What Training is Required in Order to Provide Botox Injections?

We often receive inquiries from healthcare professionals and patients who are interested in knowing the training requirements necessary for someone to provide Botox injections. What certification or degree is needed to provide Botox treatments?

To answer the question, generally physicians, dentists and registered nurses are able to provide Botox injections and/or dermal filler treatments. As Botulinum Toxin is a prescribed medication, the ability to prescribe and/or provide prescription medication via injection is required. That being said, currently these professions do not graduate with the skill set (additional post-graduate training is required in order to learn the skill).

  • Dentists – are generally required by their college to take post-graduate training prior to offering Botox and dermal fillers. Sometimes the dental colleges only approve the therapeutic applications of treatment.
  • Physicians – 92% of physicians performing botulinum toxin have no formal training in the field of botulinum toxin, nor guidelines laid out by their regulatory body. Physicians are not required to take any additional training in order to provide botulinum toxin or dermal fillers.
  • Nurses – are generally required to take post-graduate training, and often may provide Botox and dermal fillers under the care of a prescriber (ie: a dentist or physician).
  • Naturopaths – are generally required to take post-graduate training.
  • Other Health Care Professionals – hygienists, dental assistants, medical assistants, aestheticians and other clinical staff are not able to provide treatment, however they are often able to assist the injector.

The new Canadian “Standard of Practice for Facial Aesthetics”

The Alberta Dental Association and College (ADA+C) was the first jurisdiction to outline a Standard of Practice for Facial Aesthetic Treatment for practitioners, including dentists, offering facial aesthetics such as Botox and fillers. The Standard of Practice is a tiered and gated system, which outlines specific educational and training requirements for dentists who want to offer Botox and dermal filler treatments in their practice. The goal is for each practitioner to achieve clinical efficiency and proficiency at each level, prior to advancing and receiving training at the next level. Since the Standard of Practice for dental professionals has raised the educational and training requirements, PTIFA has reorganized all of our courses and programs to meet and exceed this platinum standard.

Which courses do I take?

At a minimum, dentists, physicians and registered nurses who would like to be trained as an injector will need to take PTIFA’s Level 1 (Advanced Anatomy and Introduction to Botulinum Toxin & Dermal Filler) online course and Level 2 course (Basic Botulinum Toxin: Cosmetic Upper Face & Bruxism). Upon completion of Level 2, participants will be able to offer botulinum toxin services to their patients for treating the upper-face cosmetically (forehead, frontalis, crows feet) as well as therapeutically for bruxism treatment (TMD/clenching/grinding/headaches). After they have proficiency with the injection techniques from Level 2 (and meet any other requirements outlined by their regulatory body), they can attend Level 3 which covers Botox® for treating the mid-face, lower-face and neck cosmetically, as well as for myofascial pain (TMD, bruxing, grinding, headaches/migraines). They can then attend the Level 4 course, which covers the introductory use of facial dermal fillers.

We recommend that each participant shares their Level 1 log-in information with their team members, and also registers them for proper training at the Level 2 course. For information on scope of practice and educational requirements, please contact your regulatory board. You can also email us for training information at [email protected] or call toll-free at 1-855-681-0066.