What license and training do you need to inject Botox and fillers in Hawaii?

No state-mandated injector training beyond licensure. MD, DO only; NP/PA/RN may not inject injectables

Hawaii · Strict

What Training Do You Need to Inject Botox in Hawaii?

Hawaii doesn't hand the syringe to just anyone. Here's the license, the training, and the supervision that Hawaii expects before you can inject.

By Evan at Inside MedSpa

Training & certification expected

No state-mandated injector training beyond licensure.

The license that lets you inject

MD, DO only; NP/PA/RN may not inject injectables

If you’re an RN

No; RNs may not inject neurotoxins or fillers in Hawaii

Why the order still matters

Required; in-person exam before treatment Training gets you the skill; a valid order or good-faith exam is what keeps the treatment lawful.

What to verify in Hawaii

Verify that your medical spa is physician-owned or physician-controlled, and ensure only MDs or DOs perform all injections; do not delegate injectables to RNs, NPs, or PAs.

Primary source: Hawaii Medical Board

General business information for Hawaii medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Hawaii board (and your own counsel) before you act.

See the full Hawaii regulation profile →

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