Who can inject
MD, DO only; RN/NP/PA may not inject neurotoxins or fillers
Registered nurses (RNs)
No; RNs cannot inject neurotoxins or fillers in Louisiana
Nurse practitioners & physician assistants
NP/PA cannot independently inject; physician collaboration does not permit delegation of injectables
The exam that makes it legal
Required; in-person exam by physician mandatory A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure.
What to verify in Louisiana
Confirm physician ownership or MSO structure with legal counsel; ensure medical director is licensed in Louisiana and available for on-site or direct oversight.
Primary source: Louisiana State Board of Medical Examiners
General business information for Louisiana medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Louisiana board (and your own counsel) before you act.