Can Estheticians Do Lip Injections? A State-by-State Guide To Regulations

Magen
Magen
Licensed Esthetician
45 article(s)
Med SpaMed Spa Business
Can Estheticians Do Lip Injections?

As the demand for non-surgical cosmetic treatments like lip injections continues to rise, many estheticians are eager to expand their services.

According to the latest statistics from the American Society of Aesthetic Plastic Surgery, cosmetic dermal filler treatments (also known as soft tissue fillers) have seen an 8% increase over the past year. 

However, the question remains: can estheticians legally perform lip injections? The answer varies significantly by state, with each having its regulations governing what estheticians can and cannot do.

In this guide, we’ll explore the rules across the U.S. regarding estheticians and lip injections, helping you understand what’s allowed and how the industry is evolving.

Why Lip Injections Are Considered A Medical Procedure?

Can Estheticians Do Lip Injections if Those are Medical Procedures?

The U.S. Food and Drug Administration (FDA) has approved the use of botulinum toxins for various purposes, including treating frown lines, crow’s feet, and forehead wrinkles.

Unlike surface-level skincare treatments, lip injections require the use of certain medical spa equipment, knowledge of facial anatomy, and proper injection techniques to avoid complications. 

Incorrectly administered injections can lead to serious side effects, including infection, vascular complications, or uneven results. 

For this reason, most states classify lip injections as medical procedures, meaning they can only be performed by licensed medical professionals. 

So, can estheticians do lip injections? In many states, they cannot, but some offer exceptions.

State-by-State Regulations: Who Can Perform Lip Injections?

Regulations surrounding who can administer lip injections vary significantly across the U.S

While some states prohibit estheticians from performing injections, others allow limited participation under certain conditions. 

Here’s a closer look at how states regulate lip injections for estheticians, answering the question: can estheticians do lip injections?

States Where Estheticians Are Prohibited from Performing Lip Injections

States Where Estheticians Can't Perform Lip Injections

In many states, estheticians are prohibited from performing any form of injection, including lip fillers. 

States like California, Texas, and Pennsylvania have clear laws that restrict lip injections and other medical procedures to licensed healthcare professionals, such as:

  • Doctors (MDs or DOs)
  • Nurse practitioners (NPs)
  • Physician assistants (PAs)
  • Registered nurses (RNs)

For instance, in California, only physicians or supervised PAs, NPs, and RNs can administer injectables like Botox and fillers. Can estheticians do lip injections here? No, estheticians cannot legally perform these procedures, even under physician supervision. Similarly, Texas prohibits estheticians from performing any injectable treatments, including lip fillers. 

Similarly, Texas prohibits estheticians from performing any injectable treatments, including lip fillers.

In these states, estheticians may provide complementary skincare services, such as:

  • Facials
  • Chemical peels
  • Waxing

However, they cannot participate in procedures involving needles or injections.

States with Limited Scope for Estheticians

Some states offer a more flexible approach, allowing estheticians to assist in cosmetic procedures but not perform injections themselves. In Illinois and Ohio, for example, can estheticians do lip injections? The answer is no, but they can play a supporting role by:

  • Preparing clients for treatment
  • Providing aftercare
  • Offering skincare consultations

However, they are not allowed to perform the actual injections. A licensed medical professional—such as a physician, NP, or PA—must be present during the procedure and administer the injection. 

Estheticians in these states are limited to non-invasive tasks, while the medical professional takes full responsibility for the injectable.

States Offering Advanced Certifications

A few states have created pathways allowing estheticians to perform injectable procedures under specific conditions, typically involving advanced certifications and supervision. 

So, can estheticians do lip injections in states like Nevada? Yes, but only after completing advanced training and under physician supervision.

Advanced certification programs usually require estheticians to undergo extensive training, including:

  • Facial anatomy and physiology
  • Injection techniques and protocols
  • Complications management

In Oregon, estheticians and medical assistants can inject cosmetic fillers and botulinum toxin under a physician’s supervision. 

Although this is legally permitted, experts often recommend leaving injections to licensed medical professionals due to the complexity of the procedure and potential risks.

In states offering advanced certifications, the supervising physician is still responsible for ensuring that injectables are performed safely and effectively.

The Future Of Estheticians And Injectables

As the popularity of non-surgical cosmetic procedures grows, some states are re-evaluating their regulations to expand the scope of practice for estheticians. 

Legislative changes may allow estheticians to take on a larger role in administering injectables, provided they undergo the proper training and certification. 

As this landscape evolves, estheticians should keep asking: can estheticians do lip injections in my state? Staying informed is key to future opportunities.

How Estheticians Can Expand Their Practice

How Estheticians Can Expand Their Practice - Do Lip Injections?

If you’re an esthetician looking to offer more advanced services, there are steps you can take to expand your practice legally and safely:

  • Pursue Additional Training: Many estheticians opt to complete medical aesthetics programs that focus on injectables, laser treatments, and more. While this will not allow you to perform injections in every state, it will prepare you for opportunities where they are permitted.
  • Work with a Medical Professional: In states where estheticians cannot independently perform injections, partnering with a licensed medical professional can allow them to offer these services under supervision.
  • Stay Informed: Regulations are always evolving. Follow your state’s cosmetology and medical boards to stay current on what’s allowed in your area, and keep asking: can estheticians do lip injections here?

Also read: 

How Much Do Botox Nurses Make? Understanding Salaries in the Cosmetic Industry

A State-by-State Guide to Med Spa Laws: Navigating the Legal Landscape

What License Do You Need to Open a Medical Spa: A Complete Guide  

Maximize Your Services With The Right Medical Equipment

While estheticians play a vital role in skin care, performing lip injections often falls outside their legal scope, depending on state regulations. 

Expanding services requires proper training and understanding of local laws, but having the right equipment is just as important—and that’s where Spa and Equipment come in.

We offer top-quality, cutting-edge Medical Spa Equipment, medical tools, and medical supplies backed by warranties for peace of mind. With flexible financing options, we make investing in the best tools easier without stretching your budget. 

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