Home Skincare Do You Tip For Botox? – With Examples

Do You Tip For Botox? – With Examples

by Gabbi

Although beauty services may be called a form of self-care, there’s an incomparable feeling that comes with someone else taking care of you.

You may be able to handle something like getting your nails done on your own, but when it comes to bigger procedures like Botox and plastic surgery, you’re left with no choice but to leave those in the hands of a professional.

When those services are done well, you’ll leave the appointment feeling like a whole new person. Customary beliefs will have you thinking that a monetary tip is the best, and only, way to show your appreciation for these beauty services, but that isn’t as true of a statement as you may think!

So, do you tip for botox? The general rule of thumb is that you don’t tip for medical services, and that includes procedures like Botox. There are ethical and legal problems surrounding tipping medical professionals, so be sure to familiarize yourself with them before your next appointment.

You may be wondering what the issues are surrounding tipping for Botox, especially if you’ve grown used to tipping as a means of showing your appreciation. Discover those potential issues, as well as the other controversies that come with medical tipping, in this article!

Tipping Culture For Medical Procedures

Though it’s commonplace, and often encouraged, to tip for beauty treatments like nail appointments and hair appointments, this standard changes completely when it comes to medical procedures.

It’s a nice thought, and a decision that’s often made with good intentions, but doing so can raise some fairly serious issues in the medical field.

Think of the last time you tipped your doctor for a routine check-up or thanked hospital workers for taking care of you while you were in the emergency room.

Chances are, there were never any instances of that occurring. While the circumstances may be different, especially since Botox is a voluntary procedure, it’s still considered medicinal.

The difference, and what makes the standards so contrasting, is in the person who’s giving you the service. Hairdressers, nail techs, and other types of estheticians don’t need to go through a medical licensure program to offer their services. 

While the potential consequences of a failed hair appointment may seem monumental at the moment, they’re nothing compared to potential nerve damage and health issues that could occur with poorly administered Botox.

That license to practice is earned after multiple years of medical school, and by those standards, it’s inappropriate to accept monetary thanks.

You will likely never come across someone in the medical field who accepts tips as a form of appreciation, and if you do, it’s a sign that you’re not in a reputable location.

Proceed with extreme caution if you ever find yourself in this position, but if you’d like our advice, we recommend you skip out on your appointment altogether. 

Tipping Culture In A Medical Spa

If you’re looking for a reputable location to get more invasive beauty procedures done, there’s no better place to go than a medical spa.

Consider them a hybrid location, which jointly blends the dependable equipment of medical professionals and quality equipment, with the luxurious, deeply relaxing atmosphere of a spa or salon.

Because of this combination, there seems to be a lot of confusion surrounding the tipping culture of medical spas.

The “pampering” aspect of medical spas is mainly to blame, as well as the fact that medspas offer a multitude of different procedures, ranging from massages, and microdermabrasions, to even more invasive procedures like Kybella.

Depending on the location you go to, the tipping culture of your medical spa can differ. There are instances of people noticing that gratuities are included in the price of their services, some places that leave a tip jar in the rooms where tippable services are being held, and some medical spas that don’t accept tipping whatsoever.

However, it’s more likely than not that the tipping expectations vary more on the procedure you’re getting done than the location of the medical spa itself. The common ground for Botox is that it’s a non-tippable procedure, even though you may have tipped your waxing technician in the same medical spa. 

Botox In A Medical Spa

There is a slew of certifications and licenses you need before you’re considered qualified to administer Botox. It’s a prescription treatment and can have medical benefits which draw the line between Botox and a casual cosmetic procedure. 

A reputable administrator of Botox will at least have a Bachelor of Science degree in the medical field, though it’s likely they will have graduated from medical school or at least went to a specialty school made for their area of work (dentistry, cosmetics, etc).

Even then, will all of those years of schooling under their belt, they aren’t allowed to inject Botox – only after they pass a Botox course will they be deemed skilled enough to handle the drug.

As you can see, Botox administration is no joke. Your administrator has gone through years of school, and because all of those licenses, certificates, and degrees have deemed them medical professionals, they are to uphold the expectation of not accepting monetary tips. 

While it’s not against the law, tipping your Botox administrator may not be the kindest thing to do. Unfortunately, tipping culture stems from pretty unsavory sources (rich people would tip service workers to perpetuate a power dynamic).

Due to the professional career paths that doctors and Botox techs have, it would be inappropriate to tip them, even if you meant it with complete kindness and appreciation.

In spite of that, there are some instances in which tipping is a viable way to say thanks. These instances are few and far between, so you can generally assume that the full amount of the service is more than enough payment for your administrator.

When You Should Tip For Botox

Depending on the location, you may find that your medical spa has white envelopes near the exit. Think of these as fancy tip jars.

If you see these in your Botox location, it typically means that tipping is accepted for all procedures, regardless of whether it’s considered cosmetic or medical. In instances where tips are only accepted for certain treatments, those envelopes will only be available in the room where the service is taking place.

Getting botox done in a Doctor’s office, however, is a different story. Since these facilities involve the administration of prescription drugs, and Botox treatments done here are usually administered to treat health concerns like migraines rather than just cosmetic concerns, you should never tip your doctor – these are considered necessary medical services, not voluntary treatments.

