Level 2 - Basic Botulinum Toxin: Aesthetic Upper Face & Therapeutic Pain Management

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Level 2 is clinical course offering the most hands-on training you will find within the industry

Successfully integrate botulinum toxin into your practice with Dr. Warren Roberts’ proven clinical protocols. Learn both the therapeutic and the aesthetic applications of botulinum toxin, including how to reduce fine facial lines and wrinkles, as well as how to reduce facial pain including migraines, headaches & TMD.

 Learn the PTIFA Anatomic Landmark Template, the PTIFA Therapeutic & Aesthetic Injection Templates & the PTIFA Weal Technique, as well as the skills required to immediately and successfully integrate treatment into a dental or medical practice.


Fees & Requirements

  • Pre-requisite: Successful completion of Level 1 is required prior to attending the Level 2 hands-on. Please note you may register for Level 1 and Level 2 at the same time.
  • Requirements: A minimum of one patient model(s), a current copy of your license and malpractice insurance.
  • Practitioner Tuition: $3,400 (plus GST)
  • Team Member Tuition: $799 (plus GST)
  • Patient Model: A discounted course rate of $6/unit is charged for each patient model having treatment in the clinic. Practitioners are responsible for their patient model’s fee.

All funds are in Canadian Dollars. Please review our Registration Policy prior to registering.

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Course Overview

Level 2 includes an online component (17 hrs), plus an extensive two-day clinical session (16 hrs) held just outside Vancouver, BC at the practice of Dr. Roberts.


Online Didactic:

The online portion of Level 2 includes six sections:

  1. Glabella
  2. Frontalis
  3. Orbicularis Occuli
  4. TMD
  5. Migraines & Headaches
  6. Parafunctional Habits

The online portion allows practitioners to develop a deep understanding of what botulinum toxin is, how and why it affects facial muscles, and how to use botulinum toxin to achieve aesthetic facial improvements in the upper face. Practitioners will also learn how botulinum toxin is used therapeutically to treat parafunctional habits, TMD, temporal headaches, migraines and oromandibular dystonias. Prevention and interception of these disorders is addressed. A review of the musculature of the face and neck and analysis of muscle recruitment assists us in determining the cause of the many wrinkle presentations and expressions. The facial aging process is discussed as it relates to placement of the medication and the dosage required EMG
(electromyography) is used to aid in the analysis and differential diagnosis of parafunctional habits, TMD and headaches.


Clinical Session

The clinical portion of Level 2 includes a two-day hands-on session always held on a Friday and Saturday.


Practitioners will attend an anatomical cadaver integration session. Dr. Roberts provides an in-depth review of relevant anatomy and relates surfaces features to the underlying musculature and bones. Understanding the source, pathways and overlap of the cranial nerves provides the foundation for understanding myofacial pain and the synergy that exists between aesthetic and therapeutic botulinum toxin therapy. As Dr. Roberts reviews muscles on the cadaver, practitioners will practice the PTIFA Anatomic Landmarking Technique on 15 participants. This integrative portion of the cadaver lab develops confidence prior to the clinical hands-on. The day finishes with a live model demonstration with Dr. Roberts injecting, using the the PTIFA Anatomic Landmark Template, the the PTIFA Therapeutic & Aesthetic Injection Templates & Techniques.



Day 2 is an intensive clinical hands-on practicum where you have the opportunity to inject 8+ patient models using the PTIFA Anatomic Landmark Template, the PTIFA Therapeutic & Aesthetic Injection Templates & Techniques. The course is typically held at the practice of Dr. Roberts (Tsawwassen, BC located ~25 minutes south of Vancouver) or on campus at the University of British Columbia at the Patterson Dental Learning Centre (Vancouver, BC). You will have the opportunity to see how a patient is treated from the moment they walk into the clinic, how the necessary medical history and consents are collected on FACETEC software, what photographs are required and how they are stored in FACETEC, the consultation process, treatment (including markings & injection), billing procedures, and booking post-op appointment. Our goal is to provide you with extensive hands-on experience so you are confident leaving and going back to treat patients within your own practice. Team Members registered for the Level 2 – Team Training course assist practitioners in clinic – receiving one-on-one hands-instruction in photography, reconstitution of the product, loading of the syringes and more.



