Level 1 – Advanced Anatomy Review & Intro to Botulinum Toxin & Dermal Filler


Interested in adding botulinum toxin and dermal fillers to your practice?

Start learning today with the online Level 1 course. Learn from Dr. Warren Roberts, world renowned injector and top CE Leader, on how you can successfully begin integrating injectables into your practice.

Level 1 – Advanced Anatomy Review & Intro to Botulinum Toxin & Dermal Filler

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Course Overview

This online course provides the foundational anatomy for both therapeutic and aesthetic applications of injectables. Level 1 includes 25+ hours of advanced anatomy learning, including an online e-Cadaver and e-Skull lab. It begins with an in-depth review of head and neck anatomy and the relevance to administration of botulinum toxin, dermal fillers and other therapies. You will learn how to examine a patient and arrive at a differential diagnosis. Crucial photography, record keeping and office integration are also covered in detail.
This course is available with subtitles in English, French and Spanish.


Level 1 includes the following six sections:

1. Introduction to Facial Aesthetics

Learn how to arrive at the proper diagnosis and treatment plan. Botulinum toxin (aka Dysport®/Botox®) is often the first procedure of choice in many facial rejuvenation treatments. However, to ensure ideal treatment results the practitioner must also have knowledge and understanding of how diode lasers, intense pulsed light, fractional lasers, microdermabrasion, dermal fillers and other treatments can be used to treat various conditions. Develop a broad understanding of current popular therapies so that you can assess your patient’s needs and desires, document pre-treatment conditions and properly select the appropriate treatment and treatment sequence.

2. Anatomy of the Head & Neck

Botulinum toxin type A (aka Dysport®/Botox®) acts on the terminal nerve axon ending, preventing the release of the neurotransmitter acetylcholine (ACH) and chemically blocking transmission at the synapse. Developing a detailed understanding of the anatomy of the muscles of the face and neck enables practitioners to select the muscle, or group of muscles, to relax for a specific result. Detailed muscle knowledge and precise marking of these muscles leads to predictable results and minimal side effects.

3. Photography & Record Keeping

Documentation of your patient’s pre-existing condition, the exact sites injected and the results of any treatment provided are critical for proper patient care and evaluation as well as medical-legal reasons. Photography and the treatment record form are invaluable tools. The Roberts Facial Rejuvenation Photography series is taken at each appointment to record the pre-existing conditions and the changes that have occurred following each treatment.

4. Office Integration

Safe patient treatment and efficient delivery of botulinum toxin and dermal fillers requires proper office integration systems. This section of the course deals with the nitty gritty details of how to integrate botulinum toxin successfully into a medical or dental office.

5. e-Advanced Anatomy

In-depth knowledge of anatomy is paramount to understanding facial rejuvenation and cosmetic injectable treatments. In this section we will study the muscles of the face, their origins, insertions, innervation, arterial supply, functions, and how they relate to the 3-D tissue planes.

6. e-Cadaver & e-Skull

Building on tissue planes, we review the soft tissue relationship to the bony structures of the head & neck. A review of the sensory innervation in relation to these hard and soft tissue structures allows us a better understanding of the sensory input involved in bruxing, grinding, TMD, headache, migraine and myofascial pain. It will become clear how there is synergy between therapeutic and cosmetic treatment.


  1. Describe head & neck anatomy and how it relates to treatment planning for facial injectables.
  2. Describe the synergy between the therapeutic & the aesthetic applications of botulinum toxin.
  3. Identify the 7 PTIFAT Injection Rules and the key clinical systems for effectively integrating facial injectable procedures.
  4. Identify the importance of detailed patient history taking and taking Roberts Facial Rejuvenation Photography™ series.


  • The Facial Aging Process
  • Treatments Available Today
  • Patient Evaluation & Treatment Sequence
  • Indication & Contra-Indications
  • Statistics & History
  • Pharmacology and Review of Muscle Physiology
  • Neurovascular System & Tissue Planes
  • Photography
  • Office Integration
  • An overview of all the actions of Botulinum toxin type A
  • Anatomy of Head & Neck
  • eAdvanced Anatomy
  • eSkull & eCadaver Labs

Format & CE/CME

Level 1 is an online self-directed course. Access to the course materials is granted for one year. A downloadable (PDF) syllabus is provided.
25 CE/CME credits are provided upon successful completion of the online exam.
Subtitles available in English, French and Spanish.


