Level 3 - Advanced Botulinum Toxin: Cosmetic Mid Face, Lower Face/Neck & Myofascial Pain
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Level 3 â Advanced Botulinum Toxin: Cosmetic Mid Face, Lower Face/Neck & Myofascial Pain
Have you noticed an increase in the number of patients presenting with migraine, headache and/or TMD in your practice?
Are you interested in advanced botulinum toxin techniques for improving facial aesthetics below the eyes?
Level 3 course is an advanced clinical botulinum toxin course which provides an in-depth analysis of symptoms, conditions and treatment using therapeutic levels of botulinum toxin that can help treat patients with chronic pain. It also covers advanced aesthetic applications of using botulinum toxin to reduce the signs of aging in the mid-face, lower-face and neck, as well as correcting gummy and canted smiles. This advanced course reviews advanced techniques including MFE (Mid Face Expression) with Dr. Warren Roberts.
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FEES & REQUIREMENTS
- Pre-requisite: Successful completion of Level 2, plus proficiency using the PTIFA Marking & Injection Techniques (20 cases is a suggested recommendation).
- Requirements: A patient model, current copy of your license and malpractice insurance is required.
- Practitioner Tuition (Dentist, Physician, Nurse): $3,400 (plus GST)
- Team Member Tuition (Auxiliary Staff):Â $799Â (plus GST)
- Patient Model: A discounted rate of $6/unit is charged for each patient model having treatment in the clinic. Practitioners are responsible for the fee of their patient model.
All funds are in Canadian Dollars. Please review our Registration Policy prior to registering.
Register For The Course
Upcoming Course Dates
Looking for Level 3 for Team Members?
LEVEL 3 TEAM TRAININGCourse Overview
Level 3 includes an online component (28hrs), plus a two-day clinical session held in Vancouver, BC.
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Online Didactic:
The online portion of Level 3 includes the following five sections.
- Advanced Botulinum Toxin
- Mid-Face Expression
- Lower Face
- Neck/Platysma
- Myofascial Pain
The online portion introduces how PTIFA pioneered mid-face injections and coined the term âMid Face Expressionâ (MFE). Use of the Roberts Facial Rejuvenation Photography series allowed you to see the lines, creases and folds created by the MFE. Using precise markings, the PTIFA Injection Technique and low dosage, you will learn how to control the musculature creating these unwanted infra-orbital lines, naso-jugal grooves, bunny lines, smokerâs lines and naso-labial folds. Habitual subconscious activation of the lower face muscles turns the smile line into a âgreen bean downâ appearance. These expressions blemish the skin with lines that exhibit sadness and depression. Learn how to turn the smile into a âgreen bean upâ.
Understand how activation of the Platysma musculature accentuates the muscles of the lower face and turns the smile to a âgreen been downâ. In addition, subconscious activation of Platysma enlarges the soft tissue, creating horizontal ânecklace linesâ and creates the hated anterior, lateral and posterior jowls. The posterior âPTIFA Platysma bands when present, indicate hyper muscular activity indicative of bruxing, grinding, TMD & tension type headache. Learn how sensory input from the head & neck and how overload of central and peripheral sensitization on the trigeminal nucleus can lead to referred pain.
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Clinical Session
The clinical portion of Level 3 includes a two-day hands-on session always held on a Friday and Saturday.
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DAY 1 (FRIDAY) â ADVANCED ANATOMY REVIEW
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).Â
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DAY 2 (SATURDAY) â 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.
Objectives
- Identify and mark precise anatomical facial landmarks for placing botulinum toxin cosmetically in the mid-face, lower-face & neck.
- Diagnose and inject botulinum toxin (aka DysportÂź/BotoxÂź) for predictable cosmetic results in the mid-face, lower-face & neck.
- Diagnose and inject botulinum toxin (aka DysportÂź/BotoxÂź) for predictable therapeutic results including myofascial pain (migraine, headache & TMD).
- Describe the importance of EMGÂ analytics in the differential diagnosis when treating therapeutic patients and myofascial pain (migraine, headache & TMD).
Topics
- Levator Labii Superioris Alaeque Nasi
- Levator Labii Superioris
- Nasalis
- Zygomaticus Major and Minor
- Risorius, Buccinator
- Levator and Depressor Anguli Oris
- Orbicularis Oris
- Levator and Depressor Labii
- Superioris/Inferioris
- Mentalis and Platysma
- Treatment Protocols for Migraine and Myofascial Pain
- Masseter, Temporalis,
- Sphenomandibularis
- Medial & Lateral Pterygoid
- Digastrics, Mylohyoid, Ligaments
Format & CE/CME
Level 3 includes an online didactic section (28 hours + exam), and 2-days of hands-on (16 hours). Level 3 includes 44 CE/CME credits upon successful completion of the hands-on session. Upon registration, access to the online Level 3 course material is provided for one year.
Areas Trained To Treat
Level 3 graduates are trained to treat the following areas:
- Mid-Face Expression (MFE) â facial lines & wrinkles around the eyes & nose (aka infra-orbital lines, naso-jugal grooves and âbunny linesâ)
- Lower Face â facial lines & wrinkles located around the mouth/lips (aka âsmokerâs linesâ and naso-labial folds)
- Gummy Smiles & Canted Smiles â smiles that show too much gum or uneven smiles
- Platysma Bands â visible vertical bands in the neck
- Myofascial Pain â incorporating EMGÂ analytics to reduce headache, migraine, TMD & facial pain symptoms
Graduates are also able to digitally store, compare and create portfolios of their photographs using FACETEC software.
Benefits
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.
Learn how incorporating EMG analytics when treating your therapeutic patients can assist with determining the muscle activity, dosage, timing and improved records & patient care.
Understand 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 âlooking goodâ and âfeeling goodâ.
Learn 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.
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.
Ability to review the online course videos as often as you wish by accessing the didactic material online.
Course FAQs
Do I have to treat 20 cases before attending Level 3?
What is your registration policy?
When can I register for Level 3?
Can I attend Level 3 without completing Level 2?
I want to attend Level 3, but I haven't had enough clinical experience after Level 2. What do you suggest
What are EMGâs and why are they important?
Why is the Level 3 â Team Training course important?
Do I have to take Level 3 before taking the Level 4 â Basic Dermal Filler course?
When was this course updated?
Do the Instructors have any vested interest?
Testimonial
 As a physician, I was quite sceptical to have a dentist teach me about Botox... however, by the end of the Level 2 course I felt more than pleasantly surprised, indeed it was the best and most fun CME I have attended in years. I left the weekend just wanting more and more and more.. signed up for Level 3 the next morning.
Dr. Pieter Slabbert