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DAY ONE: The Use of Botulinum Toxin for Aesthetic Enhancement

Upon completion of the module, the participant will:

• Be proficient in conducting an aesthetic consultation for patients considering Botulinum Toxin. This includes understanding patient expectations, predicting clinical outcomes, and effectively communicating this to patients. It also includes proven strategies for conducting successful consultations where patients are comfortable with Botulinum Toxin treatments and the risks and benefits. All necessary clinical forms and protocols for pre procedural care, post procedural care, patient education, procedural documentation, and patient consent will be reviewed and made available
• Identify dynamic facial muscle anatomy and function on live patients and understand how to treat these muscle groups to achieve a youthful facial muscle balance. This includes the frontalis, glabellar complex, orbiularis oculi, nasalis, levator labii alaque nasi, depressor anguli oris, orbicularis oris, and platysmal muscles
• Demonstrate correct injection and dosage technique for all of the facial muscles with the various Botulinum Toxin products available for aesthetic enhancement
• Understand the best practice standards for the use Botulinum Toxin for facial aesthetic enhancement including available products, dosing, indications, contraindications, injection technique, and complication avoidance and management
• Participate in interactive demonstrations of Botulinum Toxin treatments on live models done by aesthetic experts, including the treatment of frown lines, crows feet, forehead lines, brow position, bunny lines, gummy smile, marionette lines and platysmal banding
• Perform Botulinum Toxin treatments on live models with an aesthetic expert instructor to achieve competency in best practices for aesthetic consultations, treatment planning, botulinum toxin injection techniques for all indications, and post procedural care
• Submit two case studies using Botulinum toxin for facial aesthetic enhancement after completion of this course to recieve Level 4 accme credit through USF Department of Professional Development
• When combined with the Didactic Module I of the fellowship this module allows the physician to deliver expert knowledge and clinical expertise in the use of Botulinum Toxin for aesthetic enhancement

DAY TWO: The Use of Facial Fillers for Aesthetic Enhancement

Upon completion of the module, the participant will:

• Understand the volumetric changes that occur with facial aging including skeletal changes, muscular changes, dermal changes, and subcutaneous tissue changes and how these changes contribute the appearance of facial aging for all cultures and both genders
• Understand ideal facial proportions for all cultures, genders and ages and understand how to achieve these ideal proportions in aesthetic patients with the use of facial fillers
• Be proficient in conducting an aesthetic consultation with patients considering facial filler by accurately identifying individual facial volume deficiency, predicting the accurate volumes and products necessary for aesthetic correction, and effectively communicating this to aesthetic patients
• Demonstrate a working knowledge of the properties of the various facial fillers available for aesthetic enhancement, including autologous fat, cell augmented fat, the various collagens (Zyderm, Zyplast, Cosmoderm, Cosmoplast, Evolence), the various hyaluronans (Restylane, Perlane, Juvederm, Prevelle, Hydrelle), poly-L-Lactic acid (Sculptra), calcium hydroxylappetite (Radiesse), and silicone. With this understanding, learn how to choose the appropriate filler for individual aesthetic corrections
• Be proficient in providing anesthesia in the form of regional blocks including supraorbital, infraorbital, and mental blocks, topical anesthesia, local anesthesia, and product infused anesthesia. Understand the risks and benefits of each form of anesthesia
• Understand how to select the appropriate anesthetic technique for aesthetic patients based on their individual pain tolerance and their facial filler indications
• Participate in an interactive session with experts performing live demonstrations of "best practice" techniques in the aesthetic correction of nasolabial folds, marionette folds, wrinkles, and scars, as well as lip enhancement and perioral filling using all of the appropriate filling agents available
• Provide live facial filler treatments including aesthetic consultations, treatment planning, patient education, delivery of effective anesthesia, and facial filler injections according to "best practice" standards. These cases will be done with an expert instructor in facial filler injections and the attendee is ensured competence in these skills
• Complete two case studies using facial filler for aesthetic enhancement after completion of this course and receive level 4 CME credit through USF Department of Professional Development
• When combined with Aesthetic Module I, this course will enable physicians to provide expert knowledge and procedural competence to their patients desiring facial aesthetic enhancement