Lesson 1Layer-specific injection planes: supraperiosteal for augmentation, deep subcutaneous for cheek support, submuscular vs intradermal for perioral linesDetails body layers and picking bone-top, deep under-skin, under-muscle, or in-skin levels for structure boost, shape fine-tuning, and line fixes, cutting visibility, bumps, and vessel risks.
Review of facial soft tissue layersSupraperiosteal plane for structural liftDeep subcutaneous plane for cheek supportSubmuscular placement in the perioral regionIntradermal microdroplets for fine linesAvoiding Tyndall and surface irregularitiesLesson 2Lower-face balancing: jawline and chin augmentation principles to support lower face and reduce marionette prominenceCovers lower-face checks, jaw and chin boost rules, direction planning, using filler for structure aid, profile improvement, and less marionette lines while keeping natural male/female shapes.
Assessing lower-face proportions and anglesChin projection and vertical height planningJawline contouring landmarks and vectorsSupporting marionette and prejowl areasGender-specific contour considerationsProduct choice for structural definitionLesson 3Nasolabial folds, marionette lines and oral commissure: plane selection, layering strategy to support descending tissue without overfillingExplains checking nose-mouth folds, marionette lines, mouth corners, picking levels, layering filler to aid midface drop and mouth aging without too much fill or odd weight/stiffness.
Etiology of folds and marionette linesDeep support versus superficial refinementLayering strategy for nasolabial foldsTreating marionette lines and prejowl areaOral commissure support without heavinessSequencing with midface and chin treatmentLesson 4Lip enhancement technique: respecting philtral columns, vermilion border, volume limits for natural result, and avoiding vascular injury (superior/inferior labial arteries)Focuses on lip checks, honoring natural parts, defining groove columns and edge, safe volume caps, flow choice, and vessel-safe ways to dodge harm to upper/lower lip arteries.
Pre-treatment lip assessment and photographyRespecting philtral columns and Cupid’s bowVermilion border definition and supportVolume limits for natural lip proportionsSafe planes near labial arteriesAftercare and managing early swellingLesson 5Tear trough approach and indications/contraindications: when to treat, filler choice (low-viscosity), injection plane, and how to avoid Tyndall and edemaReviews under-eye hollow reasons and no-go's, low-flow filler picks, exact level choice, ways to cut blue tint, swelling, bumps, respecting eye-area vessel setup in Eritrean skin.
Indications and key contraindicationsChoosing low-viscosity productsMarking safe tear trough entry pointsPreferred injection plane and techniquePreventing Tyndall effect and edemaManaging post-treatment irregularitiesLesson 6Filler selection by rheology: soft, medium, firm HA properties and matched indications for tear trough, malar, nasolabial, marionette, and lipsExplores HA flow, lift power, stickiness, bend, matching soft, medium, firm types to spots like under-eye, cheek, nose-mouth, marionette, lips for best hold, spread, natural move.
Key rheologic parameters of HA fillersSoft gels for tear trough and fine linesMedium gels for lips and moderate foldsFirm gels for malar and jawline supportMatching product to tissue dynamicsAdjusting choice for skin thicknessLesson 7Needle vs cannula decision-making: indications, entry points, blunt dissection technique, and minimizing traumaCompares needle and tube use, reasons, enter spots, smooth cut method, ways to cut harm, bruising, vessel injury, keeping accuracy and sure filler spots in procedures.
Indications favoring needle useIndications favoring cannula usePlanning safe entry points and vectorsBlunt dissection technique with cannulasMinimizing bruising and patient discomfortCombining needle and cannula in one sessionLesson 8Midface augmentation technique: malar projection, supraperiosteal bolus vs linear fanning, avoiding infraorbital artery and angular artery trajectoriesExplains midface checks, best cheek push, choosing bone-top lump or line spread, mapping to dodge under-eye and corner arteries for safe, steady boost in facial work.
Three-dimensional midface assessment stepsMarking safe malar injection zonesSupraperiosteal bolus indications and methodLinear fanning technique and vector planningInfraorbital and angular artery danger mappingManaging midface vascular warning signsLesson 9Volume planning and realistic expectations: typical volumes per area (ranges), cumulative facial volumetrics, and budgeting approach for staged careTeaches guessing usual filler amounts per spot, total face volume plans, step-by-step schedules respecting cost, tissue hold, patient hopes, recording changes over time.
Typical volume ranges by facial areaAssessing global facial volume deficitsDesigning staged treatment roadmapsBudgeting and product allocation strategyCommunicating realistic outcomes to patientsTracking results and planning maintenanceLesson 10Managing filler complications: immediate recognition of blanching, pain, livedo, delayed nodules, granuloma workupCovers quick spotting of blood lack, pain, mottling, plus step responses, enzyme use, checking and treating late lumps and growths, including infection or film checks.
Early signs of vascular compromiseStepwise ischemia management protocolHyaluronidase dosing and reconstitutionAssessment of inflammatory versus infectious nodulesGranuloma workup and differential diagnosisPatient counseling and documentation tips
