicing dentists, with faculty drawn primarily from the dental-CE and orofacial pain community
Value
Value
Membership Program
Membership Program
Empire
Yes — unlimited-access memberships (Sapphire, Premier, Platinum, Diamond)
AAFE
No membership-based unlimited access model
Pricing
Pricing
Individual Workshop Pricing
Individual Workshop Pricing
Empire
From $1,599 per workshop $1,899 · Livestream + in-person both included in every course registration. Browse all courses →
AAFE
Individual courses typically range from $1,500 to $3,500+ per program depending on certification track. Verify current rates at facialesthetics.org.
Membership / Unlimited Access
Membership / Unlimited Access
Empire
Platinum membership $7,299/year $8,799 · Diamond membership $9,299/year $10,799 · unlimited access to every course across all 5 academies for one annual fee. Compare membership tiers →
AAFE
No unlimited-course membership tier; programs are purchased individually or in bundled certification tracks.
Community
Community
Graduates Trained
Graduates Trained
Empire
200,000+ healthcare professionals
AAFE
Publicly reported 15,000+
Support
Support
Student Portal & Practice Tools
Student Portal & Practice Tools
Empire
12+ tools: KPI calculators, financial planning, memberships design lab, consent forms builder, inventory tracker, AI tools library, VOD library, structured learning pathways, Empire Live Mentor™
AAFE
Alumni resources and course materials
Post-Course Support
Post-Course Support
Empire
Empire Live Mentor™ monthly live Zoom Q&A with a healthcare professional faculty member — bring any practice question for clarification
AAFE
Alumni forums and continuing program access

Competitor data sourced from American Academy of Facial Esthetics's public website (www.facialesthetics.org) as of April 15, 2026. Empire Medical Training figures are first-party. A tied row reflects genuine parity — both providers deliver comparable quality on that criterion.

Ready to Explore Empire?

Two Ways to Get Started

Explore Empire's five specialized academies to see the full curriculum, or jump straight to the live course calendar and reserve a seat in your city.

Deep Dive

Six Criteria That Actually Matter

1

Curriculum Breadth: Five Academies vs. a Focused Specialty

Empire Wins

The clearest difference between Empire and AAFE is the sheer range of procedures each organization teaches. Empire operates five specialized academies — Aesthetic Medicine, Pain Management, Functional Medicine, Cosmetics, and Business & Marketing — with 50+ individual workshops spanning Botox, dermal fillers, PDO threads, PRP, cosmetic laser, sclerotherapy, joint injections, IV nutrition therapy, peptide therapy, hormone pellet insertion, medical weight loss, and dozens more.

AAFE's curriculum is deliberately narrower. Its strongest programs are in facial esthetics (Botox and dermal fillers) and orofacial pain (TMJ, bruxism, headache), which aligns with the dental practice model. For a provider who only wants to offer Botox and filler services in a dental setting, that focus is a feature, not a limitation. But for a physician, NP, or PA building a multi-service aesthetic or wellness practice, Empire's academy system lets you train across specialties without changing providers — and without re-paying for membership benefits you've already earned elsewhere.

2

Hands-On Training Model

Tied ·

Both Empire and AAFE emphasize live-patient hands-on training rather than mannequin-only simulation. This is a genuine strength of both organizations, and it's one of the main reasons practitioners choose either. Empire's hands-on format typically features small instructor-to-student ratios and live patients in every course classified as hands-on. AAFE similarly incorporates live-patient practice in its esthetics programs.

Where Empire has an edge is in the post-course support layer: Empire Live Mentor™ provides monthly live Zoom Q&A sessions with an experienced healthcare professional faculty member after you complete a course, so you can bring real practice questions back for clarification during your first months offering new services. AAFE's alumni access is more forum- and continuing-education-based.

3

Accreditation: AMA PRA Category 1 vs. Dental CE

It Depends · Depends on your license

Empire's courses are AMA PRA Category 1 Credit™ accredited through the Accreditation Council for Continuing Medical Education (ACCME) — the standard most physicians, NPs, PAs, and RNs need for license renewal, board certification maintenance, and hospital credentialing. If your license requires AMA PRA Category 1 CME, Empire is the more direct fit.

AAFE's flagship accreditation is in the dental CE ecosystem (AGD PACE, ADA CERP). Some AAFE programs also offer medical CE credit, but the primary credential structure is dental-first. If you're a dentist who needs dental continuing education hours, AAFE's credit structure is designed around your requirements. If you're a physician, NP, or PA, Empire's AMA PRA Category 1 Credits™ are the credential format you're more likely to need.

