Wisdom Cosmetics

Welcome to Wisdom Cosmetics, a Botox and dermal filler training course. Whether you're a medical professional looking to expand your expertise or a newcomer to the field, understanding the fundamentals of Botox and dermal fillers is essential.

What is Botox?

Botox, short for Botulinum toxin, is a neurotoxic protein produced by the bacterium Clostridium botulinum. In cosmetic applications, it is used to reduce the appearance of facial wrinkles by temporarily paralyzing facial muscles. Botox injections are popular for smoothing out frown lines, forehead furrows, crow's feet, and other wrinkles caused by repeated muscle contraction.

What are the major companies manufacturing neuromodulator?

• Allergan (now AbbVie) - Allergan is perhaps the most well-known company in the Botox market. They manufacture Botox Cosmetic, which is widely used for aesthetic purposes to reduce wrinkles and fine lines.

• Galderma - Galderma produces Dysport, another botulinum toxin type A used for temporary improvement in the appearance of moderate to severe glabellar lines associated with procerus and corrugator muscle, as well as the treatment of adults with cervical dystonia.

• Merz Pharmaceuticals - Merz produces Xeomin, another botulinum toxin type A product used for both cosmetic and therapeutic purposes. Xeomin is known for its "naked" formulation, meaning it does not contain complexing proteins like some other botulinum toxin products.

• Revance Therapeutics - Revance produces DaxibotulinumtoxinA, commonly known as Daxxify. It is a newer entrant into the market and is known for its proprietary peptide technology designed to extend the duration of effect compared to traditional Botox.

• Evolus - Evolus manufactures Jeuveau (prabotulinumtoxinA-xvfs), which is FDA-approved for the temporary improvement in the appearance of moderate to severe glabellar lines (frown lines between the eyebrows).

• Hugel - Huegl manufactures Letybo (letibotulinumtoxinA-wlbg), which is FDA- approved for the temporary improvement in the appearance of moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity in adult patients.

Where can Botox be used?

• Glabellar Lines (Frown Lines): These are the vertical lines that appear between the eyebrows when you frown. Botox injections can smooth out these lines by relaxing the muscles responsible for the frown.

• Forehead Lines: Horizontal lines on the forehead that appear when you raise your eyebrows or express surprise can be softened with Botox injections.

• Crow's Feet: These are the lines that radiate outward from the corners of the eyes when you smile or squint. Botox can reduce the appearance of crow's feet by relaxing the muscles around the eyes.

• Bunny Lines: These are the wrinkles that form on the sides of the nose when you scrunch your nose. Botox injections can soften these lines.

• Brow Lift: Botox can be strategically injected to lift the brow and create a more open and youthful appearance.

• Jawline Contouring: Botox injections in the masseter muscles (jaw muscles) can reduce the size of these muscles, leading to a slimmer jawline and a more balanced facial appearance.

• Chin Dimpling: Botox can be used to reduce the appearance of dimpling in the chin by relaxing the mentalis muscle.

• Neck Bands: Botox injections can smooth out horizontal lines or bands in the neck caused by muscle contractions.

• Excessive Sweating (Hyperhidrosis): Botox can be used to treat excessive sweating in areas such as the underarms, palms, and soles of the feet by blocking the nerves that stimulate sweat glands.

• Additionally, Botox is also used for various medical conditions such as chronic migraines, cervical dystonia (spasmodic torticollis), and blepharospasm (eyelid spasms).

• Some of the areas listed above are Off-Label uses but commonly discussed locations.

What are Dermal Fillers?

Dermal fillers are injectable substances designed to add volume and fullness to various areas of the face. They can plump up lips, enhance shallow contours, soften facial creases, and improve the appearance of scars. The most common substances used in dermal fillers include hyaluronic acid (HA), calcium hydroxylapatite (CaHA), poly-L-lactic acid (PLLA), and polymethylmethacrylate beads (PMMA).

What are the major H.A. Fillers on the market?

Hyaluronic acid (HA) dermal fillers are among the most popular choices for non-surgical facial rejuvenation. They are injectable gels used to add volume, smooth wrinkles, and enhance facial contours. Here are some of the major HA dermal filler brands available:

• Juvederm (Allergan, now AbbVie) - Juvederm is a widely recognized brand offering a range of HA fillers tailored for various facial areas and concerns. Products include Juvederm Ultra, Juvederm Ultra Plus, Juvederm Voluma, Juvederm Vollure, and Juvederm Volbella.

• Restylane (Galderma) - Restylane is another popular brand of HA fillers offering a variety of formulations such as Restylane-L, Restylane Lyft, Restylane Refyne, Restylane Defyne, Restylane Silk, and Restylane Kysse. Each formulation is designed to address different facial areas and concerns.

• Belotero Balance (Merz Pharmaceuticals) - Belotero Balance is known for its smooth integration into the skin, making it suitable for fine lines and delicate areas. It is designed to seamlessly blend with natural facial contours.

• Revanesse Versa (Prollenium Medical Technologies) - Revanesse Versa is a hyaluronic acid dermal filler known for its uniform particle size, providing smooth and even results. It is used to treat moderate to severe facial wrinkles and folds.

