Anyone who meets the qualifications of a health professional in Michigan can administer this anti-aging injectable, but only under the direction of a doctor. Microdermabrasion is only allowed with the direct supervision of a licensed physician. If a cosmetologist performs this service, they are practicing outside their authorized profession. Patients often use Botox to reduce the appearance of wrinkles and fine lines on their forehead and around their eyes.
In most states, only a nurse practitioner can perform medical procedures, including injections. A certification program is available to doctors with MD, OD, DDS, DMD, NP and nurses under the supervision of a physician. For example, in Texas, medical professionals must receive Botox training that includes clinical and hands-on instruction before performing treatments. The Food and Drug Administration (FDA) has only approved Botox injections around the eyes and forehead.
Health professionals use botulinum toxin by diluting it in saline and injecting it into the skin or muscles. Botox injections have become one of the most popular minimally invasive cosmetic procedures in the world today. Beauticians are not allowed to give Botox injections, but they can provide pre- and post-treatment care to the doctor, nurse or physician assistant. Becoming certified to administer Botox injections allows medical professionals to incorporate these procedures into their practice and meet patient demands.
When injected in small concentrations, Botox works by preventing signals from nerve cells from reaching the muscles, which prevents them from contracting. Although Botox is most commonly associated with its cosmetic uses, providers also use it for various medical conditions. For example, in California, nurses and physician assistants can give Botox injections, but a doctor must first examine the patient and prescribe the procedure. Although it sounds intimidating, Botox is inactive (found in the natural environment) and non-toxic (not to be confused with the active neurotoxin responsible for botulism).
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