Can an RN inject Botox or fillers in Hawaii?

No, RNs are not permitted to inject neurotoxins or fillers in Hawaii. Only licensed physicians (MDs and DOs) may perform injectable aesthetic procedures. This is a strict limitation that applies across all medical spa settings.

Can a non-physician own a medical spa in Hawaii?

No, non-physicians cannot own a medical spa in Hawaii if it offers injectable procedures. The medical spa must be physician-owned or physician-controlled through an MSO structure, and only physicians may perform injections.

Can an NP or PA inject fillers in Hawaii?

No, NPs and PAs are not permitted to inject neurotoxins or fillers in Hawaii, even under physician supervision. Only MDs and DOs may perform injectable aesthetic procedures in the state.

State Regulation TrackerStrict

Medical Spa Laws in Hawaii

Hawaii maintains a strict regulatory posture for medical spas, restricting injectable procedures (neurotoxins, fillers) to licensed physicians (MDs and DOs) only. Non-physicians, including RNs, NPs, and PAs, are prohibited from performing injections. The state enforces Corporate Practice of Medicine doctrine, requiring physician ownership or control of medical spa entities. This is one of the most restrictive states for medical spa operations, and non-physician delegation is not permitted for aesthetic injectables.

By Evan at Inside MedSpa · Updated continuously

Orientation, not legal advice. Hawaii's rules are set and interpreted by its medical and nursing boards and can change. Confirm specifics with the Hawaii boards or healthcare counsel before you act.

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