COURSE CONTENTS
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FULL FACE BOTULINUM TOXIN BOTOX®
- Concept of Beauty
- Botulinum Toxin: History and Handling
- Botulinum Toxin as a Therapeutic Substance
- Mechanism of Action of Botulinum Toxin
- Mode of Action
- Axonal Regrowth
- Antigenicity and Immunogenicity
- Botulinum Toxin Type A – Commercial Brands
- Volumetric Equivalence
- Reconstitution Techniques
- Facial Anatomy – Muscle Topography of the Face and Neck: Origin and Insertion of Muscles in Facial Dynamics
- Patient Evaluation and Photographic Protocol
- Contraindications
- Techniques, Protocols, and Application Points:
- Frontal Region
- Contraction Patterns of the Frontal Muscle
- Convergence Line
- Dynamic Wrinkles vs Sleep Lines
- Glabellar Region
- Contraction Patterns of the Glabellar Region
- Depressor Muscles vs Elevator Muscles
- Periocular Region
- Nasal Region
- Gummy Smile
- Perioral Region
- Chin
- Jawline Contour
- Platysmal Bands
- Frontal Region
- Application Protocols:
- Planning for Each Region
- Safety Margin
- Anatomical References
- Number of Units per Point
- Application Depth
- Needle Direction
- Consensus on Dose Limits
- Objectives
- Aesthetic and Non-Aesthetic Indications
- Contraindications
- Treatment Timing
- Pre- and Post-Treatment Recommendations
- Management of Adverse Effects and Possible Complications
SUPERFICIAL PEELS, MESOTHERAPY AND NON-SURGICAL FACIAL LIPOSCULPTURE
- MESOTHERAPY
- Factors influencing skin health and ageing
- What is Mesotherapy?
- Indications
- Materials used
- Formula for preparing topical anaesthetic cream
- Mesotherapy Techniques:
- Point-by-point, Nappage, dermaroller, dermapen, micro-papules, Nanosoft device usage
- Materials, active ingredients, application technique, and mechanism of action
- Facial mapping of epidermal and dermal thickness
- Hydration and collagen stimulation
- Skin tone unification
- Skin laxity
- Reduction of double chin and facial fat – Non-surgical facial liposculpture
- Lift of mouth corners
- HOF supplementation
- Anti-ageing poly-revitalising solution
- Periocular wrinkles
- Improvement of enlarged pores
- Skin homogeneity and radiance
- Nanosoft device for sensitive areas
- Revitalisation of the periorbital area / dark circles
- Revitalisation of the neck area
- Advantages of mesotherapy
- Contraindications
- Session frequency
- Pre- and post-treatment care
- Ageing factors
- Skin anatomy and physiology
- Skin functions
- PEELS
- What is a peel?
- Advantages
- Applications
- FitzPatrick classification
- Glogau classification
- Physical peel vs. Chemical peel
- Materials, mechanism of action, and application techniques
- Session frequency and protocols
- Peel classification by depth of action
- Factors influencing peel depth
- Types of peels for sensitive vs. normal skin
- Desirable vs. undesirable effects
- Pre- and post-peel care
- Patient selection
- Disadvantages of peels
- Contraindications
- Session frequency for superficial peels
FULL FACE FACIAL FILLER – from basic to advanced
- Concept of Beauty – Current Trends
- Female vs Male Beauty
- Facial Anatomy
- Facial Layer Stratification
- Aging Process: Facial Changes
- Patient Assessment
- Photographic Protocol
- Patient Preparation
- Facial Analysis
- Product Selection
- Hyaluronic Acid
- Rheological Properties
- Cross-linking Agent
- The ideal product for patients with autoimmune diseases
- Techniques and Application Protocols:
- Middle and Lower Third
- Piriform Fossa
- Nasolabial Fold – Marionette Line
- Labio-mental Sulcus
- Lip Hydration
- Perioral Wrinkles – Barcode Lines
- Commissure Lift
- Malar and Zygomatic Region
- Female vs Male
- Jawline Angle and Contour
- Chin – Pre-Jowl Sulcus
- Submalar Lipoatrophy Filling
- Dark Circles
- Tear Trough Deformity
- Nasojugal and Palpebromalar Groove
- Homeopathic Medicine Options for Bruising and Oedema Prevention
- Anaesthetic Techniques
- Facial Filler Techniques:
- Needle or Cannula?
