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thank you the number of patients undergoing treatment with injectable fillers and Botox seems to be increasing on a day-to-day basis so itamp;#39;s probably appropriate to ask the question whoamp;#39;s qualified to perform these types of procedures and the operative word here is qualified if qualified means licensed then a lot of medical practitioners should be able to perform these procedures these might include licensed practicing nurses registered nurses Nurse Practitioners Physicians assistants and a variety of Physicians including plastic surgeons cosmetic dermatologists family practice doctors and even Radiologists we find however that a lot of people who are performing these procedures arenamp;#39;t really qualified theyamp;#39;ve had inadequate training and in some cases in the case of non-physicians theyamp;#39;re inadequately supervised we feel this is especially true at medical spas where practitioners are supervised in name only we feel that licensure is just a startin