Level 3 – Advanced Botox® Course

$3,990.00 CAD + tax

This advanced Botox® training course provides an in-depth analysis of chronic facial pain symptoms and conditions, with a focus on therapeutic Botox® treatment. It also covers advanced applications to reduce the signs of aging in the mid-face, lower face, and neck—including techniques for correcting gummy and canted smiles—as well as treatment for hyperhidrosis.

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What you’ll learn

Integrate electromyography (EMG) analytics with therapeutic Botox® treatment to help identify overactive muscles and optimize TMD treatment outcomes.
Master advanced injection techniques for the mid-face, lower face/neck, incl. treatment of platysma bands, gummy smile, masseter hypertrophy & more.
Understand the role of Botox® in managing myofascial pain & muscular dysfunction, with a focus on evidence-based approaches to complex anatomy.

Meet the Clinical Director

Dr. Warren Roberts

Co-founder & Clinical Director

Dr. Warren Roberts is the Co-Founder and Clinical Director for the Pacific Training Institute for Facial Aesthetics and Therapeutics. He is a retired Clinical Professor in the department of Oral Health Sciences at the University of BC 

Dr. Warren Roberts is the Co-Founder and Clinical Director for the Pacific Training Institute for Facial Aesthetics and Therapeutics. He is a retired Clinical Professor in the department of Oral Health Sciences at the University of BC

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Dr. Kimit Rai headshot.

Dr. Kimit Rai

Clinical Instructor

Dr. Rai is a graduate of the University of British Columbia and has been B.C. Board Certified in Plastic Surgery since 1975. He has also been American Board Certified in Plastic Surgery since 1977. From 1989 to 1999, Dr. Rai was Chief of Surgery for the Simon Fraser Health Region, as well as the Chief of the Department of Plastic Surgery from 1983 to 1999. Dr. Rai is also the past president of the Canadian Society of Plastic Surgeons and the Northwest Society of Plastic Surgeons. 

Course Details

Level 3 is an advanced Botox® course that includes an online didactic section (28 hours & exam), followed by a 2-day clinical session (16 hours) held at select clinics in Vancouver.

The online portion introduces how PTIFAT pioneered mid-face injections and coined the term “Mid Face Expression” (MFE). The use of the Roberts Facial Rejuvenation Photography series allows you to see the lines, creases and folds created by the MFE. Using precise markings, the PTIFAT Injection Technique and low dosage, learn how to control the musculature creating these unwanted infra-orbital lines, naso-jugal grooves, bunny lines, smoker’s lines and nasolabial folds. Habitual subconscious activation of the lower face muscles turns the smile line into a “green bean down” appearance. These expressions blemish the skin with lines that exhibit sadness and depression. In this advanced Botox® course, learn how to turn the smile into a “green bean up” as well as advanced applications including for hyperhidrosis.

Understand how activation of the Platysma musculature accentuates the muscles of the lower face and turns the smile to a “green been down”. In addition, subconscious activation of Platysma enlarges the soft tissue, creating horizontal ‘necklace lines’ and creates the hated anterior, lateral and posterior jowls. The posterior ‘PTIFAT Platysma bands when present, indicate hyper muscular activity indicative of bruxing, grinding, TMD and tension type headache. Learn how sensory input from the head and neck, and how overload of central and peripheral sensitization on the trigeminal nucleus can lead to referred pain.

Advanced Botox® Training: Mastering Therapeutics & Beyond Aesthetics to Comprehensive Patient Care

Transform your practice with advanced Botox® techniques that bridge therapeutic relief and aesthetic outcomes. This comprehensive Botox® course equips you with precision dosing strategies, EMG analytics and anatomical expertise to deliver superior results for both therapeutic and aesthetic patients. Additionally, you will learn:

How higher dosages than those used for aesthetic treatment alone result in reduction of headaches and migraines. A threshold dosage, carefully placed, must be reached in order to obtain therapeutic relief.

How to incorporate EMG analytics when treating your therapeutic patients can assist with determining the muscle activity, dosage, timing and improved records & patient care.

The relationship between the secondary and tertiary mechanisms of action of botulinum toxin and the synergy between aesthetic and therapeutic results. Further understand the relationship between “looking good” and “feeling good”.

How to significantly reduce the amount of dermal filler in the mid-face and lower-face after developing an understanding of how to use advanced levels of botulinum toxin.

How to successfully treatment plan and mark your advanced botulinum toxin patients with confidence, after attending the advanced hands-on anatomy review focusing on the mid-face, lower-face and neck.

