Level 2 is a comprehensive hands-on botulinum toxin (aka Botox®/Dysport®) course/certification which introduces practitioners to the cosmetic use of botulinum toxin for the superficial muscles of the upper face (glabella, frontalis, crow’s feet) and the therapeutic use for pain management (migraines, headaches, TMD/bruxism). The course involves an online component, as well a tw0-day hands-on program in Vancouver, BC (Friday/Saturday – see upcoming course dates). Level 2 also covers the Roberts Facial Rejuvenation Photography™ series – for improved records and patient care, the PTIFA Cosmetic & Therapeutic Marking Template, the PTIFA Injection Technique, and the PTIFA Injection Rules to achieve no negative side effects.

During this course, a separate training program – Botox® and the Influential Team – is run concurrently for auxillary staff. This part of the program is crucial to successful practice integration and cross trains your team on how to speak to patients about botulinum toxin treatment, how to take the Roberts Facial Rejuvenation Photography™ series, how to reconstitute & load syringes, billing, marketing, etc.

By the end of the course, Practitioners and Team Members will have all of the tools and training necessary to start integrating botulinum toxin into their practice.

  • Prerequisite: successful completion of Level 1 online (you may register for L1 and L2 at the same time)
  • Format: online didactic (8 hours with exam), and 2-days of hands-on (16 hours) see upcoming dates
  • CE: 24 credits (AGD PACE, ADA CERP & ADA+C approved)
  • Fee: Practitioners (Dentists/Physicians/Nurses): $3,400 | Team Members (Auxillary Staff): $799
  • Requirements: patient model, current copy of your license and malpractice insurance


1) Understand how to inject botulinum toxin (aka Botox®/Dysport®) to achieve predictable cosmetic results in the upper face.
2) Understand how to inject botulinum toxin (aka Botox®/Dysport®) to achieve predictable therapeutic results for pain management (migraines/headaches/TMD/bruxism).
3) Gain extensive hands-on experience integration/clinical applications marking each other after precise anatomical landmark identification on the skull and cadaver.
4) Develop a deep understanding of how to improve patient care with botulinum toxin – both therapeutically and cosmetically.



Dr. Warren Roberts provides closure to the topics presented in the online Level 1 course. Through completion of Day 1 and 2 hands-on sessions encompassing dental and medical applications, administration and the hands-on training module, participants will be able to successfully utilize the benefits of botulinum toxin (aka Botox, Dysport, Xeomin) within their own practice. Further support to graduates is offered through online Botulinum Toxin Study Club.

Online Didactic:

A Level 2 syllabus will be shipped to you upon your registration. The syllabus contains a full complement of Drs. Roberts’ actual patient before and after photographs. We will provide an in-depth research review of the literature. The overlap of the PTIFA therapeutic template and cosmetic template and their synergy in the following areas: TMD, dystonias, parafunctional habits, temporal headaches, chronic migraines will be explained as well as the benefits of this treatment.

The online portion of the Level 2 Botox® course allows practitioners to develop a deep understanding of what botulinum toxin is, how and why it affects facial muscles, as well as how to direct botulinum toxin to purposely 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. We will address the topic of prevention/interception and review the musculature of the face and neck. Analysis of muscle recruitment will assist us in determining the cause of the many wrinkle presentations and expressions. A review of the aging process will determine the exact location of placement and number of units of botulinum toxin. The analysis and differential diagnosis of para functional habits, TMD and headache will utilize EMG duotrodes.


On Day 1, practitioners will attend an anatomical and functional cadaver integration. Dr. Roberts provides an in-depth review of anatomy, and relates surfaces features with underlying musculature and bones in this hands-on cadaver lab. Understanding the source, pathways and overlap of the cranial nerves provides the foundation for understanding myofacial pain. The synergy of facial and therapeutic botulinum toxin provides you with a new invaluable myofascial pain treatment modality. As Dr. Roberts reviews muscles on the cadaver, practitioners will mark each other. This integrative portion of the cadaver develops confidence prior to the clinical hands-on. The day is completed with a live model demonstration where Dr. Roberts will perform cosmetic and therapeutic markings, as well as injecting on a live model.

Day 2 is a full day in clinic where practitioners will have the opportunity to treat 10+ patients. Practitioners will see how a patient is seen from the moment they walk into the clinic, necessary medical forms, what photography is required, consultation, treatment (including marking & injection), to billing & payment, as well as booking their post-op appointment. PTIFA is proud to provide you extensive hands-on clinical experience so that you are confident going back and treating patients in your own practice. Team Members assist practitioners in clinic – receiving 1:1 hands-on photography instruction.

Practitioners and Team Members both graduate 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 to successfully incorporate botulinum toxin into their practice. They are also able to register for the online Botulinum Toxin Study Club.

Course Topics:

  • Research Articles Supporting Therapy
  • Primary, Secondary and Tertiary Mechanism of Action
  • Preparation, Dosage, and Procedure
  • Practical Pearls

Educational Format:

Online didactic (8 hours with an exam) and 2-days of clinical hands-on (16 hours). Includes: applied anatomy, clinical examination, documentation, application, management & limitations.
Online Didactic:

  • Integration of botulinum toxin type A for cosmetic upper face (glabella. frontalis, orbicularis oculi)
  • Integration of botulinum toxin type A therapeutic pain management (headaches/migraines, parafunctional habits, TMD/bruxism)


Day 1 Hands-on: Anatomical & Functional Cadaver Integration

Time Agenda

7:45 AM – 8:00 AM

Continental Breakfast

8:00 AM – 11:00 AM

Anatomical & Functional Cadaver Integration
Part 1: Skull & Cadaver – Anatomical Landmarks for Cosmetic Upper Face Treatment

11:00 PM – 12:00 PM

Working lunch

12:00 PM – 3:30 PM

Anatomical & Functional Cadaver Integration
Part 2: Skull & Cadaver – Anatomical Landmarks for Therapeutic Treatment

3:30 PM – 5:00 PM

Live Model Demonstration for Therapeutic & Cosmetic Treatment

Day 2 Hands-on: Clinical Hands-on Practicum

Practitioners are required to provide a patient of record/model for the hands-on session. We recommend that one of your team members is your patient, as they will benefit from being able to relate their personal experience of botulinum toxin type A treatment with patients. All patients are responsible for the cost of their treatment, which is provided at the course at a courtesy rate of $6/unit. 

Time Agenda

7:45 AM – 8:00 AM

Continental Breakfast

8:00 AM – 12:00 PM

Hands-on Practicum

12:00 PM – 1:00 PM

Working Lunch
1:00 PM – 5:00 PM Hands-on Practicum





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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.