Level 2 – Basic Botulinum Toxin: Aesthetic Upper Face & Therapeutic Pain Management


Level 2 is clinical course offering the most hands-on training you will find within the industry.  REGISTER NOW

Successfully integrate botulinum toxin into your practice with Dr. Warren Roberts’ proven clinical protocols. Learn both the therapeutic and the aesthetic applications of botulinum toxin, including how to reduce fine facial lines and wrinkles, as well as how to reduce facial pain including migraines, headaches & TMD.

Learn the PTIFA Anatomic Landmark Template, the PTIFA Therapeutic & Aesthetic Injection Templates & the PTIFA Weal Technique, as well as the skills required to immediately and successfully integrate treatment into a dental or medical practice.

Mar 1 - 2, 2024
Level 2 – Basic Botulinum Toxin: Aesthetic Upper Face & Therapeutic Pain Management

Register Now

See all course dates

Course Overview

Level 2 includes an online component (17 hrs), plus an extensive two-day clinical session (16 hrs) held just outside Vancouver, BC at the practice of Dr. Roberts.

Online Didactic

The online portion of Level 2 includes six sections:

  1. Glabella
  2. Frontalis
  3. Orbicularis Occuli
  4. TMD
  5. Migraines & Headaches
  6. Parafunctional Habits

The online portion allows practitioners to develop a deep understanding of what botulinum toxin is, how and why it affects facial muscles, and how to use botulinum toxin to achieve aesthetic facial improvements in the upper face. Practitioners will also learn how botulinum toxin is used therapeutically to treat parafunctional habits, TMD, temporal headaches, migraines and oromandibular dystonias. Prevention and interception of these disorders is addressed. A review of the musculature of the face and neck and analysis of muscle recruitment assists us in determining the cause of the many wrinkle presentations and expressions. The facial aging process is discussed as it relates to placement of the medication and the dosage required. EMG (electromyography) is used to aid in the analysis and differential diagnosis of parafunctional habits, TMD and headaches.


Clinical Session

The clinical portion of Level 2 includes a two-day hands-on session always held on a Friday and Saturday.


Day 1 (Friday) – Integrative Landmarking Cadaver Lab

Practitioners will attend an anatomical cadaver integration session. Dr. Roberts provides an in-depth review of relevant anatomy and relates surfaces features to the underlying musculature and bones. Understanding the source, pathways and overlap of the cranial nerves provides the foundation for understanding myofacial pain and the synergy that exists between aesthetic and therapeutic botulinum toxin therapy. As Dr. Roberts reviews muscles on the cadaver, practitioners will practice the PTIFA Anatomic Landmarking Technique on 15 participants. This integrative portion of the cadaver lab develops confidence prior to the clinical hands-on. The day finishes with a live model demonstration with Dr. Roberts injecting, using the PTIFA Anatomic Landmark Template, the PTIFA Therapeutic & Aesthetic Injection Templates & Techniques.


Day 2 (Saturday) – Clinical Hands-on

Day 2 is an intensive clinical hands-on practicum where you have the opportunity to inject 8+ patient models using the PTIFA Anatomic Landmark Template, the PTIFA Therapeutic & Aesthetic Injection Templates & Techniques. The course is typically held at the practice of Dr. Roberts (Tsawwassen, BC) or on campus at the University of British Columbia at the Patterson Dental Learning Centre (Vancouver, BC). You will have the opportunity to see how a patient is treated from the moment they walk into the clinic, how the necessary medical history and consents are collected on FACETEC software, what photographs are required and how they are stored in FACETEC, the consultation process, treatment (including markings & injection), billing procedures, and booking post-op appointment. Our goal is to provide you with extensive hands-on experience so you are confident leaving and going back to treat patients within your own practice. Team Members registered for the Level 2 – Team Training course assist practitioners in clinic – receiving one-on-one hands-instruction in photography, reconstitution of the product, loading of the syringes and more.


  1. Identify and mark precise anatomical facial landmarks for placing botulinum toxin cosmetically in the upper face and for myofascial pain.

  2. Diagnose and inject botulinum toxin (aka Dysport®/Botox®) for predictable cosmetic results in the upper face.

  3. Diagnose and inject botulinum toxin (aka Dysport®/Botox®) for predictable therapeutic results including myofascial pain (migraine, headache & TMD).

