How to Tell if Your BOTOX® Practitioner Is Properly Trained

By Dr. TRACY MOUNTFORD, MBBS MBCAM


Summary of Content

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There is a wide range of practitioners out there offering anti-wrinkle treatments, but how do you ensure that the one you choose is safe, and how do you identify which ones have adequate training or experience?

Below is a guide that will answer some commonly asked questions and deliver facts to make your decision as concern-free as possible.

Who can prescribe BOTOX®?

BOTOX® is a prescription-only medicine; therefore, it is licensed and regulated under current UK drug legislation.

Botulinum Toxin should only be prescribed following a consultation with one of the professionals below. During this process, it is important that your medical history is reviewed in order to assess suitability for treatment.

  • Doctors
  • Nurse prescribers
  • Pharmacist prescribers
  • Dentists

Who can administer BOTOX®?

Botox injections in the UK can legally be given by anyone. BOTOX® can only be prescribed by a medical professional such as a Nurse Prescriber but there are no regulations around this treatment which means the actual treatment can be performed by anyone no matter what their level of training is, if any! It is also the prescriber’s responsibility to make sure the anti-wrinkle treatment is delivered safely.

At The Cosmetic Skin Clinic, only nurse prescribers and doctors prescribe BOTOX®. All our injecting team are qualified doctors, RGN nurse prescribers or RGN nurses. For more information on who can give anti-wrinkle/ filler injections, either e-mail an enquiry or ring 0330 134 7268 for our Buckinghamshire office or for our London office.

Dr Mountford in white coat with arms crossed

To help you navigate around some of the terminology used in this sector, we have included a list of professional titles alongside a brief explanation of their roles:

Cosmetic Doctor

A qualified doctor specialising in cosmetic medicine
Nurse Prescriber

A qualified nurse specialising clinically in cosmetic medicine, who assesses, diagnoses and manages a patient and who is responsible for prescribing medicine for certain conditions
Pharmacist Prescriber

Unlike a dispensing pharmacist, this professional is licensed to prescribe medicine for conditions that are covered by their training
Aesthetic/Cosmetic Nurse

A registered nurse who works in the field of cosmetic medicine
Medical Aestheticians

Someone who delivers non-surgical cosmetic treatments under the supervision of a trained professional

At The Cosmetic Skin Clinic, none of our aesthetic practitioners perform injections. This procedure is only undertaken by qualified doctors and nurses.

Do you have to be a nurse to do BOTOX®?

You do not need to be a nurse to do BOTOX® in the UK however it is best advised that if you are seeking anti-wrinkle treatment that you have your treatment performed by a qualified doctor or nurse. There are no industry regulations which means that legally anyone can carry out Botulinum Toxin treatment in the UK. At The Cosmetic Skin Clinic we believe that only medical professionals should be performing this treatment and will only employ qualified doctors and nurses to work in our clinics, and perform this treatment.

Medical practitioners specialising in aesthetics offer the best BOTOX® results

There are a number of medical professionals who are able to prescribe BOTOX®; however, the best results are achieved when the prescriber has trained and specialised in medical aesthetic procedures. In almost all cases, the Botox practitioner will be either a doctor or a nurse prescriber.

What to look out for:

  • Training. It is advisable that your treating doctor or nurse has received training through a recognised body. Ask to see their training certificates.
  • Experience. It is important to know that your doctor or nurse is experienced in non-surgical cosmetic procedures and for how long they have been injecting. Look for consumer feedback or personal recommendations before agreeing to any work.
  • Ask to see ‘before and after’ images of their work as this is also a good way to gauge the proficiency of a practitioner.
  • Authority. All UK medical professionals are registered with a medical body such as the General Medical Council, British College of Aesthetic Medicine (BCAM), British Association of Cosmetic Nurses (BACN). How to find out if a practitioner is registered with a professional body is outlined below.

Our practitioners are personally mentored and trained by Dr Tracy Mountford and attend conferences by special invitation from leading botulinum toxin suppliers. These events regularly include lectures outlining the latest advanced injecting techniques.

Signs to be wary of:

Blank Other Danger And Hazard Sign, isolated, black general warning triangle over yellow, large macro
  • Prescriber refuses to go into detail about the substance they will be injecting as part of the procedure
  • The prescriber is reticent to fully detail the average benefits or standard risks involved
  • You feel that you are being pressured into a certain type of treatment against your wishes or you are being incentivised with cut-price deals
  • They are not registered with a professional body

Prescribing professionals are now required to have a face-to-face consultation with the patient before treatment can begin. The practise known as ‘remote prescribing’ is no longer acceptable.

What degree do you need to give BOTOX® injections?

There are no legal restrictions currently to set out minimum training levels for those performing Botox (and Dermal Filler) injections which means anyone can legally perform the treatment no matter what their training is.

