Most Popular Starting Point
Start with Level I Botox & Dermal Filler Training
MedAesthetics Training’s foundational, one-day course for licensed healthcare professionals beginning or expanding their education in botulinum toxin and dermal filler injectables.
- Maximum class size of eight participants, taught by a Texas-licensed instructor
- Facial anatomy, assessment, consultation, and treatment planning
- Botulinum toxin and dermal filler product education
- Facial manikin marking and technique practice, followed by guided hands-on training with live models
- Models, products, and supplies provided for the training experience
- Certificate of Training upon successful completion
Explore Level I Training →
How MedAesthetics Training is Different
- Instructors licensed in Texas. In-person classroom and hands-on training are led by instructors who hold an active license to practice in the state where the course is taught.
- Strict license verification. Every registrant’s active Texas license, valid multistate compact privilege, or other lawful authorization is reviewed before hands-on participation is confirmed.
- Regulatory transparency. Scope-of-practice guidance is drawn from primary sources such as Texas Medical Board rules, statutes, and board guidance.
- Small groups. In-person classes are limited to a maximum of eight attendees for personalized instruction and supervised practice.
Build Your Aesthetic Training Path
Aesthetic education does not follow exactly the same path for every clinician. Begin with foundational training, continue with advanced techniques, or select focused education based on your experience, practice goals, and areas of interest.
Step 1
Build Your Foundation
Begin with foundational anatomy, patient assessment, safety, botulinum toxin and dermal filler injection techniques, and guided injection training.
Recommended options:
The manikin-guided activity may be completed before live training or used afterward to reinforce marking, anatomy, and injection technique.
Step 2
Advance Your Skills
Level II is designed for clinicians who have completed foundational injectable training or are currently practicing and want to refine their technique, treatment planning, and clinical decision-making.
Topics include advanced procedures for neurotoxin, dermal filler, Kybella®, facial assessment, complication management, needle and cannula techniques, and advanced treatment areas.
Explore Level II Advanced Training →
Step 3
Develop Specialized Expertise
Focused masterclasses allow experienced clinicians to strengthen skills in specific products, treatment areas, and advanced aesthetic applications.
Current masterclasses:
Texas Scope of Practice at a Glance
This summary is provided as a quick reference only. Requirements are described more fully in the guidance by license below. Completion of training does not independently grant, expand, or determine scope of practice, and each attendee remains responsible for confirming current requirements with the appropriate Texas licensing authority.
| License |
Assess and Prescribe Independently |
May Perform Injectables |
Key Texas Condition |
| Physicians — MD/DO |
Yes |
Yes |
Practice must be consistent with the physician’s education, training, competence, and lawful medical practice. Physicians are also the delegating authority under TMB Chapter 169. |
| Physician Assistants |
No — practice is under physician supervision and delegation |
Yes, under physician delegation |
Practices under physician supervision and written delegation. A prescriptive-authority arrangement is required when the PA exercises delegated prescriptive authority. |
| Nurse Practitioners and APRNs |
No — Texas does not grant independent APRN practice authority |
Yes, under physician delegation |
Requires physician delegation. A prescriptive-authority agreement or other required prescriptive-delegation arrangement applies when the APRN prescribes or orders treatment. |
| Registered Nurses |
No |
Yes, under physician delegation |
Injectable treatment must be performed under signed written orders or protocols after a physician, PA, or APRN acting under physician delegation completes the required evaluation and treatment plan. |
| Dentists — DDS/DMD |
Within the practice of dentistry only |
Yes, for qualifying functional dental treatment within scope; isolated cosmetic use is limited to oral and maxillofacial surgeons. |
Non-oral-surgeon dentists may use Botox or dermal fillers only as part of diagnosis and comprehensive treatment of a functional issue within the stomatognathic system. Isolated cosmetic facial use is outside their scope. |
Sources: Texas Medical Board, 22 TAC Chapter 169 (§§169.25–169.28); Texas Occupations Code Chapters 157 and 301; Texas Occupations Code §251.003; and Texas Board of Nursing guidance. State requirements may change. Clinicians should confirm current requirements with the appropriate licensing authority.