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Your Online Learning Journey

6 sections • 123 lectures • 17 total length

1 – Advanced Botulinum Toxin

Overview

55 min

Hyperhidrosis

13 min

2 – Mid-Face Expression (MFE)

Overview

16 min

2.1 – Introduction

1 h 23 min

2.2 – Complex Anatomy

56 min

2.3 – Marking Sequence

56 min

2.4 – Injections

28 min

2.5 – Uploading into Facetec

33 min

2.6 – Historical Markings

33 min

2.7 – Recare

48 min

2.8 – History Taking

12 min

2.9 – Treatment Sequence

52 min

3 – Lower Face

Overview

20 min

3.1 – Introduction

51 min

3.2 – Anatomy

47 min

3.3 – Marking Sequence

1 h 32 min

3.4 – Injections

23 min

3.5 – Uploading into Facetec

124 min

3.6 – Historical Markings

18 min

3.7 – Recare

11 min

3.8 – History Taking

14 min

3.9 – Treatment Sequence

35 min

4 – Neck

Overview

31 min

4.1 – Introduction

2 h 0 min

4.2 – Anatomy

28 min

4.3 – Marking Sequence

44 min

4.4 – Injections

17 min

4.5. – Uploading into Facetec

12 min

5 – Myofascial Pain

5.1 – Myofascial Pain

2 h 35 min

5.2 – EMG Demo

59 min

5.3 – MG Placement

7 min

5.4 – Botox for TMD, Migraine & HEadache

2 h 31 min

6 – Exam
7 – Medical Forms
8 – Facetec Software
9 – Supplies
10 – Resources

2-Day Clinical Session

Day 1: Advanced Anatomy and Integrative Cadaver Lab

Dr. Roberts provides an in-depth review of anatomy focused on the of the mid-face, lower-face and neck. In this integrative skull & cadaver lab, learn how surface features and bony landmarks relate to underlying musculature.
*Please note, you will be anatomically marking up to 15-20 other practitioners, and those practitioners may be marking you as well. The areas are from the coronal suture to the trapezius to the platysma on the chest (pec major). 

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.

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Day 2: Clinical Hands-on

Day 2 is an advanced clinical hands-on practicum where you will have the opportunity to inject aesthetic cases focused on the mid-face, lower-face & neck, as well as myofascial pain patients while incorporating EMG analytics.

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.

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What to Expect

Doctor reviewing EMG scan analytics in dental office.
Dentist placing EMG duotrodes on patient to perform a muscle exam prior to Botox treatment.
Woman receiving Botox injections in her platysma bands/neck by a dentist.
Woman receiving Botox injections in her mid-face/nose area by a dentist.
Dentist injecting Botox in the temporalis region of a woman's face for migraine treatment.
Master the Following Treatment Areas in Level 3:
Woman receiving Botox injections in her mid-face/nose area by a dentist.

Mid-Face Expression (MFE)

Woman receiving Botox injections in her platysma bands/neck by a dentist.

Platysma Bands

Woman's neck showing necklace lines.

Lower Face

Close up of a woman's mouth smiling showing a gummy smile.

Gummy & Canted Smiles

Myofascial Pain 

This Course Is Ideal For

Dentists
Physicians
Nurses
Clinical Support Staff Training

We offer a separate Level 3 – Team Training course for non-injector team members, focusing on clinical skills, integration, and marketing & more.

Fees & Requirements

Practitioner Tuition:

$3,990 CAD (plus GST)

Prerequisite:

Successful completion of Level 2, plus proficiency using the PTIFAT Marking & Injection Techniques (20 cases is a suggested recommendation).

Successful completion of the Level 3 assessment is required prior to attending the hands-on dates.

Requirements:

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

Patient Model: 

A discounted course rate of $6/unit is charged for each patient model having Botox® treatment in the clinic. Practitioners are responsible for their patient model’s fee.

30%*

Growth in Revenue

* PTIFAT-trained practitioners see a 30% increase in annual revenue within the first year

Before and Afters

The following are typical before-and-after results you can expect to achieve after completing the Level 3 – Advanced Botox® course. All photographs and treatment records are securely stored, managed, and organized using Facetec, a software which supports portfolio development to help build patient trust.

Women's before and after of her gummy smile after having Botox treatment to reduce gingival display. A before & after photograph of a woman smiling showing reduced gingival display (reduced gummy smile). A women's before and after showing reduced gummy smile.

Course’s FAQ

Can I still register without having a patient model?

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Is this course recognized by my local college/regulatory body?

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I’m an international dentist/physician/nurse, can I still take your training?

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My profession is not listed on your site, can I take the training?

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Still Have a Question?

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CE/CME Recognition & Accreditation

PTIFAT 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. PTIFAT designates Level 3 for 44 hours of continuing education credits.

Trusted by 8,000+
Dental, Medical and Nursing Practitioners.