  4. Provide the PTIFAT Injection Techniques to achieve predictable results and avoid negative side effects.


  • Frontalis Muscle
  • Glabellar Complex
  • Procerus
  • Corrugators Supercilii
  • Orbicularis Oculi
  • Research Articles Supporting Therapy
  • Primary, Secondary and Tertiary Mechanism of Action
  • Preparation, Dosage, and Procedure
  • Practical Pearls

Format & CE/CME

Level 2 includes an online didactic section (17 hours & exam), followed by a 2-day clinical session typically held at a hotel venue and Roberts Dental & Facial Rejuvination (16 hours).

Upon registration, access to the online Level 2 course materials are provided for one-year. Level 2 includes 33 CE/CME credits upon successful completion of the hands-on session.

Team Member Training

A separate course is offered for non-injector related team members of your office (ie: Office Managers, Receptionists, Medical Office Assistants, Chair-side Assistants, Hygienists, Office Managers, Pharmacy Assistants etc.) in the Level 2 – Team Training. This course is held concurrently with the Practitioner’s training in the clinic on Saturday and is focused on the clinical skills and integration, including reconstitution, supplies, photography, marketing and more.

Practitioners and Team Members both graduate from Level 2 with the knowledge, skills and confidence to perform precision muscular injections with predictable positive results. Practitioners who successfully complete Level 2 are provided with a certificate of completion, as well as the necessary forms and training to successfully incorporate botulinum toxin into their practice. They are also able to register for the online Support Study Club – offering case support and more.


Areas Trained To Treat

Level 2 graduates are trained to treat the following areas and are able to store, compare and create portfolios using FACETEC software.

  1. Glabella Complex – facial lines located between the eyebrows (aka “#11’s)
  2. Frontalis Muscle – facial lines running across the forehead
  3. Orbicularis Occuli – facial lines located around the eyes (aka “Crows’ Feet”)
  4. Migraines & Headaches – reducing severity and duration of symptoms
  5. TMD – reducing myofascial pain symptoms associated with TMD (temporomandibular dysfunction)
  6. Parafunctional Habits – reducing myofascial pain symptoms associated with bruxing/clenching/grinding


