Botox Laws by State 2023

Botox (botulinum toxin) is a popular injection for both cosmetic and medical procedures. Because Botox temporarily weakens or paralyzes muscles or blocks certain nerves, it can smooth facial wrinkles, help with chronic migraines, and fix severer underarm sweating, among other uses. Its usage is controversial, but when used by trained professionals, it can treat various health issues and make a difference in people’s lives.

Federal Laws Regarding Botox

Many laws vary from state to state regarding who can administer Botox injections and what are allowable injection sites. For example, Botox is an FDA-approved method of injection that serves different purposes. While it has been romanticized and idealized by the media as a cosmetic approach to fuller features, such as dimples and chin, Botox injections can also medically help some patients with their quality of life.

Laws regarding Botox on a federal level limit who can administer them so that only medical professionals can conduct this procedure. This means that licensed aestheticians usually cannot perform Botox injections, even if the purpose is purely cosmetic.

At a state level, Botox is usually regulated for such issues as dermal fillers. Each state has a different approach from its dental board regarding injecting dental botox. Arkansas, Iowa, and Mississippi have the most guidance on the laws regarding Botox injections.


The board does not issue permits for Botox or dermal fillers in this state. It also does not issue these permits for dental materials of any kind. Because of the unreasonably high amount of deregulation in this industry, the dental board of Arkansas has outlined certain requirements that must be met before administering the treatment of clients. Dentists must complete comprehensive training and a full course from an approved medical or dental course, either through the Commission on Dental Accreditation or a continuing education course that meets certain criteria.

Botox and dermal fillers can only be used in offices that observe the precautions set by the FCDC. Treatments are only able to be done through a dentist. Staff is not allowed to train themselves or administer the Botox or dermal filler directly.


Iowa prevents its dentists from providing dental treatments outside the scope of the common professional practice of regulated dentistry. This means that dentists can diagnose through examination and treat patients suffering from different ailments related to their teeth, mouth, and gums. The appropriate treatments are medications, appliances, or surgery necessary to fix the issue at its root. A proper dental exam, client history, and training must be done on any method the dentist uses to treat their patient or candidate. The Iowa dental board has rules that dentists may use Botox or approved dermal fillers if the use is only for dental practice and the dentist has proper training.

The only safely recognized training under this regulation is offered by the American Dental Association in the administration of Botox.


The dental board in Mississippi met in 2007 to determine whether dentists could administer Botox or any other approved dental fillers. After much consideration, they determined that procedures may only be performed by dental surgeons who have completed their residency in both maxillofacial and oral surgery. The residency must have been accredited through the American Dental Association.

Botox Laws by State 2023