Botox Certification

Exploring What States Can Estheticians Do Botox in the USA?

Botox is a non-invasive procedure but requires a good understanding of facial anatomy. Medical professionals with a proper certification can perform the cosmetic procedures related to botox. Whether an esthetician can inject botox or not is on the table, as they are also trained professionals who can perform complex procedures like chemical peels, microneedling, eyelash extensions, waxing, and laser hair removal treatments. In the USA, there are a handful of states that allow estheticians to get involved in botox procedures. In this article, we will explore some of the states and a few regulations associated with botox injections. 

Estheticians and State Rules

Every state has its own set of rules and regulations when it comes to cosmetic procedures. However, certain rules remain the same throughout. Any esthetician can perform all types of skin-care activities that are non-invasive and do not require a medical setup. But when it comes to advanced treatments like injecting botox to reduce wrinkles and fine lines, regulations are a bit strict.

Applying botox is not a piece of cake; it requires extensive knowledge of facial anatomy due to the interaction of facial muscles in the procedure. Thus, most states have prohibited estheticians from performing these procedures due to their lack of training under this process.

However, few states allow an esthetician to perform limited and basic cosmetic injections under the supervision of a licensed physician. Let’s learn more about these states. 

States that Allow Limited Esthetician Injections Under Supervision

If you are wondering which states allow estheticians to perform botox under the supervision of a physician, then here is a list:

Nevada: Very famous for cosmetic procedures, Nevada has set very clear guidelines related to botox administration. They allow properly trained medical estheticians to perform neuromodulators like botox, but under supervision. Also, they must have the following: 

  • Must have an active license as a Nevada esthetician.
  • Advanced training in all the procedures
  • Working under a licensed medical doctor
  • Must have liability insurance. 

Illinois: Yet another state, like Nevada, is Illinois, which also accepts estheticians to work on cosmetic injections like Botox but prohibits applying dermal fillers. Also, an esthetician needs to have certification that involves advanced training in facial anatomy, injection technique, and understanding of potential side effects. They also allow estheticians to perform the task only under the supervision of a medical doctor.

Ohio: Estheticians in Ohio must have a categorized special permit via the Ohio State Medical Board after completing board-approved advanced training. After that, they are allowed to offer cosmetic injections, but under the supervision of a licensed physician. Ohio, like other states, has strict guidelines for the advanced training of the estheticians before actually starting to work on real patients. 


Due to the complex facial anatomy and potential side-effects of a botox injection, no state allows estheticians to perform the procedure alone. The states allow them to have clear guidelines to undergo advanced training, and to perform the task, the presence of a licensed medical doctor is a must. The work of an esthetician is highly appreciable as that of a skin magician, but they still need to climb mountains of deep knowledge and training before entering the world of cosmetic injections.