Were you thinking of getting a Botox injection at your neighborhood medical spa?  A nonsurgical medical cosmetic procedure, which includes the injection of medication or substances for cosmetic purposes, must be performed by a physician or his/her mid-level practitioner (physician assistant or advance practice registered nurse).  22 TAC §193.17.  Botox injections can result in complications and the performance of these procedures is the practice of medicine.

Recently, Michelle Bogle with Savvy Chic Medspa, was arrested and charged with practicing medicine, a felony offense. It is estimated she administered hundreds of injections.  Ms. Bogle is a licensed vocational nurse.  Ms. Bogle is also accused of recommending medical treatments and prescribing Botox injections.