In this short explainer, we unpack a pivotal VCAT ruling that reshapes the future of cosmetic nursing. The decision marks a shift towards recognising individual competency and advanced clinical practice, rather than simply counting time in the field. Featuring the journey of nurse practitioner Nektaria Tzimas as a powerful example of perseverance and advocacy, the video explores how cosmetic nursing is being elevated as a specialised area of advanced practice. It calls on practitioners to champion their professional worth, commit to high‑quality care, and pursue ongoing education and training. This is a collective win for cosmetic nurses striving to uphold high standards and marks the beginning of a transformative era in advanced nursing.