4.9 272+ Reviews on

Claudia G.
2 months ago
I thoroughly enjoyed learning in detail the different facial enhancement techniques that exist. I also was happy with the details in the anatomy portion of the course as i definitely needed a solid refresher!
Rémi B.
4 months ago
I recently completed the Botox continuum course with PTIFA and found it to be extremely well structured and thoughtfully organized. The progression of the material made it easy to build confidence step by step, and I appreciated how clearly each concept was explained before moving into hands-on application. The course created a supportive learning environment that made me feel comfortable and safe when starting to inject. Overall, it was a very valuable experience that significantly improved both my understanding and my confidence in aesthetic and theraputic treatments.
Alan M.
6 months ago
The Pitifa Level 2 course was excellent—very focused and clinically relevant. The emphasis on marking muscle anatomy in detail really stood out, making concepts much easier to understand and apply. There was a strong attention to detail throughout, and the personalized guidance ensured that every participant received hands-on support. A highly valuable course for anyone looking to refine their skills with precision.
Stephen M.
6 months ago
Life is way too short to take bad continuing education courses and I can say that the PTIFA program is great! The pathways to implementation and after course support are well thought out and the course material is covered in depth. This course certainly is the standard of care for therapeutic and aesthetic botox practitioners. Dr Steve Malfair
Manh-Toan N.
7 months ago
Quality courses, getting high skills in injection that is what PTIFA is offering! Dr Nguyen
Robert B.
8 months ago
Great hands-on component focusing on anatomical markings to ideally eliminate your treatment complications for esthetic and therapeutic neuromodulator treatments.
Elaine ang zuo M.
10 months ago
The organizers of this Ptifa course deserve a 5-star review! They were professional, responsive, and created a seamless learning experience. The focus on upper face markings was exactly what I needed, and the quality of instruction was top-notch. Thank you for a valuable and well-run course.
california B.
10 months ago
I loved Dr Warren’ course, from the beginning I was really inspired by the course details and the explanation given. It’s really fantastic course . Iam really glad I took this course in BC since I come from Alberta. Looking forward to join in the study club and keep continuing the association with PTIFA
Read all Google Reviews

The PTIFAT Training Advantage

Typical Botox Course

Hours of Anatomy 

16+ Hours

1-2 Hours

Hours of Hands-on Experience 

16 Hours

4 Hours

# of Patient Model Injection

8+

Rarely

Photography Education

Limited

Therapeutic & Aesthetic Applications Both Taught

Practice Integration Taught

Marketing Support

Follow-up Practice Support

Faculty Experience

Canadian Standard of Practice for facial aesthetic therapies

Our training and clinical protocols have set the standard in Canada and exceed all college requirements.

Course Objectives

  1. Identify and mark precise anatomical facial landmarks for placing botulinum toxin cosmetically in the mid-face, lower-face & neck.
  2. Diagnose and inject botulinum toxin (aka Dysport®/Botox®) for predictable cosmetic results in the mid-face, lower-face & neck.
  3. Diagnose and inject botulinum toxin (aka Dysport®/Botox®) for predictable therapeutic results including myofascial pain (migraine, headache & TMD).
  4. Describe the importance of EMG analytics in the differential diagnosis when treating therapeutic patients and myofascial pain (migraine, headache & TMD).

Registration Policy

We are committed to providing you with an unprecedented educational and clinical experience. Each course has a limited number of seats and includes a high Instructor to student ratio. In order to achieve this, we dedicate a significant amount of resources and make commitments to Faculty members, Instructors, clinical staffing, patients, venues, hotels, etc to ensure the course exceeds your expectations.

As such, your course registration is considered a firm commitment from you.

We have established the following registration policy:

  • All payments are non-refundable and non-transferable, including online courses and product orders.
  • It is up to each course participant to determine if treatments (ie: botulinum toxin/dermal fillers/etc) are within their scope of practice by checking in with their local provincial regulatory college. Our courses typically exceed the educational requirements laid out by regulatory colleges, however participants are responsible for determining/meeting any provincial/state governing body restrictions and/or requirements.
  • Access to online course materials is granted for one year from registration.
  • Course date changes for any hands-on courses (including: Level 1B, Level 2, Level 3 and Level 4, Level 5, Level 6, Refresher Course, Microneedling) are not permitted within 30 days prior to the course dates. All funds will be forfeited if the course is not attended. Changes made prior to 30 days before the course date are subject to a $500 rescheduling fee.
  • Deposits are non-transferable and are used to reserve a seat for a specific course date. A deposit will be taken at time of registration, with the balance due 30 days prior to the course date.
  • PTIFAT reserves the right to cancel, postpone or change any course as required.
  • PTIFAT is not responsible for hotel, airfare or other expenses incurred due to course changes/cancellations.