April 9, 2024

Who can administer Botox?

Learn who can legally perform Botox injections.

Reviewed by: Karmay Hung, DNP, AGACNP-BC, CEN
Table of Contents

Botox is a common cosmetic procedure that can improve aesthetic concerns such as fine lines and wrinkles. Sometimes, it is also used to relieve symptoms of certain medical conditions. If you’re considering Botox treatments, you may be wondering where you should go.

Not just anyone can inject Botox. Each state’s laws outline the professionals who are legally allowed to safely administer Botox injections. In this article, we’ll take a look at some of the common providers who can administer Botox, how to find a practitioner in your area and some common FAQs. Let’s dive in.

What is Botox?

Botox, or botulinum toxin, is a neurotoxin that can safely freeze or temporarily relax the facial muscles in small, controlled doses. It is primarily used as a cosmetic treatment to address the common aesthetic concerns of aging, like wrinkles and fine lines.

Botox is FDA-approved as a cosmetic treatment, but it is also sometimes used to reduce symptoms of conditions like excessive sweating, chronic migraines and TMJ disorder.

Botox is considered a safe and effective cosmetic treatment1. The results are temporary and typically last between three to six months. Patients often need to return for sessions to maintain results.

Different types of cosmetic providers

As mentioned, state laws determine which professionals are allowed to administer Botox in each state. Some types of providers may be allowed to administer Botox in some states and unable to in others.

Let’s take a look at some of the different types of cosmetic providers that can administer these injections.

Doctors (MD, DO)

Plastic surgeons and dermatologists are the most common types of doctors who perform Botox injections. But it’s also become increasingly common for other doctors, including anesthesiologists, neurosurgeons, family medicine doctors, pain management specialists, etc., to gain expertise in Botox injections.

Regardless of the doctor’s specialty, most experience and training for nonsurgical aesthetic procedures like Botox is gained after formal medical school training. It’s most important to assess the provider’s experience, reviews, gallery of before/after photos, and your rapport during a consultation to decide whether the provider is the best fit for you.

Physicians Assistants (PA), Registered Nurses (RN), Nurse Practitioners (NP)

Physicians Assistants (PAs), Registered Nurses (RNs) and Nurse Practitioners (NPs) can also administer Botox in many states if they receive the proper training and meet the regulatory requirements. Training often involves a specialized injector course that teaches technique, safety and patient care.

While many states allow physician assistants (PAs), Registered Nurses (RNs) and Nurse Practitioners (NPs) to perform Botox injections on their own, some states require supervision from a physician or medical director.


Many states now allow dentists to administer Botox injections, but the stipulations can get a bit trickier for dentists than other providers. As with many providers, dentists must complete specialized training and meet certain qualifications to offer Botox injections.

But, some state laws stipulate that dentists can only administer Botox injections as part of a patient’s dental treatment plan, rather than stand-alone treatments. Some states may only allow dentists to administer Botox in areas related to the mouth and jaw. With that being said, dentists may be a convenient and safe option for those looking for Botox treatment. But, depending on your state laws, you may need to seek treatment elsewhere if you want Botox for aesthetic purposes.


Estheticians are skin care professionals who are trained in enhancing the skin’s health and appearance with noninvasive treatments. Common procedures performed by estheticians include facials, microdermabrasion, waxing, chemical peels, laser hair removal and more. For the most part, estheticians are only permitted to perform surface-level skin care and cosmetic treatments.

However, estheticians may assist with Botox treatments by prepping patients, assisting the physician during the session and providing post-care instructions. In very few states, estheticians who meet certain qualifications may be allowed to administer the injections under doctor supervision.

Who can legally perform Botox?

The legal qualifications for performing Botox treatments are specifically determined by the laws and regulations in each state. To find out who can administer Botox in your state, you will need to look up your specific state’s laws and qualifications. Alternatively, you can use platforms like Certainly that help you find and compare healthcare providers. Certainly serves NYC, making it easy for residents to find a qualified provider.

In general, Botox is typically performed by licensed health care professionals such as physicians, physician assistants, nurse practitioners, and registered nurses. Dentists can also perform Botox treatments, depending on the state and the area of treatment. These professionals receive training to administer treatments and have medical or cosmetic expertise to provide the safest and most effective treatment possible.

These Botox legal regulations are in place for the safety of patients. Botox needs to be carefully administered by experts to ensure safety and optimal outcomes. While it is safe when administered by professionals, it can be very risky when administered by unqualified individuals.

How to find the best Botox practitioner

Choosing a Botox practitioner is an important decision. While someone might be legally allowed to administer Botox, it doesn’t mean they’re the best provider to address your concerns. The best injectors will have experience and expertise that allow them to understand how Botox affects the facial muscles and tailor a treatment plan to each specific patient.

When comparing practitioners, research their qualifications, years of experience and results. Seeking out reviews and testimonials from past clients can help you determine if a provider will be able to help you achieve your desired aesthetic goals. Also, it’s good to remember that choosing a provider isn’t a commitment to receive services. Botox treatments start with a consultation, so you can voice any concerns you have to determine if a provider is a good fit for you.

While comparing providers can sometimes be time-consuming, you want to make sure you choose a reputable provider that will help you with your goals. Fortunately, platforms like Certainly can make the process of finding a quality provider much easier.

Frequently asked questions

Have more questions about Botox qualifications? We have answers! Here are a few frequently asked questions:

What is physician supervision?

Some states require physician supervision for Botox treatments. This means that a licensed physician must oversee the session, even if they aren’t administering the injections directly. In short, supervising physicians ensure the procedure is conducted safely and correctly.

What is a Botox injector course

A Botox injector course is a training program that teaches safe and proper techniques for administering Botox injections. Many states require professionals to complete one of these courses before they can administer Botox.

How to find a Botox specialist you can trust?

Research healthcare practitioners with the training and experience needed for successful Botox treatments. Check their credentials, read reviews from patients and find out what you can about their reputation. An initial consultation can also allow you to meet with a provider and determine if they’re a good fit for you. Platforms like Certainly can also help narrow down your options, so you can find quality care faster.

Who is not allowed to inject Botox?

Any individual without a medical license or the required health care training is not authorized to inject Botox. Regulations vary by state, but administering Botox generally requires a background in health care and specific training in these injections.

Compare Botox providers in NYC

Need to find a qualified Botox provider in New York City? There are a lot of options out there, but Certainly can help. Certainly is an intuitive platform that allows you to compare medical professionals and their credentials for Botox procedures. Once you choose a provider, you can book an appointment directly through the Certainly platform.

Get Upfront Costs with Certainly Health

One of the best features of Certainly is that our platform takes the confusion out of Botox pricing. The price of treatments can vary wildly, and there often isn’t an easy way to compare costs across providers.

Certainly solves that problem by giving you estimated upfront costs for Botox treatments. This way, you won’t get hit with a shocking bill after treatment is completed. Ready to find your Botox provider in NYC? Use the Certainly platform today.


1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7874868/