Can a registered nurse inject Botox or filler in North Carolina?
Who treats · part of The Practice Perimeter
Short answer
Yes — botulinum toxin and filler injections are within an RN's scope when a physician, NP, PA or other prescriber evaluates the patient and orders the treatment; that evaluation can't be delegated to the injecting nurse, but the prescriber need not be on site.
North Carolina answers the injector question directly rather than by inference. Chemical peels, sclerotherapy, micropigmentation, light treatments, microdermabrasion, laser hair removal and neuromodulator and dermal filler injections are all inside a licensed nurse’s scope — on conditions.
Drawn from 3 verified rules in this section · regulatory monitoring, not legal advice
- NC Board of Nursing, Cosmetic/Aesthetic Dermatological Procedures Position Statement (rev. 9/2022) · Aug 17, 2026
- NC Board of Nursing, Cosmetic/Aesthetic Dermatological Procedures Position Statement (rev. 9/2022); 21 NCAC 36.0224, 36.0225 · Aug 17, 2026
- N.C. Gen. Stat. §55B-14(c)(3) and (c)(5) · Sep 1, 2026
Related North Carolina rules
It is within the scope of practice of a licensed nurse (RN and LPN) to perform cosmetic and aesthetic dermatological procedures — expressly including neuromodulator and dermal filler injections, chemical peels, sclerotherapy, micropigmentation, light treatments, microdermabrasion and laser for aesthetics and hair removal — when prescribed or ordered by a physician, nurse practitioner, physician assistant or other practitioner with prescriptive authority acting within their legal scope.
NC Board of Nursing, Cosmetic/Aesthetic Dermatological Procedures Position Statement (rev. 9/2022) · verified Aug 17, 2026
The nurse must have documented knowledge, skill and competency to carry out the procedure safely, and the employing agency’s cosmetic procedure and emergency policies must be available in the facility. Nurses are accountable for practicing within the scope of their highest level of active licensure.
NC Board of Nursing, Cosmetic/Aesthetic Dermatological Procedures Position Statement (rev. 9/2022); 21 NCAC 36.0224, 36.0225 · verified Aug 17, 2026
How other states answer this
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Related North Carolina questions
- Can a nurse practitioner treat without a supervising physician in North Carolina?
- Can a physician assistant inject or prescribe in North Carolina?
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← All North Carolina rules and changes · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).