Lesson 1Layer-specific injection planes: supraperiosteal for augmentation, deep subcutaneous for cheek support, submuscular vs intradermal for perioral linesThis section details anatomical layers and how to select supraperiosteal, deep subcutaneous, submuscular, or intradermal planes to achieve structural support, contour refinement, and fine-line correction while minimizing visibility, irregularities, and vascular risk.
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 prominenceThis section covers lower-face analysis, jawline and chin augmentation principles, vector planning, and how to use filler to restore structural support, improve profile, and reduce marionette prominence while maintaining natural gendered contours.
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 overfillingThis section explains how to analyze nasolabial folds, marionette lines, and oral commissures, select appropriate planes, and layer filler to support midface descent and perioral aging without overfilling or creating unnatural heaviness or 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)This section focuses on lip analysis, respecting natural anatomy, defining philtral columns and vermilion border, setting safe volume limits, choosing rheology, and using vascular-safe techniques to avoid injury to superior and inferior labial 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 edemaThis section reviews tear trough indications and contraindications, low-viscosity filler selection, precise injection plane choice, and techniques to minimize Tyndall effect, edema, and contour irregularities while respecting periorbital vascular anatomy.
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 lipsThis section explores HA rheology, including G’, cohesivity, and elasticity, and matches soft, medium, and firm fillers to indications such as tear trough, malar, nasolabial, marionette, and lips to optimize support, spread, and natural movement.
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 traumaThis section compares needle and cannula use, outlining indications, entry points, and blunt dissection technique, and provides strategies to minimize trauma, bruising, and vascular injury while maintaining precision and predictable filler placement.
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 trajectoriesThis section explains midface assessment, ideal malar projection, and how to choose between supraperiosteal bolus and linear fanning while mapping and avoiding infraorbital and angular artery trajectories for safe, stable augmentation.
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 careThis section teaches how to estimate typical filler volumes per area, plan cumulative facial volumetrics, and design staged treatment plans that respect budget, tissue capacity, and patient expectations while documenting outcomes 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 workupThis section covers early recognition of ischemia, pain, and livedo, plus structured response algorithms, hyaluronidase use, and the evaluation and treatment of delayed nodules and granulomas, including when to investigate for infection or biofilm.
Early signs of vascular compromiseStepwise ischemia management protocolHyaluronidase dosing and reconstitutionAssessment of inflammatory versus infectious nodulesGranuloma workup and differential diagnosisPatient counseling and documentation tips
