Level 2

Basic Botulinum Toxin: Cosmetic Upper Face & Pain Management



A comprehensive hands-on botulinum toxin type A certification program. Level 2 will introduce practitioners to the aesthetic use of botulinum toxin type A for the superficial muscles of the upper face (glabella, frontalis, crow’s feet) and the therapeutic uses for pain management (migraines, headaches, TMD/bruxism. Level 2 also covers the Roberts Facial Rejuvenation Photography™ series – for improved records and patient communication, the PTIFA Cosmetic Marking Template, the PTIFA Therapeutic Marking Template, the PTIFA Injection Technique, and the PTIFA Injection Rules to achieve no negative side effects. PTIFA also provides separate and extensive team member training for practice integration & improved patient care. Practitioners will attend a hands-on cadaver integration lab which is provided concurrently with the Level 2 course.

  • Prerequisite: successful completion of Level 1 online (however 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)
  • CE: 24 credits (AGD PACE, ADA CERP & ADA+C approved)
  • Fee: Practitioners (Dentists/Physicians/Nurses): $3,400 | Team Members: $799
  • Requirements: patient model, current copy of your license and malpractice insurance


1) Understand how to inject botulinum toxin type A to achieve predictable aesthetic results in the upper face.
2) Understand how to inject botulinum toxin type A 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



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:

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 laboratory. 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.

Day 2 is a full day of clinical hands-on where practitioners and team members will treat 10+ patients. The day starts off with a demonstration with Dr. Warren Roberts marking the cosmetic and therapeutic injection templates and explaining their synergy on a live model. 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.

The PTIFA syllabus will be shipped to you upon Level 2 registration. The syllabus contains a full complement of Drs. Roberts’ actual patient before and after photographs of the above. 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. Practitioners will 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 Laboratory

Time Agenda

7:45 AM – 8:00 AM

Continental Breakfast

8:00 AM – 12:00 PM

Anatomical & Functional Cadaver LaboratoryPart 1: Skull & Anatomical Landmarks for Upper Face

12:00 PM – 1:00 PM

Working lunch

1:00 PM – 5:00 PM

Anatomical & Functional Cadaver LaboratoryPart 2: Skull & Anatomical Landmarks for Therapeutic TX

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 – 10:00 AM

Live model demonstration

10:00 AM – 12:30 PM

Hands-on practicum

12:30 PM – 1:30 PM

Working lunch
1:30 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.