# 18 Va. Admin. Code § 60-21-55: 18VAC60-21-55. Training requirements for administration of botulinum toxin injections for cosmetic purposes

> Virginia · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_55

## Section

- **Citation:** 18 Va. Admin. Code § 60-21-55
- **Heading:** 18VAC60-21-55. Training requirements for administration of botulinum toxin injections for cosmetic purposes
- **Jurisdiction:** Virginia
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Virginia Administrative Code / Title 18 Professional And Occupational Licensing / Agency 60 Board of Dentistry / Chapter 21 / 18VAC60-21-55

## Text

A. A dentist may possess and administer botulinum toxin injections for cosmetic purposes, provided that the dentist has completed 12 hours of training in the subjects listed in subsection C of this section. Training must include a minimum of four hours of clinical, in-person training on at least two live patients, which shall include patient follow-up post-procedure. Eight of the 12 hours of training may be didactic and may be obtained online or in person.
B. To satisfy the requirements of this section, training must be provided by a dental program or advanced dental education program accredited by CODA, the ADA or its constituent or branch associations, or the Academy of General Dentistry.
C. Training to possess and administer botulinum toxin injections for cosmetic purposes shall include the following subjects:
1. Assessing patients for use of botulinum toxin injections;
2. Screening of patient expectations and psychological motivations;
3. Diagnosis, planning, and treatment;
4. Informed consent, including off-label use of botulinum toxins;
5. Anatomy and neurophysiology of the head and neck;
6. Indications and contraindications for the use of botulinum toxin injections, including off-label and approved product uses;
7. Pharmacology of neurotoxins and botulinum toxins;
8. Safety and risks associated with use of botulinum toxins, including the recognition and management of adverse reactions and complications;
9. Preparation and administration of botulinum toxins; and
10. Evaluation of patient outcomes.

## Nearby sections

- [18 Va. Admin. Code § 60-21-10 18VAC60-21-10. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_10.md)
- [18 Va. Admin. Code § 60-21-20 18VAC60-21-20. Address of record](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_20.md)
- [18 Va. Admin. Code § 60-21-30 18VAC60-21-30. Posting requirements](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_30.md)
- [18 Va. Admin. Code § 60-21-40 18VAC60-21-40. Required fees](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_40.md)
- [18 Va. Admin. Code § 60-21-50 18VAC60-21-50. Scope of practice](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_50.md)
- [18 Va. Admin. Code § 60-21-55 18VAC60-21-55. Training requirements for administration of botulinum toxin injections for cosmetic purposes](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_55.md)
- [18 Va. Admin. Code § 60-21-60 18VAC60-21-60. General responsibilities to patients](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_60.md)
- [18 Va. Admin. Code § 60-21-70 18VAC60-21-70. Unprofessional practice](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_70.md)
- [18 Va. Admin. Code § 60-21-80 18VAC60-21-80. Advertising](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_80.md)
- [18 Va. Admin. Code § 60-21-90 18VAC60-21-90. Patient information and records](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_90.md)
- [18 Va. Admin. Code § 60-21-100 18VAC60-21-100. Reportable events during or following treatment or the administration of sedation or anesthesia](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_100.md)
- [18 Va. Admin. Code § 60-21-101 18VAC60-21-101. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_101.md)
- [18 Va. Admin. Code § 60-21-102 18VAC60-21-102. Evaluation of the patient in prescribing for acute pain](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_102.md)
- [18 Va. Admin. Code § 60-21-103 18VAC60-21-103. Treatment of acute pain with opioids](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_103.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_18_60_21_55. Check the current official text before relying on it. Not legal advice.