There are several states with "loose" rules on injections. Just because someone "can" do something does not mean they "should". You can consult with the medical board in your state to see who is or is not authorized to inject. Allergan will only sell their products to physicians, so if someone is injecting they've either acquired the Botox from a physician (who is or is not overseeing them), or they are importing the product from overseas (bad news and illegal). Remember that injecting is an art and people who take a weekend course just will never have the same skills as someone who has studied facial anatomy for years. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."