Level 4 – Basic Facial Dermal Filler: Vermilion Border, Lips, Naso-Labial Folds, Cheeks & Marionette Lines

An introductory facial dermal filler course. Learn how to cautiously add facial volume and reduce deep facial lines and folds with dermal fillers. Level 4 is a comprehensive facial dermal filler course that reviews the anatomy, injection treatments and results of cases in Level 1 through 3, and presents them in combination with dermal fillers to complete the 3D analysis and rejuvenation of lost volume with predictable results.

This course proudly welcomes Dr. Kimit Rai as the Clinical Director.


Level 4 includes an online component (20 hrs), plus an extensive two-day clinical session held in Vancouver, BC.

Online Didactic

The online portion of Level 4 includes five sections:

  1. Introduction to Dermal Fillers
  2. Foundational Concepts
  3. Injection Techniques for Vermilion Border, Lips, Nasolabial folds, Interdental Papilla
  4. Clinical Techniques
  5. Complications

Learn how to use dermal filler to add volume to lips, cheeks, deep facial lines and folds. Level 4 begins with a review of how advanced techniques of botulinum toxin therapy are used in the mid and lower face to relax the muscles. Repeated treatment with botulinum toxin diminishes the subconscious habits that resulted in lines, depressions, lumps and bumps and can prolong the results of dermal filler. 

Clinical Session

The clinical portion of Level 4 includes a two-day hands-on session always held on a Friday and Saturday.


Day 1 (Friday) - Advanced Anatomy Review

Dr. Roberts & Dr. Rai provide an in-depth review of anatomy focused on the of the mid-face and lower face. In this integrative skull & cadaver lab, learn how surface features and bony landmarks relate to underlying musculature.


Day 2 (Saturday) - Clinical Hands-on

Day 2 is an advanced clinical hands-on practicum where you have the opportunity to watch a live demonstration and then inject dermal filler on your own patient models. Each practitioner must provide at least one patient model for treatment (and brining multiple patients is highly recommended).


  1. Describe the facial aging process and the integration of the multi-treatment modalities, including botulinum toxin, dermal fillers, lasers and cosmeceuticals.
  2. Describe how botulinum toxin can augment and complement dermal filler treatment.
  3. Describe a team-oriented 3D analysis and injection set-up protocol.
  4. Describe how the initial diagnosis is critical to presenting the multi-treatment rejuvenation options to the patient.


  • Introduction to Dermal Filler
  • Foundational Concepts
  • Intra-Oral Injection Techniques for Vermilion Border, Lips, Nasolabial folds, Interdental Papilla
  • Clinical Techniques
  • Complications

Format & CE/CME

Level 4 includes an online didactic section (20 hours + exam), and 1.5-days of hands-on (12 hours). Level 4 includes 32 CE/CME credits upon successful completion of the hands-on session. Upon registration, access to the online Level 4 course materials is provided for one year.


Do you have travel & hotel recommendations for coming to Vancouver?
Upon confirmation of your registration, you will be emailed a “Welcome Package” which has travel information including flight recommendations and corporate rates available at nearby hotels.
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.


Learn how to prolong the results of dermal filler treatment by first relaxing the musculature.

Learn how to use dermal fillers to judiciously add facial volume and reduce deep facial lines and folds.

Learn how to improve patient care with dermal filler treatment.

Fees & Requirements

Pre-requisite: Successful completion of Level 3 is highly recommended, however at a minimum, practitioners must have completed Level 2 and have proficiency with the PTIFA Marking & Injection Techniques (20 cases is a suggested recommendation).

Requirements: At least one patient model (several models are recommended), current copy of your license and malpractice insurance is required.


  • Practitioner Tuition (Dentist, Physician, Nurse): $3,800
  • Team Member Tuition (Auxiliary Staff): $799
  • Patient Model: Practitioners are responsible for the fees of their patient model(s) they provide at the course.

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 4 for 32 hours of continuing education credits.

Book a hands-on course date.
Register your Team Members.