Lesson 1Skin assessment: Fitzpatrick classification, photodamage, skin laxity, textureThis section focuses on systematic skin assessment, including Fitzpatrick type, photodamage, laxity, and texture, to stratify risk, select appropriate modalities, and design combined treatment plans for optimal skin quality.
Determining Fitzpatrick and Glogau scalesEvaluating photodamage and dyschromiaAssessing skin laxity and elasticity testsTexture, pores, and scar characterizationBaseline photography and device selectionLesson 2Functional and psychosocial screening: expectations, body dysmorphic disorder red flags, occupational considerationsThis section explores functional and psychosocial screening, including expectations, red flags for body dysmorphic disorder, and occupational factors, to ensure ethical practice, realistic outcomes, and patient psychological safety.
Eliciting motivations and expectationsScreening for body dysmorphic disorderAssessing social and occupational demandsIdentifying secondary gain and pressureDocumenting refusal and deferral decisionsLesson 3Periorbital-specific assessment: tear trough depth, orbital fat, lid laxity, malar mound, lymphatic changesThis section addresses targeted periorbital assessment, including tear trough depth, orbital fat, lid laxity, malar support, and lymphatic changes, to distinguish aging patterns, identify red flags, and select appropriate non-surgical treatment options.
Classifying tear trough and lid–cheek junctionsEvaluating orbital fat and pseudoherniationAssessing eyelid laxity and snap-back testsMalar mound, festoons, and midface supportPeriorbital lymphatic stasis and edema signsLesson 4Perioral assessment: rhytides, philtrum length, lip volume, perioral hyperdynamic activityThis section focuses on structured perioral analysis, including static and dynamic changes of the lips and surrounding tissues, to guide safe, natural-looking rejuvenation strategies and harmonize the lower third of the face with global aesthetics.
Mapping perioral rhytides and etiologyEvaluating philtrum length and shapeAssessing lip volume, contour, and symmetryIdentifying perioral hyperdynamic muscle activityDental support and occlusion considerationsLesson 5Risk factor checklist before procedures: bleeding risk, infection risk, autoimmune disease, recent vaccines, cold sores (HSV) screeningThis section presents a structured risk factor checklist before procedures, covering bleeding and infection risks, autoimmune disease, recent vaccines, and HSV history, to minimize complications and support informed consent and documentation.
Screening for bleeding and bruising riskInfection risk, dental work, and skin lesionsAutoimmune disease and immunosuppressionRecent vaccines and timing of proceduresCold sores, HSV prophylaxis, and triggersLesson 6Midface evaluation: midface descent, malar projection, bony support, fat compartmentsThis section details midface evaluation, including descent, malar projection, skeletal support, and fat compartments, to understand three-dimensional aging, prioritize treatment zones, and maintain natural facial identity and function.
Analyzing midface descent and vectorsAssessing malar projection and contourEvaluating zygomatic and maxillary supportSuperficial and deep midfacial fat padsMidface volume loss versus edema patternsLesson 7Summarizing case data and defining realistic aesthetic goalsThis section explains how to synthesize clinical findings into a coherent case summary, prioritize concerns, and define realistic aesthetic goals that align with anatomy, safety, and the patient’s values and resources.
Prioritizing primary and secondary concernsTranslating findings into problem listsSetting realistic, staged treatment goalsAligning goals with budget and downtimeCommunicating expected course and limitsLesson 8Comprehensive medical and procedural history intake (medications, allergies, pregnancy, prior treatments)This section explains how to obtain a thorough medical and procedural history, emphasizing medications, allergies, pregnancy status, and prior aesthetic treatments to identify contraindications, interactions, and safety considerations before planning interventions.
Key elements of medical history intakeMedication review and anticoagulant risksAllergy documentation and test strategiesPregnancy, lactation, and fertility issuesPrior aesthetic procedures and complicationsLesson 9Structured facial analysis: proportions, ageing patterns, dynamic vs static linesThis section covers structured facial analysis, including proportions, aging patterns, and dynamic versus static lines, to guide individualized treatment mapping and avoid overcorrection or disharmony across facial subunits.
Vertical and horizontal facial proportionsAge-related volume and ligament changesDynamic versus static line assessmentFront, oblique, and profile photo analysisIntegrating bite, chin, and neck findings
