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It appears that Texas, like most states do not permit Estheticians to practice medicine by allowing them to perform BOTOX injections. Of course, the exception would be if the Esthetician was also a registered nurse or a physicians assistant. Under this circumstance, the treatment would need to be under the direct supervision of the physician. If you have additional specific questions, contact the Medical Board of Texas or the Cosmetology Board.
Every state has its own rules, but the bottom line is that we are injecting a known toxin into your skin, so you only want the very most trained and experienced physicians injecting you (e.g. dermatologists or plastic surgeon). Why risk your beauty and health?
This has been a big issue in the state of Nevada- the facts are that this particulatr practice, of having unlicesed medical assistants and aestheticians inject prescription medications may not only be dangerous, but illegal. I would recoomend having your injections at an established practice, either by an experienced md injector or by a supervised nurse, nurse practicioner, or physician assisstant.