Facial lines and wrinkles are caused by the wearing down of the natural collagen support layer that lies just beneath your skin. Creams can moisturize or exfoliate the surface of your skin, but they cannot eliminate the lines or wrinkles that are caused by the wearing away of the underlying collagen support layer.

The skin is composed of two layers: The uppermost layer of skin, called the epidermis, acts as a protective barrier. The epidermis controls the loss of water from cells and tissues, and without it your body would quickly dehydrate. Just beneath the epidermis is the second layer of skin, called the dermis. This layer is composed primarily of a protein called Collagen. Collagen forms a network of fibers that provides a framework for the growth of cells and blood vessels. As the primary component of the dermis, collagen acts as the support structure for your skin. Unlike Hyaluronic acid it provides volume to the skin.

Dermal Fillers made with Hyaluronic acid:

Fillers made with Hyaluronic acid have become a popular choice today in the ongoing war against wrinkles. Hyaluronic acid is a naturally occurring sugar molecule that helps moisturize the skin. It is found in large quantities in young skin but over time pollutants, sunlight, and of course natural aging causes levels to plummet, leading to loss of plumpness. There are many different types of Fillers with different molecular weights and viscosity. Depending on how much volume is needed and where you are injecting, a layering technique if often used with a combination of two different types of fillers for a better aesthetic outcome.

Hyaluronic acid based fillers made their way into the States in 2004. With products such as Restylane & Captique, Hylaform and Hylaform Plus. Hylaform and Hylaform plus are both made from the roosters comb. Restylane and Captique are both bio-engineered and have no animal bi -products.

Cosmoplast/Cosmoderm a human based collagen is a less expensive choice not requiring a skin test. The typical Cosmoderm/Cosmoplast filler lasts 3-4 months, Hylaform lasts apx. 4 months Hylaform Plus apx. 5-6 months. Restylane up to 6 months. Captique 4-6 month.

One of the most exciting products I have used in a long time is Revanesse and Revanesse Ultra, a much longer lasting bio engineered Hyaluronic acid lasting 6 to10 months and I find it much easier to inject and mold than the other bio-engineered products available.

There will a strong hands on time to help you and or your staff build the confidence needed to begin treating patients immediately after our time together. We will explore the creative and artistic aspects important for a successful treatment outcome which will include special techniques to create the look your patients' desire and ways to treat difficult problem areas.

A course specific: "How To" business model overview will be presented encompassing partnering between medical professional, standardized procedure and protocol policies, purchasing sources, price structuring, market trends, effective marketing, and development and retention of client base.

Objectives – Participants will be able to:

· Describe the development of Collagen and Hyaluronic Acids and the differences between them.
· Perform a patient consultation, patient teaching, and pain management.
· Know indications, contraindications, precautions, and potential risks.
· Summarize management and reporting of adverse events.
· Compare collagen / Dermal Filler implants and associated applications.
· Demonstrate proper preparation and injection techniques

You and your staff involved will receive necessary supporting forms and templates on disc such as history, consent, policy/procedure forms along with a Certification of Training upon completion of the course.

Please do not hesitate to contact me if you have any additional questions.

Sincerely, Terri Boyert