Who can take the online Level 1 course?
Since Level 1 is completed all online, anyone can take the course. However, we recommend the course for dental, medical and nursing practitioners, as well as medical/dental/nursing students.
How long do I have to complete the course?
Upon registration, users will have access to the online course materials and exam for one year.
How many Levels/courses will I be required to take?
Take as many Levels with PTIFA as you desire! The number of Levels required depends on how advanced you want to become. However, in order to begin offering botulinum toxin services you need a minimum of Level 1 and Level 2.
I want to take a combined botulinum toxin/dermal filler course. Is this available?
PTIFA offers a tiered and gated educational model of training. We believe practitioners need both an anatomy-based education plus the opportunity to master techniques and treatments prior to learning more advanced skills. We currently do not offer same-day or combined botulinum toxin/dermal filler courses.
What is required to successfully pass the exam? What happens if I am not successful passing the exam?
A minimum grade of 80% is required to pass the online exam. Please contact us for further details.
How long after taking Level 1 do I have to complete Level 2?
There is no time limit between taking Level 1 and Level 2. You can register for Level 2 at any time. Most people register for Level 1 and Level 2 at the same time. Upon registering for the Level 2 course, you will be provided with access to review the online Level 1 course materials again.
Can I register for Level 1 and Level 2 at the same time?
Yes, we recommend registering for both the online Level 1 course and Level 2 if you see a Level 2 hands-on course date that works with your schedule. Successful completion of both the online Level 1 and Level 2 exams is required prior to attending the Level 2 hands-on course date.
Do I have to complete Level 1 before taking Level 2? Can I just take Level 2?
Level 1 must be completed first. All the higher-Level courses are based on the advanced anatomy taught in Level 1. Without Level 1, practitioners will not understand or benefit from the more advanced Level courses.
Will I be able to offer botulinum toxin and/or dermal fillers in my practice after completing the course?
Upon completion of Level 2 you will have the training to offer botulinum toxin treatment for cosmetic use in the upper face, as well as for myofascial pain. Please contact your College or regulatory body regarding the scope of practice in your jurisdiction and for additional practice guidelines.
Why is there such a focus made on anatomy? Isn’t injecting botulinum toxin & dermal fillers easy?
99% of negative side effects are injector related. In order to achieve predictable results and avoid negative side effects, practitioners must have a detailed understanding of head and neck anatomy. PTIFA is known as anatomy-based educational provider within the industry. This is one of the many reasons why dentists, physicians, nurses and specialists from across the world travel to participate in our hands-on courses. All of the hands-on course materials are based on the e-Advanced Anatomy, e-Skull and E-Cadaver labs taught in Level 1 - which is why it is a pre-requisite for all of the other courses.
I have extensive anatomy background. Can I skip Level 1?
PTIFA is known as an anatomy-based educational provider within the industry. This is one of the many reasons why dentists, physicians, nurses and specialists from across the world travel to participate in our hands-on courses. In the past, we allowed certain practitioners to skip Level 1. We found that these practitioners struggled in the higher level courses as they did not have the detailed anatomy review (16+ hours) from Level 1. All of the hands-on course materials are based on the e-Advanced Anatomy, e-Skull and E-Cadaver labs taught in Level 1 - which is why it is a pre-requisite for all of the other courses. We invite you to contact us to discuss your experience and the educational opportunity at PTIFA.
Do I need to have an active medical/dental/nursing license to take Level 1?
No. As the Level 1 course is all online, anyone can take the course including dental, medical and nursing students.
I’m currently in medical/dental/nursing school. Can I take this course now?
Yes. As Level 1 is all online, anyone can register for the course.
Are botulinum toxin/dermal fillers approved by my college?
PTIFA trains dentist, physicians, nurses, naturopaths and pharmacists from across the world. The scope of practice varies with the jurisdiction. We recommend you check with your local licensing body for guidelines prior to registering for the courses.
When was this course updated?
This course was updated and released on August 3 2021. The content expires and will be revised August 31, 2024.
Do the Instructors have any vested interest?
The Instructors involved in this course do not have vested interest in any of the products or materials discussed in the program.


Start learning today. Level 1 is an online self-directed course. Complete the course on your own time, and from the comfort of your own home or office.

Develop a deep understanding of anatomy, achieve predictable results and avoid the negative side effects with our anatomy-based training (16+ hours).

Successfully integrate botulinum toxin & dermal fillers into your office by developing a complete understanding of all the clinical systems required.

Achieve 99% case acceptance & impeccable records by understanding the importance of detailed patient history taking and learning the industry’s leading Roberts Facial Rejuvenation Photography series for photographic documentation.

Improve other areas of your professional practice by reviewing and developing a deep understanding of anatomy. This course has many cross-over applications to other areas of dentistry, medicine and nursing. Additionally, a number of College presidents have indicated that e-Advanced Anatomy, e-Cadaver and e-Skull should be a mandatory refresher course every 3-5 years for all College members.

Learn from reputable & industry-leading Faculty – our Instructors have effectively integrated treatment into their own private practice, teach with their own before-and-after cases, actively treat cases within their own practice and have mastered PTIFA’s proven Clinical Protocols.

Fees & Requirements

Level 1 online is $1,695. There are no pre-requisites to take Level 1.
All funds are in Canadian Dollars. Please review our Registration Policy before registering.

CE Recognition

PTIFA is an ADA CERP recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers with continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by Boards of Dentistry. PTIFA designates Level 1 for 20 hours of continuing education credits.

Start today with online Level 1 course.
Register for the Level 2 hand-on.