4

Scope Beyond Aesthetics

Empire Wins

Beyond Botox and fillers, Empire offers full programs in interventional pain management, functional medicine (IV nutrition, peptide therapy, hormone optimization, medical weight loss), cosmetic laser, and business & marketing for medical practices. This is important because most healthcare professionals building a cash-pay practice don't want to rely on a single service line — they want to diversify across aesthetics, wellness, and procedural care to maximize revenue and reduce dependence on any one trend.

AAFE's curriculum is intentionally scoped to facial esthetics and orofacial pain. For a dentist adding a single new service, that focus works well. For a physician or NP planning a multi-specialty practice, Empire's academy approach means you can train for everything under one roof, often with a single membership.

5

Membership & Value

Empire Wins

Empire Medical Training offers unlimited-access membership programs (Sapphire, Premier, Platinum, and Diamond) that let you attend every course across all five academies for a single annual fee. For a practitioner planning to train in multiple procedures, the membership model typically delivers significantly more hands-on hours per dollar than paying for individual courses one at a time.

AAFE does not offer an equivalent unlimited-course membership — its programs are typically purchased individually or through bundled certification tracks. If you only plan to take one or two courses, individual pricing may be comparable. If you plan to train in multiple services, Empire's membership model is designed to amortize training costs across the full curriculum.

6

Business & Marketing Support

Empire Wins

Empire's Business & Marketing Academy is a full specialty track covering pricing strategy, patient acquisition, AI marketing for practice growth, med spa operations, Business Blueprint for Success in Practice, and Direct Primary Care models. For practitioners launching a new service line or transitioning from traditional insurance-based practice to cash-pay, this curriculum is often as valuable as the clinical training itself.

AAFE's programming is primarily clinical. If you already have a business infrastructure and only need procedural training, the lack of a business track is a non-issue. If you're building a practice from scratch or pivoting to cash-pay, Empire provides both clinical and operational education from the same provider.

Beyond the Classroom

The Empire Student Portal: A Full Practice Toolkit Most Competitors Don't Include

Every Empire Medical Training student receives access to the Empire Student Portal — a full practice-operations toolkit with 12+ tools built specifically for medical aesthetic and functional medicine practices. Training is only half of launching a successful cash-pay service line. The portal handles the other half.

Structured Learning Pathways

Guided learning pathways take you from foundational training to advanced specialty certification with a clear, recommended sequence — so you always know which course to take next to build the clinical skill set your practice needs.

KPI Calculators for Med Spa & Practice Owners

Run revenue projections, customer acquisition cost (CAC) analysis, patient retention modeling, and profitability calculations directly inside the portal. Built for practice owners actually running the numbers on new service lines — not generic spreadsheet templates.

Financial Planning & Compensation Builder

Model staff compensation, commission structures, and service pricing with the MedSpa Compensation Builder. Plan financing for new equipment, project ROI on laser purchases, and build cash-flow models for launching new service lines.

Memberships Design Lab

Build membership and loyalty programs for your practice without hiring a marketing consultant. The Memberships Design Lab walks you through tiered pricing, recurring revenue modeling, and patient retention strategies proven in successful Empire-trained practices.

Consent Forms Builder

Build custom, attorney-reviewed consent forms for every procedure you offer — Botox, dermal fillers, PRP, cosmetic laser, IV therapy, peptide therapy, and more. The built-in consent forms builder lets you generate branded, practice-specific documents in minutes instead of starting from scratch or paying a healthcare attorney to draft each one.

Inventory Tracker

Manage your Botox, filler, and supply inventory with real-time expiration tracking, reorder alerts, and cost-per-treatment analysis. Built specifically for medical aesthetic and injectable practices — not a generic retail inventory tool.

Top AI Tools for Practice Growth

A curated library of AI tools for patient communication, marketing content generation, appointment scheduling optimization, and practice automation — vetted for healthcare and updated quarterly as the AI landscape evolves.

VOD Library & On-Demand Training

The full Empire training library on-demand — review any course you've completed, preview courses you're considering, and access technical videos demonstrating procedures you can replay as you build confidence treating your own patients.

Empire Live Mentor™ Monthly Q&A Sessions

Bring real practice questions back to Empire's healthcare professional faculty after your course. Live monthly Zoom sessions give you a structured opportunity to get clarification on any procedure, technique, or patient case from an experienced instructor — a safety net during the critical first months of offering a new service.