MD/DO — Physicians
Texas-licensed physicians may assess patients, diagnose, prescribe treatment, and perform botulinum toxin and dermal filler procedures consistent with their education, training, clinical competence, and lawful medical practice. Under Texas Medical Board Chapter 169, nonsurgical medical cosmetic procedures are considered the practice of medicine, and the physician serves as the delegating authority for these procedures.
Source: Texas Medical Board, 22 TAC §169.25; Texas Occupations Code Chapter 157.
Physician Assistants
A Texas physician assistant practices under physician supervision and may perform the initial evaluation and injectable procedures within the physician’s written delegation, protocols, and the PA’s education and clinical competence. When the PA exercises delegated prescriptive authority, the required prescriptive-authority arrangement must also be in place. Training may be completed before the PA and physician finalize the delegation and protocols needed for clinical practice.
Source: Texas Medical Board, 22 TAC Chapters 169 and 185; Texas Occupations Code Chapter 157.
Nurse Practitioners and APRNs
Texas does not grant APRNs independent practice authority. An APRN may perform the initial evaluation and injectable procedures under physician delegation when the services are consistent with the APRN’s role, population focus, education, and clinical competence. When the APRN prescribes or orders treatment, the required prescriptive-authority agreement or other applicable prescriptive-delegation arrangement must be in place. The APRN must establish the practitioner–patient relationship, complete the appropriate assessment and treatment plan, and comply with applicable Texas Board of Nursing and Texas Medical Board standards.
Source: Texas Board of Nursing; Texas Medical Board, 22 TAC Chapter 169; Texas Occupations Code Chapter 157.
Registered Nurses
Texas RNs may perform cosmetic injectable procedures as delegated medical acts under a physician’s signed written orders or protocols, with documented training and demonstrated clinical competency. Before the RN implements treatment, a physician, physician assistant, or APRN acting under physician delegation must establish the practitioner–patient relationship, complete the appropriate evaluation and treatment plan, and create or maintain the required medical record. A physician, physician assistant, or APRN must be onsite or immediately available for emergency consultation, and the physician must be able to conduct an emergency appointment if necessary.
An RN may not independently diagnose, prescribe, or establish the medical treatment plan. The RN remains responsible for accepting only those delegated activities that are consistent with the Texas Nursing Practice Act, applicable Board of Nursing standards, documented competency, and the clinical circumstances.
Source: Texas Medical Board, 22 TAC §§169.25–169.27; Texas Occupations Code Chapter 301; Texas Board of Nursing delegation guidance.
Dentists — DDS/DMD
Texas defines the general practice of dentistry by reference to the teeth, oral cavity, alveolar process, gums, jaws, and directly related and adjacent masticatory structures. Based on guidance from the Texas State Board of Dental Examiners, a Texas dentist who is not an oral and maxillofacial surgeon may use botulinum toxin or dermal fillers when the treatment is part of the diagnosis and comprehensive treatment of a functional condition involving the stomatognathic system and is otherwise within the dentist’s education, training, competence, and lawful scope of practice.
Use of Botox, dermal fillers, or other facial cosmetic procedures for isolated cosmetic purposes is not within the scope of a general dentist. The Dental Practice Act provides broader authority for dentists who hold the recognized specialty of oral and maxillofacial surgery, including treatment involving the functional and aesthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Texas dentists may attend MedAesthetics Training courses for education and continuing education credit. Dentist registration for Texas courses does not include performing injections on live models. Course participation, certification, or continuing education credit does not independently authorize a dentist to perform cosmetic facial injections or expand the dentist’s statutory scope of practice.
Sources: Texas Occupations Code §251.003; Texas State Board of Dental Examiners Policy Statement on Facial Cosmetic Surgery/Treatment; guidance provided by the Texas State Board of Dental Examiners.
Continuing Education Credit for Texas Attendees
Credit varies by course. Current figures for every Texas course are shown below. Approval terms are listed on each course page.
| Course | AAFP Prescribed credits | Dental CE hours |
|---|
| Level I: Basic Botulinum Toxin & Dermal Filler Training | up to 9.75 | up to 9.75 |
| Level II: Advanced Injection Technique Course | up to 8.25 | up to 8.25 |
| Advanced Biostimulators: Sculptra® + Radiesse® | up to 5.75 | up to 5.75 |
| All About Lips | — | up to 5 |
| Facial Injection Safety & Technique: Manikin-Guided CME † | up to 2.00 | up to 2.00 |
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
† This is a self-paced video activity. Texas counts no more than 8 self-study hours toward the 24 continuing education hours required every two years (22 Tex. Admin. Code § 104.1). Confirm how these hours apply to your own renewal.
