When it comes to injectables, understanding who can legally and safely administer them is critical. At IVONNE, we believe that if you are going to invest in beauty services, they should be as elegant, simple, and effective as possible. Self-care is difficult, and finding the most efficient and safest services is the best way forward.
What Is a Cosmetic Injectable?
In cosmetics, an injectable is a material that is injected under the skin to help restore its shape or give volume.
Common Injectable Ingredients
- Collagen products
- Hyaluronic acid products
- Polymethylmethacrylate (PMMA)
- Autologous fat
How Can Cosmetic Injectables Help?
As we age, our skin changes due to exposure to sun, gravity, and other environmental factors. Micro injuries add up, and our skin begins to show signs of thinning. Wrinkles and fine lines form, and sagging takes over. Injectables can restore the appearance of lost volume and smooth out our skin.
How Do Injectables Work?
A small amount of toxin or dermal filler is injected into the muscles or tissue responsible for the unwanted feature. In the case of Botox, the toxin disarms the muscles, allowing creases to virtually disappear. In the case of lips, dermal filler is injected strategically to specific areas of the lips to help give them plumpness and shape.
Who Can Perform Cosmetic Injections?
Can a Nurse Perform Cosmetic Injections?
The Regulated Health Professions Act says that only certain regulated health professions can perform injections (physicians and nurses, e.g. RNs, RPNs, or NPs). Under certain circumstances, injections (a controlled act) can be delegated by a physician to an NP, RN, or RPN.
College of Nurses of Ontario
"To administer Botox or PRP, an RN or RPN must perform the controlled act of administering a substance by injection. Therefore, RNs and RPNs who administer cosmetic injectables need to work in collaboration with a prescriber, such as a doctor or NP, and obtain the proper authorization, such as a direct order or directive."
The CNO also says that "having the authority to perform a procedure does not necessarily mean it is appropriate to do so."
College of Physicians and Surgeons of Ontario
The CPSO asserts "that delegation cannot be done for monetary or convenience reasons. Delegation is more about expediting access to care."
What Do Manufacturers Say?
Allergan, the manufacturer of Botox Cosmetic in Canada, warns that "Botox Cosmetic should only be given by physicians with the appropriate qualifications and experience in the treatment and the use of required equipment."
What Are the Risks?
Botox-Specific Risks
- Risk of toxin spread to other areas of the body
- Possible muscle weakness, swallowing difficulties
- Speech disorders and breathing problems
- Some bruising, swelling, and eyelid drooping
- Not suitable during pregnancy or breastfeeding
- Not suitable for those with neurological diseases
General Injection Risks
- Non-sterile needles and unsanitary processes
- Exposure to infectious disease
- Counterfeit products with unknown ingredients
- Products purchased through unauthorized channels
- Uncertain handling and storage conditions
What About Needle-Free Dermal Filler Devices?
In 2019, Health Canada released a public notice that "Needle-free dermal filler devices used for cosmetic skin treatments are not authorized in Canada and may pose health risks". Even without a needle, these devices are still classified as "jet injectors" and are subject to registration and approval with Health Canada.
Alternatives to Cosmetic Injections
Lip Tattoo
For plumper, more defined lips, consider cosmetic tattoo. Lip tattoo can achieve a very consistent colour across your lips and provide definition to the borders. The effect can last several years with regular touch-ups.
Topical Skincare
If you are hesitant about injectables, consider trying medical-grade topical serums with hyaluronic acid first. Advanced formulations can deliver impressive moisturizing and plumping results without needles.
About IVONNE
IVONNE is a Permanent Makeup and Skincare Clinic located in Ottawa, Canada. We do not offer injectable services such as Botox or dermal fillers, however we can refer you to a skilled practitioner. If you are interested in Botox or fillers, please leave your information and message in our contact form for a referral.