What is your registration policy?
Please review our Registration Policy prior to registering.
When can I register for Level 2?
You can register for Level 2 at any time. You do not have to wait until you complete Level 1, prior to registering for Level 2.  We recommend that you register for Level 2 as soon as you find course dates that suit your schedule. Level 2 course dates are typically sold out two to three months in advance. We recommend registering early to avoid disappointment.
Do you offer payment plans?
Yes! We offer a limited number of payment plans to attend Level 2 and higher level hands-on courses. Please register for Level 1, and a monthly payment plan can be made to attend a Level 2 course date. Tuition is due in full prior to attending the hands-on course date. Please contact us for details.
Am I required to bring a patient model? I don’t have one, can I still attend?
Each practitioner is required to provide a minimum of one patient model for the clinical hands-on (Day 2). This is so that you can assess the results of treatment back in your own practice two-weeks after the course. Typically your patient model is a Team Member attending the Level 2 – Team portion of the course with you, however it can also be a spouse, friend or patient from your office. Please note that PTIFA does our best to accommodate the clinic for the hands-on portion of the course and maximize the amount of cases and hands-on experience you have. Additional patient models are typically provided by PTIFA, however we cannot guarantee an extensive hands-on experience if practitioners do not provide patient models. Practitioners are responsible for the fee for their patient model(s) which is charged at a discounted rate of $6/unit. If you are unable to provide a patient model, please contact us at least one month prior to the hands-on session.
I only want to learn the therapeutic use of botulinum toxin. What course do I take?
There is significant overlap between aesthetic and therapeutic treatments. Therapeutic treatment can have aesthetic side effects and vice versa. A thorough understanding of how the two are related is required for effective and appropriate treatment. The PTIFA Therapeutic and Aesthetic Templates illustrates their synergy. Precise anatomical placement and proper dosage is required in each case. Higher dosage than that used for aesthetic treatment alone results in reduction of headaches and migraines (see Allergan’s PREEMT study). A threshold dosage, carefully placed, must be reached in order to obtain therapeutic relief. At this juncture, the secondary and tertiary mechanisms of action of botulinum toxin (Dysport®/Botox®) come into play, and there is a synergy between aesthetic and therapeutic outcomes. That's why our Level 2 course has been designed to teach you the aesthetic use of botulinum toxin in the upper face, as well as the therapeutic use for reducing pain (migraines/ headaches/ TMJ/ bruxing/ etc). For learning therapeutic treatment skills we recommend the Level 1 online and Level 2 hands-on courses as a minimum. Level 3 takes the therapeutic training deeper. To learn more, review Dr. Roberts' article "Botulinum Toxin: Not Just a Pretty Face".
What support is available to me after completing the Level 2 course?
Level 2 graduates are encouraged to join the online Botox Study Club. Membership includes case support for your difficult cases, team training videos, access to all research articles and studies, recorded webinars, live hands-on sessions (when offered) and more.
Can I bring my team to the course?
Yes! We highly encourage you to register your team for the Level 2 – Team Training course. This course is geared specifically for non-injecting team members (receptionists, office managers, chair-side assistants, hygienists, medical office assistants, pharmacy assistants, etc) and has been developed to aid successful integration into the medical or dental office.
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.
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.
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.
What is the Student to Instructor ratio?
The Level 2 course offers limited seats in an intimate setting with a maximum of four practitioners/students to one Instructor at the Clinical Hands-on.
How much hands-on instruction will I have?
Our goal is to maximize the amount of hands-on experience you have so you are confidant offering treatment on your own after the course. At the Level 2 course you can expect to inject 10+ different patients. This is achieved by sharing patient models amongst all practitioners to ensure an opportunity to experience multiple tissue types and areas of the face.
How do I integrate botulinum toxin into my practice? Is it different for medical vs. dental practitioners?
The Level 1 and Level 2 curriculum has been uniquely developed to help you successfully integrate botulinum toxin treatment into your practice immediately after taking the course. We understand that incorporating a new treatment modality can be challenging. Our Level 2 graduates can expect to receive all of the training, tools and clinical requirements so that they can begin integrating treatment into their offices immediately after the course.
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.
Who is a Team Member and why is it recommended for them to come to the course?
Team Members are any non-injecting staff member within your office, such as: receptionists, office managers, chair-side assistants, hygienists, medical office assistants, pharmacist assistants, etc. We have found that the offices who cross-train their entire teams are the most successful integrating treatment into their practice. Team Members play an important role facilitating the integration into your practice. We highly encourage you register your entire team for the Level 2 – Team Training course.
Can I register my Team Members closer to the course date?
Yes. Typically we can accommodate Team Member registrations, however the practitioner seats are limited due to the low Instructor to Student ratio.
How many Team Members should I bring for the Level 2 – Team Training course?
We find that the practices who cross-train their entire team are the ones who are most successful integrating treatment into their office.
Is any clinical integration and/or marketing taught in this course?
Yes! Practitioners receive clinical integration in the Level 1 and Level 2 course. Additionally, Team Members who attend the Level 2 – Team Member course receive specific training on how to speak to patients about treatment, how to reconstitute and load syringes, supplies, marketing, billing, photography training and much more.
I’m an international graduate. Can I take this course?
Our courses are available to international dental, medical and nursing graduates. However, some of the treatments include the use of prescription medications (ie: botulinum toxin) and require the ability to prescribe and/or administer prescription medications. Please appreciate we train practitioners from across the world and that regulations vary. Please contact the local licensing college within the jurisdiction you plan to practice for details prior to registering.
Can I purchase botulinum toxin (ie: Botox /Dysport) through PTIFA?
PTIFA offers a number of products to integrate treatment back into your office, however we do not sell/distribute botulinum toxin products. Level 2 graduates are provided details on how to order botulinum toxin product.
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.



Achieve little to no negative side effects with PTIFA’s Marking and Injection Techniques and Clinical Protocols.

Successfully treatment plan and mark your patients with confidence after attending the integrative Cadaver Lab.

Ability to review the online course videos as often as you wish by accessing the didactic materials online.

Achieve a high-level of patient care and clinical competency within your practice.

Successfully integrate treatment into your practice with our proven Clinical Protocols and Level 2 – Team Training course.

Fully engage your entire practice Team with the separate Level 2 – Team Training course.

Improve patient care with your myofascial pain patients by integrating electromyograph analytics and threshold dosages of therapeutic botulinum toxin.

Science-based and practice-based approaches & techniques  – our syllabus includes before-and-after cases directly from our Faculty members (and not the pharmaceutical companies).

Confidently offer a treatment your patients will love and ask you for!

Fees & Requirements

Pre-requisite: Successful completion of Level 1 is required prior to attending the Level 2 hands-on. Please note you may register for Level 1 and Level 2 at the same time.

Requirements: A minimum of one patient model(s), a current copy of your license and malpractice insurance.


  • Practitioner Tuition: $3,400
  • Team Member Tuition: $799
  • Patient Model: A discounted course rate of $6/unit is charged for each patient model having treatment in the clinic. Practitioners are responsible for their patient model’s fee.

All funds are in Canadian Dollars. Please review our Registration Policy prior to 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 2 for 24 hours of continuing education credits.

Level 2 - Team Training course details.