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Can a Cosmetologist Inject Botox?

Do you know if a licensed cosmetologist can legally inject Botox in Illinois? I am thinking about having it done, but I just want to make sure this is on the up and up.

Doctor Answers 11

Buyer Beware: Unfortunately, this becoming more common!

Botox, the Allergan, FDA approved botulinum toxin type A product, can only be legally purchased by a physican.

If "Botox" is being advertised, likely it is an illegal foreign substance and there have been high profile stories on the extereme dangers of illegal, untested, unapproved substances being injected by "clinics".

Please always seek the services and advice of a board certified dermatologist or plastic surgeon for Botox and other information on safe and proven options for rejuvenation.

New Orleans Dermatologist
5.0 out of 5 stars 12 reviews

145 Robert E. Lee Blvd
New Orleans, LA 70124

Can a cosmetologist deliver a baby?

The answer to both questions is yes. Is it legal? Is it wise? Those are different questions.

If a cosmetologist were the only person around and a woman needed help with her delivery, then the cosmetologist could deliver the baby. Delivering babies and injecting Botox are medical procedures.

I am being interviewed by Spike TV this weekend; they are producing a show on "Botox deaths". There have been a handful of severe Botox side effects related to the unscrupulous injection of "imitation Botox" that was labeled for experimental use only. There have been no reported cases of the use of legitimate Botox for cosmetic use causing any deaths.

I agree with Dr. Julius Few, a very well respected plastic surgeon and member of the Injectables safety board whose answer to this question is excellent. This is a medical procedure that should be performed under medical supervision.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

16311 Ventura Blvd
Encino, CA 91436

Varies by state, in California, physicians, physicians assistants, and nurses may

It varies state to state who may do different procedures.

Botox, since it considered a drug, has to be ordered by a physician. Depending on the state, different licensed providers, under the supervision of a physician may inject with Botox.

You can probably look at the web site for the cosmetology licensing board in Illinios and get a specific answer.

John E. Gross, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

425 South Fair Oaks
Pasadena, CA 91105

Cosmetologist does not equal Dermatologist.

Each state has different laws about who can legally inject Botox. But I think the secondary question is... who SHOULD inject Botox? Botox is a neurotoxin, and needles being put into your face to affect your nerves and muscles is no minor thing.

Dermatologists have anatomical and surgical training during and after medical school, in their dermatology residencies, and some in surgical fellowships following. Do not confuse cosmetologists (aestheticians) with dermatologists (MD's).

Be careful who you ask to treat you with Botox.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
5.0 out of 5 stars 42 reviews

317 East 34th Street
New York, NY 10016

Who can inject Botox

The laws are unclear and vary between state to state.  However, Botox is a very effective but potent medication.  It should only be injected by experienced board-certified plastic surgeons and dermatologists.  Would you go to the hair salon to have your gall bladder removed?  Not likely.  Good luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 64 reviews

10 East 53rd Street
New York, NY 10022

Cosmetologist and botox injections

Botox injections should only be administered by a doctor. It can however also be performed under doctor supervision by a nurse or physician assistant. I do not know what a cosmetologist is?

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Botox should only be injected by a doctor


Botox is a very effective but very powerful medication. There are well-known complications and problems that may arise from the improper injection of Botox. To make sure they get the best results, visit a board-certified plastic surgeon or dermatologist for your Botox. These professionals have a great deal of experience with this medication and can make sure that you are treated appropriately and safely.

For more information on Botox or to schedule an iConsult, please visit us online at: 

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 67 reviews

848 Brickell Avenue
Miami, FL 33131

Cosmetologist should not inject Botox.


I don't know about Illinois.  In the states that I know about, it is not legal. But that is not the question you should be asking.  Who is best at injecting Botox?  Go to an experienced plastic surgeon or dermatologist.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

875 Park Ave at 78th Street
New York, NY 10075

Trust your Botox injections on the most trained and experienced doctors

BOTOX is being injected by all sorts of people, some with extensive training such as dermatologists and plastic surgeons, but unfortunately also by just about anyone who can get their hands on it. Just because someone has BOTOX and can push a needle, doesn't mean they understand the proper placement of BOTOX, anatomy, and safety precautions. When doing anything health related, especially if it is cosmetic and to your face, I would only trust the most trained and experienced. Although my plumber could probably do my taxes, I'd be much better off with an accountant doing them ;)

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

4256 Bathurst Street
Toronto, ON M3H 5Y8

Cosmetologist cannot inject Botox LEGALLY

Because Botox is a prescription medication, it can only be injected by a physician or a medical practitioner working directly under the supervision of a physician. In California, a nurse, Physician's assistant and/or nurse practitioner's can all provide Botox injections working under the supervision of a physician. Cosmetologists are excluded in California.

We assume that they are in other states as well, and would caution you because if the person is using fake Botox and has no malpractice insurance (which they would not if they are not a physician's office) then your options might be limited in the event anything goes wrong.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

23211 Hawthorne Blvd.
Torrance, CA 90505

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.