NOTE: Estheticians who complete an injector certification and work under the delegation and supervision of a Texas-licensed physician may, under Texas Medical Board rules, perform certain cosmetic injectable procedures. To comply with state requirements, the esthetician must maintain current certification and training records, work under a written delegation or protocol from the supervising physician, obtain and document patient consent and medical history, follow the physician’s supervision and documentation requirements, and carry appropriate liability insurance. Regulations and scope of practice may change, so always verify current Texas Medical Board and other applicable agency rules before offering injectable services.