- Which Device to Use for Each Technique and Facial Area?
- Contraindications
- Bruising and Oedema Prevention
- Post-Procedure Guidelines
- Complications: How to Prevent and Resolve Them.
- What to Do in Case of Delayed Intermittent and Persistent Oedema (DIPO)?
- How to Proceed in Case of Vascular Occlusion?
- Hyaluronidase: Handling and Application Protocol.
- Algorithm for Diagnosing and Treating Complications After Hyaluronic Acid Application.
EXOSOMES AND AUTOLOGOUS LEUKOPLATELET AGGREGATES (i-PRF)
- Patient Assessment
- Skin Physiology
- Skin Ageing:
- Causes, Prevention, and Treatment
- Autologous Leukoplatelet Aggregates:
- History of PRP (Platelet-Rich Plasma) / iPRF (Injectable Platelet-Rich Fibrin) and its Use in Medicine
- Effects on the Skin
- Blood Collection: Venous Puncture
- Techniques for Obtaining PRP and iPRF
- PRP and iPRF Centrifugation Protocol
- Advantages, Disadvantages, and Different Centrifugation Systems
- Patient Evaluation and Preparation
- Application of PRP/i-PRF in Facial Harmonisation:
- Intradermal Retrotracing
- Microneedling
- Dermapen
- Intradermal Papules
- Indications for Full Face Facial Filler Techniques with iPRF
- The Importance of Associating Liquid Non-Crosslinked HA
- Limitations of PRP and iPRF
- Managing Patient Expectations
- Protocol for Preventing Ageing / Facial Rejuvenation with iPRF
- Undesirable Effects
- Contraindications
- Advantages of the Treatment
- Side Effects and Complications
- Complication Resolution
- Exosomes in Regenerative Facial Harmonisation:
- What Are Exosomes?
- Application Technique
- Advantages, Indications, and Contraindications
- Session Frequency
- Pre- and Post-Application Care
INTEGRATED FULL FACE ENHANCEMENT AND INTEGRATIVE FACIAL HARMONISATION
- Facial Assessment
- Concept of Beauty
- Photographic Protocol
- Facial Analysis
- Diagnosis
- Treatment Plan
- Sexual Dimorphism
- Facial Biotypes
- Clinical Case Analysis
- Functional Facial Harmonisation
- Facial Anatomy
- Protocols for Botulinum Toxin Application in Various Clinical Situations and Dental Medicine Specialties
- Masseter Hypertrophy
- Therapeutic Application of Botulinum Toxin for Myofascial Pain
- Trigger Points: Masseter, Temporal, and Occipital
- Headaches Related to Temporomandibular Dysfunction (TMD)
- Pre-Surgical/Pre-Prosthetic Application
- Bruxism and Teeth Clenching
- Procaine in Facial Harmonisation
- Therapeutic Application for Myofascial Pain
- Trigger Points
- Masseter / Temporal / Occipital
- Headaches Related to Temporomandibular Dysfunction (TMD)
- Technology in Facial Harmonisation
- High-Intensity Focused Ultrasound – HIFU
- Non-Ablative Fractional Laser
- Application Protocols
- Safety Margins
- Introduction to Integrative Facial Harmonisation
- An Integrative Approach to the Patient
- Health Education and Biological Terrain Preparation
- How to Enhance Treatment Results for Our Patients
- The Importance of Multidisciplinary Teamwork
- Metabolic Changes Post-Menopause
COLLAGEN BIOSTIMULATORS AND TISSUE BIOREMODELLERS
- Collagen Biostimulators
- Definition of collagen biostimulators
- What is collagen and its distribution in the human body
- Fibroblast: its importance and main functions
- The importance of Vitamin C in Neocollagenesis
- How to prepare the patient’s biological environment
- Sexual Dimorphism
- Applications in Facial Harmonisation
- Mechanism of Action of Biostimulators
- Ideal application plan
- Patient Selection: indications and contraindications
- Photographic Protocol
- PLLA – Poly-L-Lactic Acid
- Brief history of Sculptra
- Various commercial brands of PLLA
- PDLA – Poly-D, L-Lactic Acid