You do not need a degree to give Botox injections, however, Botox is a prescription only drug in the UK and therefore can only be prescribed by someone who is qualified to write a prescription which includes a doctor or a nurse who has completed a NMC Independent Nurse Prescribing Course which may also be referred to as a V300 course.

Although there are no legal restrictions, there are best practice guidelines that have been put together by the Health Education England (HEE) as part of their Qualification Requirements for Delivery of Cosmetic Procedures. This details that individuals should complete a level 6 or 7 qualification which are equivalent to degree and postgraduate qualifications.

When it comes to employing nurses and doctors to work at our clinics, we like to ensure that they are appropriately qualified to carry out Botox injections to a standard that we are happy with. We only employ doctors and nurses who have been trained and specialise in medical aesthetic procedures and are registered with a medical body.

Checking the qualifications of a practitioner

It is important to check the qualifications of any healthcare professional you are considering using. Trained practitioners bring experience and expertise to the procedure, and operate within professional codes of conduct under a statutory organisation. Such professionals are also more likely to keep up with the latest developments in the sector, be it new products or training, and will be able to guarantee that their products are from reputable and trusted suppliers.

There are a number of professional registers available to the public that can be used to check the qualifications of medical practitioners:

Profession

Online Register

Doctors and surgeons General medical Council (GMC)
Nurses Nursing and Midwifery Council (NMC)
Cosmetic doctors British College of Aesthetic Medicine (BCAM)
Cosmetic nurses British Association of Cosmetic Nurses (BACN)
Pharmacists General Pharmaceutical Council (GphC)
Dentists General Dental Council (GDC)

Insurance

One benefit of ensuring that your consultant is part of a registered health body — beyond the guarantee of competency — relates to insurance. Health bodies such as the General Medical Council (GMC) require that all members have up-to-date medical insurance or indemnity.

For example, new GMC regulations announced in 2015 mean the Council now has powers to:

  • Follow up concerns that a doctor is practising in the UK without insurance by calling for evidence of their policy
  • Stop doctors practising by removing their licence if evidence is found that they do not hold the proper insurance or indemnity
  • Deny doctors a licence if they cannot provide sufficient assurance that they will have in place the correct insurance once practising in the UK

Checklist

Here is a checklist that should be completed before agreeing to choose a practitioner for any non-surgical cosmetic treatments:

Things to check

Tick box

The practitioner’s identity is genuine

They are registered with the GMC and another regulated body

They have the appropriate training

Their qualifications are genuine

They are up-to-date with the latest training, procedures, products and trends

The premises are health and safety compliant

They have the correct insurance

The products and equipment used are licensed and genuine

Is the product a prescription medicine and is a medical professional required in the assessment

Please click here to download the above checklist.

The Cosmetic Skin Clinic is Care Quality Commission (CQC) registered.

It is important that you feel completely comfortable with your choice of practitioner and procedure. Always thoroughly research your options and never rush into a decision. For the best results, choose a practitioner that you trust and who you can easily talk to about the procedure and any other concerns.

At The Cosmetic Skin Clinic, all consultations are conducted by one of our experienced doctors or nurses trained in aesthetics. During this time, a thorough medical consultation will be carried out. The patient may then go on to have the prescribed treatment that same day, or may decide to reschedule the treatment for a time in the future. We offer anti-ageing injectable treatments in both our clinics in London and Buckinghamshire. Our Botox Bucks treatments and Botox London treatments have been rated as some of the best in the industry in Tatler’s annual Cosmetic Surgery guide.

How to find our clinics? – Qualified Botox practitioners near me

The Cosmetic Skin Clinic in London is conveniently situated near Bond Street, Oxford Circus and Baker Street tube stations. You can also reach us by train from Paddington or Kings Cross St Pancras Train Stations.

The Cosmetic Skin Clinic in Stoke Poges, Buckinghamshire is situated near Gerrards Cross (Chiltern Railway) and Slough’s (First Great Western) station. If you’re travelling by car, please note that the M25, M4, M40 and A40 roads, makes it very easy to reach from Amersham, Ascot, Marlow, Rickmansworth, Sunningdale, Thame, Uxbridge, Wallingford, Gerrards Cross, Great Missenden, Haddenham, Harrow, Hayes, Wembley, Wendover, Chalfont St Peter, Chesham, Beaconsfield, Chalfont St Giles, Aylesbury, Little Chalfont, Maidenhead, Chinnor, Chorleywood, Cookham, Cowley, High Wycombe, Kingston upon Thames, Weybridge, Hazelmere, Headington, Oxford, Princes Risborough, Richmond, Henley-on-Thames, Watlington, Windsor and Woking.

For more details about our clinic’s locations and the best way to reach us with your car, by train, by bus or by foot, please take a look at our dedicated clinic location pages.

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