In the United States, Botox injections and fillers for facial rejuvenation can only be administered by licensed physicians, physician assistants, and nurses. Depending on the province, naturopaths and pharmacists may also be authorized to provide treatments. Professionals should always contact their local university to confirm scope and practice guidelines, as they may vary by jurisdiction. The drug is typically distributed directly from manufacturers to authorized prescribers.
Many of these professionals have become highly skilled in facial contouring and improvement with various injectables such as botulism toxins, dermal fillers, and Kybella.