Botox, Filler and Chemical Peel Regulations in Texas?

Hi Tansy0175. Although we are not in Texas, we'd like to comment on the use of non-physicians (and non-medical professionals) for injecting Botox. We are big proponents of training and not title (providing that a nursing or physician's license is the baseline minimum). For example, in our practice, we have two excellent nurse injectors. They have been trained by myself, Allergan trainers (the makers of Botox) and attend seminars quarterly to keep up with changes in best practices. They are... more

Unfortunately, anyone! Let the buyer beware. In my opinion, these injections constitute the practice of medicine. In reality, it is a cash business practiced by anyone who can get away with it: unlicensed people in hotel rooms; salon or spa employees; "supervised" employees answerable to an off-site doctor or "consultant." Of course, these doctors (of any specialty) are responsible for these actions, which will be indefensible. I only myself and my Physician Assistant... more

Some doctors offering Botox and other injectables have a non-physician, and in some cases a non-nurse do the actual injections. The law in Texas does allow non-physician designees to perform supervised treatments. The key is what is meant by supervision, and you will see some clinics with no doctor in the building offering injectables. I am not sure, but I believe that advanced nurse practitioners can perform unsupervised treatments. My personal preference is to perform all the... more