Marketplace & Preferred Vendor Network

Access Empire's Marketplace for discounted access to equipment, products, and services from preferred vendors across the medical aesthetic and functional medicine supply chain. A real savings line item most solo practitioners can't negotiate on their own.

Most competing training providers — including AAFE — focus on delivering clinical instruction and stop there. Empire's Student Portal and Live Mentor™ system extend your training into the operational and clinical support you actually need in the first 90 days of offering a new service.

In the Interest of Fairness

When AAFE Might Be the Right Fit

Medical practitioner weighing training provider options

AAFE is likely the stronger fit if you are a licensed dentist looking for facial esthetics training taught within a dental-education framework, if you specifically want orofacial pain and TMJ protocols alongside Botox and filler instruction, or if dental CE credits (AGD PACE, ADA CERP) are the specific credential you need for license renewal. Dr. Louis Malcmacher and AAFE have built a respected program for the dental community, and for dentists whose practices focus on TMJ, bruxism, and facial esthetics as an extension of their dental workflow, it's a legitimate and well-regarded choice.

The Bottom Line

Why Empire Medical Training Is Typically the Stronger Choice

Bright modern medical aesthetic practice interior representing the practice Empire-trained professionals build

For the majority of non-dental healthcare providers — physicians, NPs, PAs, registered nurses, pharmacists, and med spa owners — Empire Medical Training typically delivers broader value because you can train across five specialized academies under one roof, earn AMA PRA Category 1 Credits™, practice on live patients in small group settings, access the Empire Live Mentor™ post-course support program, and use unlimited-access membership programs to amortize the cost of training across dozens of procedures.

Ready to see the course options in your specialty? Browse Empire's full calendar or call 844.997.3231 to speak with an admissions specialist who can help you choose the right training path for your license and practice goals.

View Upcoming Course Dates →
Or call 844.997.3231 to speak with an admissions specialist.

What Empire Students Are Saying

Hear from real healthcare professionals who chose Empire Medical Training over the alternatives — and what it changed for their practice.

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FAQ

Questions About Empire vs. AAFE

Is Empire Medical Training more comprehensive than AAFE?

Yes, in terms of curriculum breadth. Empire offers 50+ individual workshops across 5 specialized academies (Aesthetics, Pain Management, Functional Medicine, Cosmetics, and Business & Marketing), while AAFE focuses primarily on facial esthetics and orofacial pain training for dental professionals. If you need training across multiple specialty areas, Empire's academy structure is designed for that.

Does AAFE offer AMA PRA Category 1 Credits?

AAFE's primary accreditation structure is dental CE (AGD PACE, ADA CERP). Some AAFE programs carry medical CE credit as well, but if you're a physician, nurse practitioner, physician assistant, or registered nurse who needs AMA PRA Category 1 Credits™ for license renewal, Empire Medical Training's ACCME accreditation is the more direct credential.

Which program is better for nurse practitioners?

Empire Medical Training is typically the stronger choice for nurse practitioners. Empire offers a dedicated NP audience hub with courses across aesthetics, pain management, functional medicine, and cosmetic laser — all AMA PRA Category 1 accredited. AAFE's curriculum is built primarily around the dental practice model.

Do both programs offer live-patient hands-on training?

Yes. Both Empire and AAFE offer live-patient hands-on training in their hands-on courses (not mannequin-only simulation). This is a genuine strength of both programs and one of the key reasons practitioners choose either over purely didactic alternatives.

Is Empire more expensive than AAFE?

Pricing varies by course and format. Empire offers unlimited-access membership programs (Sapphire, Premier, Platinum, Diamond) that typically deliver significant per-course savings for practitioners taking multiple trainings. AAFE courses are typically purchased individually or in certification bundles. For a single course, individual pricing is often comparable; for multi-course training, Empire's membership model typically wins on value.

Which program is better if I'm a dentist?

Both programs serve dentists. AAFE has built its entire curriculum around the dental workflow and dental CE credit structure, which can feel more 'native' to dental practice. Empire Medical Training also offers courses specifically for dentists across aesthetics and procedural medicine, with AMA PRA Category 1 Credits that cross-apply to many dental CE requirements. Both are legitimate choices — the best fit depends on whether you want programming built around dental CE or broader medical CE.

More Comparisons

Still Comparing? Explore More Side-by-Sides

EMT
Reviewed by the Empire Medical Training editorial team
Published April 2026 · Updated as competitor data changes · Fact-checked against public sources on April 15, 2026
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