Can a nurse inject Juvederm in a beauty clinic?

A nurse can inject filler or toxins in a beauty clinic or medspa, as long as he/she has a physician medical director at that facility.  My overall recommendations, however, would be to seek the
services of an experienced plastic surgeon for the following reasons.
I think the key with injectables lies in truly
understanding the anatomy of the injected area, and more importantly the
variability in the anatomy between patients -- for brows, eyelids, cheeks, lips, and
anywhere else you plan on receiving a filler or toxin. This includes having a
firm understanding of the origin, insertion, and action of each muscle around which filler
will be injected, the vascular (blood vessel) network in the region, the underlying bone anatomy, and the patient
variability therein. As an Aesthetic Fellowship-trained Plastic Surgeon,
I feel that I have an advantage when injecting since I operate in the face for cosmetic browlifts, facelifts, and eyelid surgeries and also when repairing those areas following injury.  I feel this allows a unique perspective to the anatomy since I commonly
dissect under the skin and see the underlying structures directly. For me, this
helps guide where to inject and where not to.
Good luck.

Mark K Markarian, MD, MSPH
Harvard-trained Aesthetic Plastic Surgeon

Thank you for your question. While there are no specific rules for the place of injection it is best to seek treatment from an in-board-certified dermatologist in a medical office. 

Different states have different regulations about whether nurse practitioners or physicians are allowed to do injection procedures. You should consult your state medical society about this and consider the experience of the condition as well as their accessibility to medical care in the event of a complication. 

Nurses can inject fillers at a facility as long as there is a Medical Director in place.  You may ask to see credentials if you are unsure.

Yes. A nurse can legally inject fillers. However, injectables, whether they be fillers or Botox, require medical expertise as well as a keen artistic eye. Plastic surgeons have the training, skill and expertise to deliver both. Best of luck.

Thank you for your question.  Nurses can legally perform injectable procedures in Massachusetts under the supervision of a physician medical director.  Please be sure to see an expert injector for an in-person consultation to fully discuss your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes! 

I do not know the specific laws in Massachusetts, but I would say that you should only go to a qualified injector who has a lot of experience. In my opinion, a trained plastic surgeon or one of the core aesthetic  doctors would be best.

Thank you for your question harbortowers. Juvederm is a hyaluronic acid filler designed to enhance the
appearance of the face. Laws regulating who can inject fillers vary from state to state. In California nurses are permitted to inject fillers. I am unaware of the the laws in Massachusetts. Please consult with a doctor for specific recommendations. Good luck!

Thank you for your question.  Laws vary from state to state, and while I am not familiar with the exact regulations in Massachusetts, nurses are allowed to inject fillers and Botox in most of the US.That said, I think it's very important to look at the qualifications of your injector.  When you're undergoing a cosmetic treatment, you're really not just "buying" a syringe of Juvederm, and your final result is highly dependent on your injector's knowledge of facial structure & anatomy, expertise, and artistic eye.  While there certainly are some very skilled nurse injectors out there, I generally recommend that patients see experienced cosmetic dermatologists or plastic surgeons for their treatments.  Best of luck! 

The statute in MA requires that a supervising MD be present and actually that there be a written order.  However, whose judgement do you trust more, a surgeon trained in facial surgery or a nurse who attended a one day course.  It is certainly up to you.  The best nurse injectors are in MD offices.