Who is allowed to inject
Rules vary by state. Depending on where you live, injections may be given by physicians, physician assistants, nurse practitioners or registered nurses, usually under some level of physician supervision. Ask who your injector is, their license type, and who the supervising doctor is. You can check licenses with your state licensing boards.
Watch for counterfeit products
The FDA and CDC have warned about counterfeit or unapproved botulinum toxin given by unlicensed people or in non-medical settings, with reports of serious harm. Ask to see the product box and confirm it is an FDA-approved brand obtained from a licensed source.
Questions to ask
- Who will inject me, and what is their training?
- Which product is being used, and is it FDA-approved?
- How are complications handled, and is there a doctor available?
- What is the total price, per unit or per syringe?
More in our Botox & fillers guide and compounded GLP-1s at med spas.
General information, not medical, legal or insurance advice. This post reflects the position on the date shown. Check the official sources below for the latest rules.
Last updated: 15 October 2026
