Registered nurses (RNs)
No; RNs cannot inject neurotoxins or fillers
Nurse practitioners & physician assistants
Limited; NP/PA cannot inject independently; physician must be physically present
Supervision & the medical director
Required; physician must oversee and be responsible for all injectable procedures
The exam requirement
Required; in-person only
What to verify in Louisiana
Ensure a licensed Louisiana physician owns or controls the practice and is physically present for all injectable procedures; do not rely on RN or NP/PA injectors.
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.