  1. Identify and mark precise anatomical facial landmarks for placing botulinum toxin cosmetically in the upper face and for myofascial pain.
  2. Diagnose and inject botulinum toxin (aka Dysport®/Botox®) for predictable cosmetic results in the upper face.
  3. Diagnose and inject botulinum toxin (aka Dysport®/Botox®) for predictable therapeutic results including myofascial pain (migraine, headache & TMD).
  4. Provide the PTIFAT Injection Techniques to achieve predictable results and avoid negative side effects.



  1. Frontalis Muscle
  2. Glabellar Complex
  3. Procerus
  4. Corrugators Supercilii
  5. Orbicularis Oculi
  6. Research Articles Supporting Therapy
  7. Primary, Secondary and Tertiary Mechanism of Action
  8. Preparation, Dosage, and Procedure
  9. Practical Pearls


Format & CE/CME

Level 2 includes an online didactic section (17 hours & exam), followed by a 2-day clinical session typically held at a hotel venue and Roberts Dental & Facial Rejuvination (16 hours).

Upon registration, access to the online Level 2 course materials are provided for one-year. Level 2 includes 33 CE/CME credits upon successful completion of the hands-on session.


Team Member Training

A separate course is offered for non-injector related team members of your office (ie: Office Managers, Receptionists, Medical Office Assistants, Chair-side Assistants, Hygienists, Office Managers, Pharmacy Assistants etc.) in the Level 2 – Team Training. This course is held concurrently with the Practitioner’s training in the clinic on Saturday and is focused on the clinical skills and integration, including reconstitution, supplies, photography, marketing and more.

Practitioners and Team Members both graduate from Level 2 with the knowledge, skills and confidence to perform precision muscular injections with predictable positive results. Practitioners who successfully complete Level 2 are provided with a certificate of completion, as well as the necessary forms and training to successfully incorporate botulinum toxin into their practice. They are also able to register for the online Support Study Club - offering case support and more.


Areas Trained To Treat

Level 2 graduates are trained to treat the following areas and are able to store, compare and create portfolios using FACETEC software.

  1. Glabella Complex – facial lines located between the eyebrows (aka “#11’s)
  2. Frontalis Muscle – facial lines running across the forehead
  3. Orbicularis Occuli – facial lines located around the eyes (aka “Crows’ Feet”)
  4. Migraines & Headaches – reducing severity and duration of symptoms
  5. TMD – reducing myofascial pain symptoms associated with TMD (temporomandibular dysfunction)
  6. Parafunctional Habits – reducing myofascial pain symptoms associated with bruxing/clenching/grinding



Achieve little to no negative side effects with PTIFA’s Marking and Injection Techniques and Clinical Protocols.

Successfully treatment plan and mark your patients with confidence after attending the integrative Cadaver Lab.

Ability to review the online course videos as often as you wish by accessing the didactic materials online.

Achieve a high-level of patient care and clinical competency within your practice.

Successfully integrate treatment into your practice with our proven Clinical Protocols and Level 2 – Team Training course.

Fully engage your entire practice Team with the separate Level 2 – Team Training course.

Improve patient care with your myofascial pain patients by integrating electromyograph analytics and threshold dosages of therapeutic botulinum toxin.

Science-based and practice-based approaches & techniques – our syllabus includes before-and-after cases directly from our Faculty members (and not the pharmaceutical companies).

Confidently offer a treatment your patients will love and ask you for!

Course FAQs

CE Recognition

PTIFA is an ADA CERP recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers with continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. PTIFA designates Level 2 for 24 hours of continuing education credits.

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