Who Can Administer Botox and Dermal Fillers in the USA? State-by-State Guide
The demand for Botox and dermal fillers in the United States continues to grow as more patients seek non-surgical facial rejuvenation. However, regulations on who can legally administer injectables vary from state to state.
If you’re a physician, nurse, physician assistant (PA), or dentist considering a career in aesthetic medicine, understanding state-specific regulations is essential. This guide breaks down who can legally inject Botox and fillers in different states across the USA.
General Requirements to Administer Botox and Fillers in the USA
While regulations vary by state, the following medical professionals are typically allowed to administer Botox and dermal fillers:
- Physicians (MDs & DOs): Can legally administer injectables in every state. Some states allow delegation to other medical professionals.
- Nurse Practitioners (NPs): In many states, NPs can inject Botox and fillers independently or under physician supervision.
- Physician Assistants (PAs): Allowed to perform injections in most states, often under a supervising physician.
- Registered Nurses (RNs): Many states allow RNs to inject under physician delegation. Some states require additional certifications.
- Dentists (DDS & DMDs): Dentists can legally perform Botox and filler injections in many states, particularly for oral and peri-oral treatments.
Who Can Administer Botox and Fillers? State-by-State Breakdown
California
Who Can Inject? Physicians, NPs, and PAs can administer Botox and fillers. RNs can inject under physician supervision.
Key Regulations:
- Med spas must be physician-owned.
- Supervision is required for RNs performing injections.
📍 Learn more about Botox training in Los Angeles
Texas
Who Can Inject? Physicians, NPs, and PAs can perform Botox and filler injections. RNs can inject under physician delegation.
Key Regulations:
- Med spas must be owned by a licensed physician.
- Supervision of RNs is required.
📍 Learn more about Botox training in Texas
Florida
Who Can Inject? Physicians, NPs, and PAs can inject Botox and fillers. RNs can perform injections under physician delegation.
Key Regulations:
- Med spas must be owned by a medical professional.
- Some aesthetic procedures require a medical director to oversee treatments.
📍 Learn more about Botox training in Florida
New York
Who Can Inject? Physicians, NPs, and PAs can inject Botox and fillers. RNs can inject under physician delegation.
Key Regulations:
- A licensed medical professional must own med spas.
- Some procedures require a physician present for oversight.
📍 Learn more about Botox training in New York
Illinois
Who Can Inject? Physicians, NPs, and PAs can inject independently. RNs can inject under physician supervision.
Key Regulations:
- A medical director is often required in med spas.
- Some advanced procedures require additional certifications.
How to Legally Perform Botox & Filler Injections in Your State
If you’re interested in offering Botox and dermal fillers, follow these steps to ensure you meet state requirements:
- Check Your State’s Medical Board: Regulations change frequently, so verify current licensing and supervision requirements.
- Complete an Accredited Botox Training Course: Enroll in a CME-accredited training program to gain hands-on experience with live cosmetic models.
- Ensure Proper Supervision: If you’re an RN or PA, confirm whether your state requires a physician’s delegation.
- Obtain Liability Insurance: Many states require medical malpractice insurance for aesthetic procedures.
Get Trained & Start Your Aesthetic Career
At Derma Institute USA, we provide CME-accredited Botox and dermal filler training designed for physicians, nurses, PAs, and dentists. Our courses offer:
- Hands-on Botox & filler training with live models
- State-specific guidance on aesthetic practice laws
- Expert-led instruction for safe & effective treatment techniques
📅 Ready to start your career in medical aesthetics?
Training with Derma Institute
Here at Derma Institute, we provide award-winning training to all of our trainees. We pride ourselves in offering the very latest in skills and techniques to the highest professional and regulatory standards. Patient safety is our highest priority, and we ensure that we provide our trainees with all they need to practise safely and give patients results they will love.
We offer courses that are suitable for both beginners and advanced practitioners, helping you through your career path every step of the way.
For more information and recommendations on where to begin on your path to becoming a medical aesthetician, get in touch with one of our experts today!