• RHA Collection (Revance Aesthetics) - Teosyal offers a range of HA fillers designed to address volume loss, wrinkles, and facial contouring. Products include Teosyal RHA (Resilient Hyaluronic Acid) and Teosyal Kiss for lip enhancement.

What about Calcium Hydroxylapatite fillers?

• CaHA fillers consist of tiny, calcium-based microspheres suspended in a smooth gel carrier. These microspheres are biocompatible and biodegradable, meaning they are gradually broken down and metabolized by the body over time.
• CaHA fillers are primarily used to treat moderate to severe facial wrinkles and folds, such as nasolabial folds (smile lines) and marionette lines. They are also used for facial contouring and volumizing, particularly in areas where deeper augmentation is desired.
• One unique feature of CaHA fillers is their ability to stimulate natural collagen production in the skin over time. This collagen stimulation helps to maintain the volume and structure provided by the filler even after the CaHA microspheres are absorbed.
• CaHA fillers typically provide longer-lasting results compared to hyaluronic acid (HA) fillers, often lasting up to a year or more before touch-up treatments may be needed.
• Common areas treated with CaHA fillers include cheeks, nasolabial folds, marionette lines, jawline, and chin. They can also be used for non-surgical nose reshaping (non-surgical rhinoplasty) and hand rejuvenation.
• CaHA fillers have a well-established safety profile when used by trained healthcare providers. As with any injectable treatment, side effects can occur, including temporary redness, swelling, bruising, or discomfort at the injection site.

Radiesse is the brand name most associated with CaHA fillers and is widely used by healthcare providers for facial rejuvenation and enhancement.

What about Poly-L-Lactic Acid?

• PLLA is a synthetic polymer that stimulates collagen production in the skin. When PLLA microspheres are injected into the skin, they create a scaffold that stimulates the body's own collagen production over time.
• PLLA fillers do not provide immediate volume like HA or CaHA fillers. Instead, they gradually stimulate collagen production, which improves skin texture, elasticity, and volume over several months.
• PLLA fillers are used primarily for deeper facial wrinkles and folds, such as nasolabial folds (smile lines) and marionette lines. They are also effective for restoring facial volume loss and improving skin laxity.
• PLLA fillers provide longer-lasting results compared to HA fillers, typically lasting up to 2 years or more. The duration of results can vary depending on individual metabolism and treatment area.
• Common areas treated with PLLA fillers include cheeks, temples, nasolabial folds, jawline, and chin. They can also be used for non-surgical facial contouring and rejuvenation.
• PLLA fillers often require multiple sessions spaced several weeks apart to achieve optimal results. This gradual approach allows for natural-looking improvement in facial contours and skin quality.
• PLLA fillers have a well-established safety profile when used by trained healthcare providers. As with any injectable treatment, potential side effects may include temporary swelling, bruising, redness, or tenderness at the injection site.

One of the most well-known brands of PLLA fillers is Sculptra. 

Where can fillers be used?

• Nasolabial Folds: These are the lines that run from the sides of the nose to the corners of the mouth. Dermal fillers can fill in these lines, reducing their depth and creating a smoother appearance.

• Marionette Lines: These lines extend downward from the corners of the mouth, giving a marionette-like appearance. Fillers can soften these lines and restore a more youthful contour to the lower face.

• Lips: Dermal fillers are frequently used for lip augmentation to add volume, enhance shape, define the vermilion border (the edge of the lips), and lift the corners of the mouth (oral commissures).

• Cheeks: Fillers can add volume to the cheeks and improve cheekbone definition, resulting in a more lifted and youthful appearance to the mid-face.

• Under-Eye Area (Tear Troughs): Dermal fillers can be used to reduce the appearance of dark circles or hollowing under the eyes, often referred to as tear troughs.

• Temples: Fillers can restore volume to the temples, which can hollow out with age, contributing to a more sunken appearance of the upper face.

• Chin: Dermal fillers can be used to augment the chin, improving its projection and symmetry with the rest of the face.

• Jawline: Fillers can enhance and define the jawline, creating a more sculpted appearance or correcting asymmetry.

• Nose (Non-Surgical Rhinoplasty): Dermal fillers can be used to reshape and correct minor imperfections of the nose, such as smoothing out bumps or improving symmetry.

• Hands: Fillers can be used to rejuvenate the appearance of aging hands by adding volume to reduce the visibility of tendons and veins.

Why Choose Botox and Dermal Filler Training?

Our comprehensive training courses cover everything from the anatomy of facial muscles to injection techniques and patient consultation skills. Whether you're looking to enhance your current practice or start a new career path, our expert instructors will equip you with the knowledge and hands-on experience needed to excel in the field of cosmetic injectables.

Benefits of Our Training Courses:

• Expert Guidance: Learn from experienced professionals in the field of cosmetic surgery and aesthetic medicine.
• On-Demand Lectures: Learn at your own pace and review at any time
• Certification: Receive a certificate of completion of the course, demonstrating your studies in Botox and dermal filler procedures.
• Career Advancement: Open new opportunities in medical spas, dermatology clinics, and aesthetic practices.

Who Should Enroll?

Our courses are designed for licensed medical professionals including physicians, surgeons, dentists, nurse practitioners (NP), registered nurses (RN), and physician assistants (PA) who are interested in expanding their skills and learning about Botox and dermal filler treatments.