- Mechanism of Action
- Areas where PLLA should not be injected
- Materials Checklist
- Headaches related to temporomandibular dysfunction (TMD)
- Immediate reconstitution for face and neck (with an exclusive protocol to prevent cannula clogging)
- Application protocol and treatment planning
- 5x5x5 Protocol: How to avoid nodules and complications
- Patient Instructions
- Ultracol – PDO (Polydioxanone) Liquid
- Dilution protocol
- Application in hyperdynamic regions
- CaHA – Calcium Hydroxyapatite
- Various commercial brands
- Radiological characteristics of calcium hydroxyapatite
- Brief history of Radiesse
- Collagen Biostimulator vs. CaHA Filler: rheological properties
- Mechanism of Action
- CaHA Degradation Mechanism
- Dilution and Hyperdilution with CaHA
- CaHA Application Protocol for Biostimulation
- General Recommendations for Face and Neck
- Materials Checklist
- Patient Instructions
- Adverse Events
- Therapy Algorithms
- Differential Diagnosis and Associated Therapy
- Tissue Bioremodellers
- Commercial brands of bioremodellers: Profhilo, PDRN, among others
- Advantages, Indications, and Contraindications
- Technique and Application Protocol
LIPS: LIP SCULPTURE AND PERIORAL REGION RESTRUCTURING
- Lip Topography
- Facial Embryology
- Facial Analysis and Its Anatomical References
- Differences Between Female and Male Lips
- The Central Beauty Bar
- What Is Beauty?
- Ideal Lip Proportions Across Different Ethnicities
- Lip Anatomy
- Labial Artery Positioning and Its Variations
- Labial Artery Diameter in Different Positions on the Lip
- Labial Artery Distribution Patterns
- Action of Perioral Muscles
- Botulinum Toxin in the Lower Facial Third and Platysma
- Characteristics of Perioral Ageing
- Contraindications for Lip Augmentation
- Pre-Operative Considerations
- Cannula or Needle?
- Which Product to Choose?
- Product Rheology
- Checklist of Necessary Materials
- Checklist of Emergency Materials
- Intraoral and Extraoral Anaesthesia Techniques
- Filler Techniques:
- Volumisation
- Projection
- Contour
- Eversion
- Hydration
- Commissure Elevation
- Commissure Anchoring
- Improvement of Perioral Rhytides (Barcode Wrinkles)
- Perioral Region Restructuring
- Post-Operative Considerations
- Diagnosis and Treatment of Adverse Events
- Prevention of Vascular Compromise
- The Importance of Hyaluronidase and Usage Protocols
ABSORBABLE FACIAL THREADS
- Global Ageing
- Facial changes in ageing
- Layered Facial Anatomy Analysis
- Solid collagen biostimulators
- Difference between structural volumisation and tissue volumisation
- Insertion planes: intradermal, subcutaneous, and intramuscular
- Timeline: origin and classification of threads
- Thread characteristics and biodegradation period
- Thread measurement and storage
- Objectives, indications, and contraindications
- Benefits, advantages, and disadvantages
- Types of threads for dermal support
- PDO Threads – Polydioxanone
- PCL Threads – Polycaprolactone
- APTOS® Threads – Polylactic Acid with Polycaprolactone
- Silhouette® Sutures – PLA Threads – Polylactic Acid
- Malar Region: Improvement of nasolabial fold
- Mandibular Region: Improvement of marionette lines and jowl ptosis
- Mandibular Region: Definition of jawline contour
- Eyebrow Lift
- Foxy Eyes Effect
- Application in the Nose
- Shielding with smooth threads
- Face: periorbital wrinkles, perioral wrinkles (barcode lines), sleep lines, forehead, glabella, acne scars, nasolabial fold, labiomental fold.
- Neck: submental region, neck laxity.
- Postoperative care
- Possible complications: how to prevent/treat
- Homeopathic medications to prevent bruising and swelling
