Louisiana draws a line straight through the injectables menu, and it is not where most operators would guess.
The Louisiana State Board of Nursing has issued a declaratory statement on cosmetic and aesthetic dermatological procedures. Registered nurses may perform light treatments, non-ablative laser, FDA-approved injectables such as neurotoxins, and chemical peels — as ordered by a duly licensed prescriber, and provided a physician or nurse practitioner is physically present on the premises and immediately available at all times the RN is providing patient care. But Louisiana expressly prohibits RNs from injecting dermal fillers.
What Louisiana actually requires
- A pre-treatment physical examination by the physician, with the prescriber physically present on the premises.
- A staffing model that separates neurotoxin from filler, because an RN may do one and not the other.
- Written protocols, staff competency records and on-site or readily available supervision under LSBME Rule § 7911.
- A corporate structure consistent with the Board’s Statement of Position on the corporate practice of medicine: a corporation may not practise medicine except a Professional Medical Corporation owned and governed exclusively by physicians.
- Recognition that physicians alone delegate the medical acts — neurotoxin, fillers, lasers, microneedling.
Who may do what in Louisiana
| Licence | What they may do |
|---|---|
| MD or DO | Independent; delegates the medical acts; performs the pre-treatment examination |
| Nurse practitioner | May satisfy the on-premises presence requirement alongside a physician |
| Registered nurse | Light treatments, non-ablative laser, FDA-approved neurotoxin injectables and chemical peels — on a prescriber’s order, with a physician or NP physically present |
| Registered nurse — dermal fillers | Expressly prohibited |
| Professional Medical Corporation | Owned and governed exclusively by physicians |
If your Louisiana clinic books fillers and neurotoxin into the same RN column, you have a scheduling problem that reads as a scope problem. Split the menu by licence before you split it by price.
What MDside provides in Louisiana
- A Louisiana-licensed MD or DO as medical director, doing the work rather than lending a name.
- A menu split by licence for Louisiana specifically, so filler appointments are never routed to a nurse who may not perform them.
- The professional entity and management agreement built to Louisiana rather than to a national template.
- Licensed physicians for the good faith exams behind prescriptions and injectables.
- 503A and 503B pharmacy relationships and lab draws.
See what is included, or book a call and tell us which states you operate in.
Read the detail on Louisiana
Frequently asked questions
Can an RN inject dermal fillers in Louisiana?
No. Louisiana expressly prohibits registered nurses from injecting dermal fillers, although RNs may administer FDA-approved neurotoxin injectables on a prescriber’s order.
Does a physician have to be present?
A physician or nurse practitioner must be physically present on the premises and immediately available at all times the RN is engaged in patient care, and a pre-treatment physical examination by the physician is required.
Who may own a Louisiana medical practice?
A corporation may not practise medicine except a Professional Medical Corporation owned and governed exclusively by physicians.
What does LSBME Rule § 7911 require?
Written protocols, staff competency records, and on-site or readily available supervision.
General information about Louisiana practice structure and med spa regulation, not legal advice. Statutes, board rules and scope-of-practice requirements change. Confirm your obligations with healthcare counsel licensed in Louisiana.