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.

See the full Louisiana regulation profile →