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Injecting Botox for cosmetic reasons is considered medical procedure. As a consequence, doctors may either inject Botox themselves or assign the treatment to a PA or APRN. Physicians may also assign injections to a registered nurse or licensed practical nurse who has learned and maintained injection experience, skills, and abilities and has injections within their scope of practice. Only after a thorough medical examination of the patient and a complete history is taken by the prescribing practitioner may RNs or LPNs inject. Even under the supervision of a physician, unlicensed individuals are not allowed to inject.