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The important thing is first to recognize that Botox injection is a medical procedure, so it must be done by a medical professional. Some believe that it must be done by a medical doctor, or by a nurse under the on-site supervision of an M.D., but the truth is that there are nurse injectors who are extremely talented and experienced. There are no uniform standards for training, but it is best to make sure that it is done in a clinic setting, where it is clear who the supervising doctor is, such as we do at Calidora Skin Clinics.
Well trained Registered Nurses with an appropriate state nursing license, under the direct supervision of a Medical Doctor, who is at the location during the injection, can safely and effectively inject Botox. The nurse should have extensive experience in the treatment, and should have been trained by the Medical Doctor. Spas and Botox treatment centers without adequate supervision can be dangerous. According to state medical licensing requirements, the doctor needs to be on site and immediately available. It is appropriate to ask the person who is going to do the injections about their education, training, experience, licensing, and supervision. A weekend course, inadequate experience, inadequate supervision, or a lack of credentials can be dangerous. If something doesn't add up, go somewhere else!
Botox can be injected by a variety of practitioners. These include Physicians, Mid-level providers (NPs and PAs) and also nurse injectors. I would ensure the injector has experience performing injections prior to scheduling.
Laws and regulations regarding who can inject BOTOX varies from state to state. Regardless of your geography, understanding the training and qualifications of the practitioner performing your injections is imperative. Seek out a Board-Certified Plastic Surgeon who will be able to treat you in an appropriate manner and be available to follow up with you!
Botox should be given by a well qualified physician or nurse. It is imperative that they have the expertise in terms of location of the injections and the dose of the Botox.
Thank you for your question about botox. There is not a national certification or exam for an individual to inject botox. However, injecting botox is an art and not all injectors appreciate that art. Certain outcomes such as facial drooping, brow drop or asymmetries can occur when botox is not injected properly. The goal of botox injections should be to achieve a natural appearance while decreasing muscle movement. To be sure you receive the best treatment, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.