At medical spas, there’s a chance that your Botox will be administrated by a medical assistant or physician, someone who isn’t part of the owners of the spa. In these cases, it may be more convenient to leave them a tip. This is due to the amount of payment they receive from your appointment.

Doctors and other high-level medical professionals will gain the full cost of the treatment with each appointment you book with them.

The cost of the treatment, as well as any additional costs, go straight into the pocket of your Botox administrator. However, other professionals who have licensure to inject Botox may not see that same amount of money in their paycheck.

For physicians and nurse practitioners, an hourly rate dictates how much money they see at the end of the day.

Regardless of how many appointments are booked in the hour, and regardless of how many of them are Botox administrations, they will receive a flat rate of around $25 an hour.

Due to their hourly wage, tipping them for their services is acceptable – just be sure that they are indeed physicians or NPs before you hand them any cash!

How Much To Tip For Botox

For those who are well-versed in booking and tipping for cosmetic services, you may know that the typical percentage to tip for particularly good service is around 20%. However, this can vary depending on how much you like the outcome of their work, and how much time you spent in the chair overall.

This isn’t necessarily the expectation when it comes to Botox, however. Depending on how many units of Botox you’re getting injected, and where you’re injecting it, the price of the procedure can range exponential amounts!

On the lower end of the pricepoint (also dependent on the state or country you’re in), you may pay $100 for a minimally invasive Botox treatment. On the higher end of the price point, you may find yourself dropping as much as $2,800 on a single appointment. 

With prices ranging that much, paying a 20% gratuity may be a little too heavy on the packers (though you’re welcome to if you feel they’re truly deserving of it).

Accounts from Registered Nurses and Cosmetic Nurses who work in medical spas say that tipping your provider something as simple as $20 is enough to show great appreciation for your service.

If you’re truly wondering about what the appropriate amount is to tip your practitioner, a surefire way to know the common tipping amount is by asking the receptionist. They’ve likely dealt with this question before and can give you an unbiased opinion about the appropriate amount.

Further, you can also ask them if the title of your Botox administrator. If they’re a doctor, or own the medical spa you’re visiting, you’ll know that a tip is unnecessary and would likely not be accepted, whereas a physician or nurse would be a more fitting recipient of your gratuity.

Other Ways To Show Gratuity

If you’re in a place where you can’t tip for your Botox appointment, but you still want to show your thanks to the medical spa, or your administrator, there are other ways to show your thanks that don’t involve tipping cash!

Some of these ways include:

  • Bringing Food
  • Reviews
  • Share on Social Media
  • Word of Mouth

1. Bringing Food

It’s a simple gesture and one that doesn’t need to cost much money at all! You don’t need to buy an extravagant feast to show your thanks to your doctor or Botox administrator – it can be something as simple as some coffee and a snack.

If you have a developed relationship with the medical spa where you book your appointment, or with your practitioner in general, you may choose to one day gift them with something special.

It’s not unheard of for some patients to send gift baskets or food arrangements to their technicians, or even for the entire spa to enjoy in general. 

2. Reviews

One of the biggest compliments you can give your Botox provider, and their place of work, is through a stellar review! The best part about this form of gratuity is that it comes at absolutely no cost to you.

It just takes a little bit of time and some heartfelt words. As consumers, we tend to forget how impactful a good review is on businesses.

The top platforms to rate businesses on are Yelp and Google, but you may be so grateful for your appointment that you may decide to rate them 5 stars on every business platform you can. Medical spas are diligent about reading through these reviews, and they’ll likely respond to you with high thanks!

3. Sharing On Social Media

If you’re looking for more free ways to show your thanks for your Botox injections, take it to the masses! In the digital age, we have the power to speak to people in higher concentrations than ever before.

Post about your incredible experience on social media – tag the office, tag the practitioner, and use hashtags to increase reach.

These reviews not only showcase how transparently you loved your treatment, but it also brings more people to their offices – some might only go after seeing your post!

4. Word Of Mouth

This one is simple, and it’s something you can do for months and months after your appointment. Simply telling people about your positive experiences can be enough to bring people to their medical spas. Be sure to mention your practitioner by name so that potential clients will book with them.

Doing one, or multiple, of the aforementioned “tipping” techniques is a great way to bring service to your medical spa and to show immense thanks for your experience. A bulk of these options are free, but that doesn’t mean they won’t be equally appreciated. 

The best part is that you can still do these forms of gratuity on top of a monetary tip to show your double appreciation.


Whether you’re seasoned when it comes to booking cosmetic appointments or getting a Botox treatment done is the first toe you’ve dipped into the pool of beauty procedures, feeling compelled to say your thanks by leaving a tip is common.

Though this is a normalized practice in the beauty world, the grey area of cosmetic/medicinal hybrids like Botox would better be left assumed as untipped treatments.

This is due to the high likelihood that your provider is a doctor or other medical professional. However, if you learn that your administrator is paid hourly (like a nurse practitioner or physician), tipping them would be appreciated. This also applies to spas that have money envelopes or “tip jar” situations in a common area.

If you are in a place where you can tip for treatment, tipping $20 can go a long way, though you can choose to tip more depending on how happy you are with the service.

There are also non-monetary ways to tip, such as: bringing food, leaving good reviews, and spreading the good word about their services either in person or through social media. 

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