Who can inject botox and fillers in Lithuania, and where
In Lithuania, botulinum toxin and filler injections are a licensed health service. They may be given by a doctor whose specialty covers them, in a clinic licensed to provide them. A general practice nurse or a beautician may not give them, and no course certificate changes that.
For a newly qualified doctor, the first question is therefore not which course to take but whether your qualification gives you the right. The answer is written in two places: the health minister's order on outpatient aesthetic surgery, and the medical norm for your own qualification.
Injections are listed as outpatient aesthetic surgery
Order No. V-11 of the Minister of Health, dated 6 January 2020, sets the requirements for outpatient aesthetic surgery services. Its list of procedures includes tissue filler injections and botulinum toxin injections [1]. The order defines the service as planned care not aimed directly at improving health. It is provided by a plastic and reconstructive surgeon or by a doctor of another qualification, within the competence set out in the relevant Lithuanian medical norm [1].
These services are not paid for by the compulsory health insurance fund. The clinic must sign a contract with the patient on how the service is provided and paid for, including payment if a complication occurs [1].
Your medical norm decides whether you may inject
A medical norm sets out the competence of each qualification. The norm for dermatovenerologists, MN 59:2016, includes aesthetic, laser, cosmetic and corrective procedures on the skin, its appendages, the subcutaneous tissue and mucous membranes, by conservative and invasive methods [2].
The State Accreditation Service for Health Care Activities, which licenses doctors and clinics, has said who may perform these injections. Botulinum toxin, hyaluronic acid, mesotherapy and biorevitalisation injections may be performed by dermatovenerologists and plastic and reconstructive surgeons, and oral and maxillofacial surgeons may inject botulinum toxin and fillers in the face and neck [3]. The doctor must have completed residency in the relevant field and hold a licence [3].
If you are a family doctor, a surgeon in another field or still in residency, your medical norm and your licence settle the question, not a training certificate.
Nurses and beauticians may not inject
Aesthetic and corrective injections are not part of a general practice nurse's competence, still less a cosmetologist's, and training run by filler manufacturers or distributors cannot extend that competence [3].
The order does give the nurse a role. The doctor provides outpatient aesthetic surgery together with a general practice nurse, and either may monitor the patient during the service [1]. Providing health care without the right to do so carries an administrative fine of 600 to 1,140 euros [3].
The clinic needs its own licence
A qualified doctor is not enough. The clinic must hold a health care licence covering outpatient aesthetic surgery services. It also needs a contract with a hospital providing at least secondary-level inpatient surgery, which must take the patient within 40 minutes of the need being established [1].
It must have a reception room, a procedure room or operating theatre, a waiting room and staff rooms, a first-aid kit, an anaphylactic shock kit and an Ambu-type breathing bag [1]. The doctor decides on treatment after reviewing the history, the examination and any tests. The patient leaves with a written extract from the records, which also goes to their family doctor if they consent [1].
How to check where you stand
- Read your own medical norm. Look for aesthetic or invasive skin procedures in its competence section. If they are not there, you do not have the right.
- Check that your licence names that qualification. The right follows the licence, not the job title.
- Ask to see the clinic's licence. It should cover outpatient aesthetic surgery services, and the clinic should have a transfer contract with a hospital.
- If your specialty is not on the list, plan the route. The right comes through residency in a specialty that has it, not through a short course.
- Once you have the right, choose training with supervised practice. A course adds skill on real patients under a qualified injector; it does not add a competence your norm lacks.
These are the consolidated texts in force in October 2026; Order V-11 was last amended in July 2021 [1]. Before you sign a contract with a clinic, ask which medical norm it relies on for your work, and read that norm yourself.
Read next
- Can nurses inject botox and fillers? Country rules compared
- What the EU Regulates in Aesthetics and What Is National
- How to Choose an Aesthetic Medicine Course in Europe