Topical guides: Cosmetic botulinum toxin procedures
- Permit or other obligation
- Nationwide except the Åland Islands
- Public service
Botulinum toxin injections are health care procedures even if administered for cosmetic purposes.
Botulin toxin injections can be administered by a physician or a qualified nurse* under the direction and supervision of a physician in a health care facility. Physicians can administer injections as part of their standard practice, but businesses need special authorisation for nurses* to administer botulinum toxin.
Nurses* can only administer botulinum toxin injections under the supervision of a physician
It is the physician’s responsibility to assess the need for botulinum toxin treatment and write the prescription for each patient. However, the physician can delegate the administering of injections to a qualified nurse* employed by the same health care facility. The physician must be easily reachable during the procedure, i.e. physically present in the health care facility.
A note of the prescription and the procedure must be entered into the patient’s records. Further information is available on our website.
Do the following
The notice must be accompanied by
•proof of training that qualifies the nurse to administer botulinum toxin injections and
•written authorisation from the supervising physician.
For more information about cosmetic botulinum toxin procedures, you can read the National Supervisory Authority for Welfare and Health’s guidance.
To whom and on what terms
In addition to the usual supporting documents needed for licence applications, the following are also required:
•a copy of the additional training received by nurses* for administering botulinum toxin injections
•a written authorisation signed by the supervising physician for nurses* to administer botulinum toxin injections under their supervision
•a copy of the health care provider’s pharmacotherapy policy, including a description of botulinum toxin procedures
Self-employed health care professionals
Self-employed physicians can administer botulinum toxin injections provided that they have registered as a sole trader.
Self-employed nurses* who wish to administer botulinum toxin injections under the supervision of a physician must first notify the competent Regional State Administrative Agency. Nurses* can only administer injections in a health care facility, not in a beauty salon.
- ) In this context, nurses include registered nurses and public health nurses as well as midwives.