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Who Can Perform Botox and Fillers in Canada?

Who Can Perform Botox and Fillers in Canada (1)

Who Can Perform Botox and Fillers in Canada?

Medically Reviewed by Mohsen Talani, MD on November 27, 2023 | Written by CBAM Author

Who Can Perform Botox and Fillers in Canada (1)

In many countries, Botox and Fillers are allowed as methods for cosmetic treatment and skin rejuvenation. However, the authorization and eligibility to perform these procedures may vary between countries and even within a country.

In this article from the CBAM blog series, we provide full guidance and explanation on who is allowed to perform Botox and fillers injection in Canada:

The demand for Botox and fillers is increasing rapidly in North America and have gained immense popularity in Canada. These minimally invasive procedures offer a non-surgical approach to enhancing facial features, addressing wrinkles, and achieving a more youthful appearance. All of these has caused many specialists to seek to expand their activities in the field of Botox and fillers injection.

The question that many of you have from us is who can do Botox and filler injections and who can participate in our courses related to Botox and filler injections, in this article we will try to answer these questions.

Who Can Administer Aesthetic Injectables in Canada?

In Canada, Botox and filler injections are administered by the respective provincial or territorial colleges. Specific regulations may vary slightly from province to province, but in general, only licensed health care professionals (including physicians and surgeons, nurses, dentists, and other health professionals) with appropriate training and certification are allowed to perform cosmetic injectables procedures. These regulatory colleges supervision the training, certification, and practice standards for professionals involved in aesthetic medicine. So having an educational background in the medical field is an important prerequisite before signing up and starting the courses and trainings related to cosmetic injectables.

Can Botox and Filler be done by nurses in Canada?

As we said before, regulations about aesthetic medicine injectables like Botox and Fillers vary in different areas of the Canada and are administered by the respective provincial or territorial colleges. For example, the policy of College of Nurses of Ontario about the cosmetic injections is:
“To administer Botox or PRP, an RN or RPN must perform the controlled act of administering a substance by injection. Therefore, RNs and RPNs who administer cosmetic injectables need to work in collaboration with a prescriber, such as a doctor or NP, and obtain the proper authorization, such as a direct order or directive. having the authority to perform a procedure does not necessarily mean it is appropriate to do so”

Who can provide Botox and Dermal Filler treatment in Canada?

The following medical professionals can perform Botox and filler injections in Canada:

Licensed Physicians (MDs or DOs): Due to the knowledge they have in anatomy, physiology and pharmacology, Physicians are a suitable option to work in the field of cosmetic injections. Their skill of facial anatomy and causes of aging of different parts of the face helps them to have a suitable treatment plan for each patient and treat the patient’s concerns efficiently with safe injections.

Registered Nurses (RNs) and Registered Practical Nurses (RPNs): Another group that are very active in the field of Botox and filler injections are RNs and RPNs. They often work under the supervision of a physician or a nurse practitioner. RNs and RPNs have a strong foundation in nursing care and patient assessment, which makes them well-suited to provide Botox and filler treatments. They can also provide ongoing patient education and support after treatment.

Nurse Practitioners (NPs): NPs have advanced nursing training and are also qualified to perform a wide range of aesthetic procedures, including Botox and fillers. NPs are one of the groups that have a lot of desire to start performing Botox and filler injections.

Dentists: Dentists have specialized knowledge of facial anatomy and are well-versed in injectable techniques. They are primarily authorized to administer Botox and fillers in the perioral (around the mouth) region. Dentists can also provide treatment for TMJ disorders and other facial pain conditions. But their activity does not end here, and according to their skills and experience, they can perform all treatments related to Botox and fillers.

In addition to the above, there are a few of other medical professionals who may be qualified to provide Botox and dermal filler treatments in Canada, such as dermatologists, plastic surgeons, and pharmacists. However, it is important to ensure that the training you choose is properly prepared and certified in order to maximize your potential and knowledge before starting your aesthetic practice.

Remember, not every physician or nurse, even with high relevant skills, can start injecting Botox and fillers. All specialists must have passed quality training courses before starting their activities, and after all the necessary preparations, they can start working.

Training Requirements before starting Botox and Filler injections
Proper training and education are the fundamentals of a successful career in Botox and filler practice. You must choose a training program that covers all of your needs and requirements before starting your practice of Botox and Filler injection.

Our Comprehensive training programs in CBAM (Canadian Board of Aesthetic Medicine) provide essential knowledge and skills in the following areas:

  • Anatomy and physiology of the face: A deep understanding of facial anatomy, including muscles, nerves, and blood vessels, is necessary for safe and effective Botox and Filler injection.
  • Properties and mechanisms of Botox and dermal fillers: In-depth knowledge of the properties, effects, and limitations of Botox and dermal fillers is essential for selecting the appropriate product and dosage for each patient. It also helps you to select the best treatment option and plan for your patients.
  • Injection techniques and complications management: Mastering proper injection techniques, including choosing the right needle, correct injection depth, and injection site, enhances treatment efficacy and patient comfort.
  • Patient assessment and consultation: Proper patient assessment and consultation skills are essential to find out patient desires, contraindications, and developing personalized treatment plans for each patient.
  • Ethical and legal considerations in aesthetic medicine: Practitioners must adhere to ethical guidelines and legal frameworks regulating aesthetic procedures, ensuring patient safety, informed consent, and confidentiality. You can find out about the regulations of your practice area by asking the relevant college.

9 thoughts on “Who Can Perform Botox and Fillers in Canada?

  1. Simran Dhillon says:

    Hi I’m doing my LPN course so I can administer botox and fillers under the watch of a doctor. However, is it necessary to be a nurse or a medical professional? Are you not able to still administer them without being a nurse? Are there any other options? Thanks

    1. CBAM Admin says:

      Hi Simran,

      Thank you for your inquiry. The regulations of Canada only allow nurses and physicians to perform aesthetic injections that go under the dermis layer of the skin (invasive procedures) and of course this entails filler and Botox injections too. If one is not a nurse or a physician, they can perform non-invasive procedures such as chemical peel, microneedling (as long as it stays above the dermis layer), etc. We have a course package for the non-invasive procedures, which is called the Advanced Skin Therapist package and you can find out more about it by clicking here.

      1. allysa says:

        Hello, will Canada accept someone to administer botox and fillers if the nursing degree is an associates degree and or from a different country where they obtained their license?

        1. CBAM Admin says:

          Hi Allysa, In order to be able to perform Botox and filler injections in Canada, you need to be either a Canadian registered nurse (RN, LPN, RPN, and NP), or a Canadian licensed physician. Otherwise, it is against the law. I hope this answers your question.

  2. Hadia Ejaz says:

    if you are a dentist in pakistan and have not gain license in canada? can you still do training courses in injectables

  3. Nancy says:

    Hello. Could a licensed pharmacist in Canada inject Botox and fillers ?

    1. CBAM Admin says:

      Hi Nancy, thank you for your comment. It depends on the province in which your license is issued. For example, province of Alberta, as of now, March 2024, includes some certain injections under the scope of practice of pharmacists. However, the best approach is to ask your college of licensing body to make sure whether aesthetic procedures are included under your scope of practice.

  4. Frida says:

    Hi! Wondering if a nurse in Ontario can work with a medical director from Saskatchewan?

    1. CBAM Admin says:

      Hi Frida, Thank you for your comment. The medical director that you work with needs to have their license or registration issued from the province in which you are going to practice the procedures.

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