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The practice of medicine is regulated state-to-state. In New York, one must be a licensed provider to administer an injection, not an aesthetician, even if under supervision.
Hi Casper. According to Dr. Lund below, they can. We find this surprising but trust that it's true. To be good at injecting Botox takes training and a keen understanding of facial anatomy. While most consumers think that Botox is Botox no matter where they go, we get 3-5 calls every day from patients that are looking to switch to a new injector because they are unhappy with their current one. And this is in California where estheticians are NOT allowed to inject Botox. Regardless of whom you are being injected by, we recommend getting a referral. The best way to know the skill of an injector is to know a few of that person's patients. Regardless, we're happy to say that the use of Botox in California is limited to those privileged enough to have a medical license. Good luck.
Estheticians should not be injecting Botox. Botox is a pharmaceutical drug that has many potential complications. Just like prescribing any medication, it is best done by a physician that has lots of experience. I certainly hope that there are no states that would allow this.
The person who you choose to treat your skin should be able to handle any possible complication of that treatment. Injecting is easy, knowing where and how to inject, which patients not to inject (based on comorbid conditions), and how to reconstitute botulinum toxin at a specific concentration along with proper sterile technique are where someone who went to school for 8 years after college may have a knowledge and judgement advantage over another person performing a similar procedure.
While any person can technically stab you with a syringe and inject you with any medicine, the more important question is who do you trust to inject you with the right medicine, at the right dose, in the right location, and who understands anatomy, beauty, aging and can deal with any potential side effects. We're talking about your face and appearance, as well as your health, so make sure to see you doctor, ideally a dermatologist or plastic surgeon who have extensive training in Botox.