Lesson 1Layer-specific injection planes: supraperiosteal for augmentation, deep subcutaneous for cheek support, submuscular vs intradermal for perioral linesThis part details body layers, picking bone-top, deep under-skin, under-muscle, or skin-inner planes for structure boost, shape fine-tune, line fix with less visibility, bumps, vessel 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 part covers lower-face checks, jawline chin boost rules, direction plans, using filler for structure hold, profile lift, cut marionette lines keeping natural 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 overfillingThis part shows analysing nose-mouth folds, marionette lines, mouth corners, picking planes, layering filler for midface drop and mouth aging without excess heaviness.
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 part focuses lip checks, natural structure, philtrum lines, lip edge, safe volume, flow type, vessel-safe shots dodging 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 edemaThis part reviews tear trough reasons no-gos, low-flow filler pick, exact plane, ways to cut blue tint, swelling, bumps respecting eye vessel structure.
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 part looks at HA flow, lift power, stickiness, matches soft medium firm to tear trough, 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 minimising traumaThis part compares needle cannula use, reasons, entry spots, blunt spread method, ways to cut trauma, bruising, vessel harm keeping exact filler place.
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 part explains midface checks, best cheek lift, bone-top lump vs line spread dodging under-eye and corner artery paths for safe steady boost.
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 part teaches guessing usual filler amounts per spot, total face volume plans, staged budgets respecting funds, tissue hold, patient hopes with records.
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 part covers quick spot of blood lack, pain, mottling, late lumps, growth checks, response steps, enzyme use, infection or film probe.
Early signs of vascular compromiseStepwise ischemia management protocolHyaluronidase dosing and reconstitutionAssessment of inflammatory versus infectious nodulesGranuloma workup and differential diagnosisPatient counseling and documentation tips
