Do You Have to Be Licensed to Administer Restylane or Botox?

Doctor Answers 19

You do need to be licensed to administer Botox but the dermal fillers

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In the United Kingdom, you do need to be licensed to administer Botox but the dermal fillers such as restylane are not classified as many all devices and you do not need to be medically qualified to administer them.

The rules maybe different in America and I think it would certainly be worthwhile viewing some of the answers from your specialists in America regarding this.

Licensed Medical Professionals

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In Canada, only licensed medical professionals can administer Restylane, Botox or other injectable products classified as pharmaceuticals. This means that any licensed doctor or nurse can perform injections.

Yes, to legally inject fillers or Botox in the US, one must be licensed.

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Laws vary state by state regarding who is licensed to inject Botox, Dysport, Restylane, Juvederm, and other injectibles. However, not only should you find a legal and licensed injector, you really should also consider the complete background of your injector, since board-certified dermatologists and plastic surgeons are really the only physicians who are formally trained in facial anatomy and the medical care of potential side effects. Find a trained, considerate, and detailed appropriate physician to do your treatments, and you will be happiest overall.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

Licensed doctors and nurses can inject Restylane.

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Properly licensed doctors (MDs and DOs) and registered nurses (RNs) and physician's assistants (PAs) under the supervision of a doctor may inject Botox or Restylane. The degree of supervision may be the real question, however.

In some spas, nurses perform these injections for clients or patients without the direct supervision of a physician in some cases. The "supervising physician: may be nothing more than a signature on a form somewhere, for which a fee is paid by the spa to the doctor. Legal--yes; appropriate--you decide for yourself!

I'm not saying a doctor necessarily has to be right there to "supervise" a trained, experienced, skilled RN injector. BUT, any patient who has injections by such a person SHOULD know who the supervising physician is, and who is responsible if there is a complaint or concern. (see the 40% who feel it is "not worth it" on this forum.)

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 263 reviews

Botox should be injected by an experienced professional

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In New York State Botox injections must be performed by a licensed individual, but more importantly you should be sure that the person is qualified, and experienced.  Knowledge of the anatomy and anatomical variations is important. Ordering from the correct supplier to ensure that it is FDA-approved product is crucial. Unwanted visual effects from improperly injected Botox take months to go away so it is worth seeing an experienced dermatologist, plastic, ENT facial or oculoplastic surgeon for this treatment.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Do You Have to Be Licensed to Administer Restylane or Botox?

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In Florida you must be a MD or DO or Nurse Practitioner or a Physician's Assistant to inject Botox or fillers. It is up to the patient to select an experienced injector. From MIAMI , Dr. Darryl J. Blinski 305 598 0091

You must be a licensed physician

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There are variations from state to state as to who can inject without physician supervision, but in all states you must be a licensed MD to purchase Botox. Good common sense suggests that the patient would get best results from a board certified dermatologist or plastic surgeon, but purchasing can be done even by a GYN, GP, or any specialty MD even without aesthetic training. So, buyer beware!

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

Legalities for Restylane & Botox Injection Varies from State to State

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There are no uniform laws among states for who can and cannot inject these products or drugs.  You will always be safer, however, to have them injected by not only someone who is licensed, but is also a board-certified plastic surgeon or dermatologist.

John Whitt, MD (retired)
Louisville Plastic Surgeon

Injectors of Botox anf fillers

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Each state has different requuirements,  I believe in NY a doctor, a PA or a nurse can perform these injections if properly trained.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Yes, a license is required to inject Botox and fillers

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Different states have different requirements, some do allow physician assistants and nurse practitioners to inject.  The requirements do not, however, specify what specialty the doctor has to be, so there are many practitioners, doctors, NPs, PAs whose primary specialties are not dermatology or plastic surgery, doing cosmetic procedures.

When looking for a doctor to perform your cosmetic procedures, you definitely want a board certified dermatologist or plastic surgeon, plus you want someone with proper training and experience in injectables and other cosmetic procedures.  They are the most qualified and also the most capable of handlng adverse effects, should those occur.

Emily Altman, MD
Short Hills Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.