Texas requires 24 continuing education hours every two years for dentists and dental hygienists, and limits self-study to 8 of those hours.
Scope note for dentists. Dental continuing education hours are offered for attendance. Attending does not grant or expand authority to perform cosmetic facial injections. Confirm your scope of practice with the Texas dental board.
MedAesthetics Training, LLC
Nationally Approved PACE Program Provider for FAGD/MAGD credit.
Approval does not imply acceptance by any regulatory authority or AGD endorsement.
4/1/2026 to 3/31/2028.
Provider ID 442664
Who May Attend Texas Botox and Dermal Filler Training?
Texas Level I and Level II training, as well as focused masterclasses, are open to licensed physicians (MD/DO), physician assistants, nurse practitioners and APRNs, and registered nurses who hold an active professional license or other lawful authorization permitting hands-on participation in Texas. Texas dentists (DDS/DMD) may attend for education and continuing education credit; see the dentist guidance below regarding scope of practice.
For registered nurses, this may include a Texas nursing license or a valid multistate nursing privilege recognized under the Nurse Licensure Compact. APRNs, physician assistants, physicians, and dentists must independently satisfy the Texas licensure requirements applicable to their professions.
Eligibility to attend training and authority to provide injectable services after training are separate. Each participant remains responsible for satisfying the scope, assessment, prescribing, delegation, supervision, competency, and practice-setting requirements applicable to their professional license.
How MedAesthetics Training Verifies Every Attendee
Every registrant attests to, and MedAesthetics Training reviews, an active Texas professional license, a valid multistate nursing privilege, or another lawful authorization before hands-on participation is confirmed.
Preparing to Practice in Texas After Training
Effective January 9, 2025, the Texas Medical Board consolidated its rules on nonsurgical medical cosmetic procedures into 22 Texas Administrative Code Chapter 169 (§§169.25–169.28), replacing former §193.17. Under §169.25, nonsurgical medical cosmetic procedures—including botulinum toxin and dermal filler injections—are recognized as the practice of medicine in Texas and must be properly delegated and supervised.
Under §169.26, before a delegated act is performed, a physician, physician assistant, or APRN acting under physician delegation must establish the practitioner–patient relationship, create and maintain the patient’s medical record, and disclose who will perform the delegated act and that person’s credentials. A physician, physician assistant, or APRN must be onsite or immediately available for emergency consultation. If necessary, the physician must be able to conduct an emergency appointment with the patient. Under §169.27, delegation must be supported by written orders developed, reviewed, and approved by the delegating physician. Under §169.28, facilities must post the delegating physician’s name and the Texas Medical Board complaint notice, and personnel performing delegated acts must wear identification showing their name and credentials.
Course participation and authorization to practice are separate. Before providing injectable services, clinicians must satisfy the assessment, treatment-planning, prescribing, delegation, written-protocol, supervision, competency, documentation, and practice-setting requirements applicable to their professional licenses.
Assessment, Treatment Plan, and Supervision Under TMB Chapter 169
Under the Texas Medical Board’s delegation rules, 22 TAC §169.26, a physician, physician assistant, or APRN acting under physician delegation must establish and document the practitioner–patient relationship and treatment plan before another individual performs a delegated aesthetic procedure. The delegating physician must be appropriately trained in each procedure delegated and must approve written orders that identify the physician, establish patient-screening criteria, and address injuries, complications, and emergencies.
A physician, physician assistant, or APRN must be onsite or immediately available for emergency consultation. Facilities must post the delegating physician’s name and the Texas Medical Board complaint notice, and personnel performing delegated acts must wear identification showing their name and credentials.
Texas Licensing Resources
Participants should review the requirements that apply to their professional license and anticipated practice arrangement.
Texas regulatory information last reviewed: August 6, 2026.