
Tons of hands-on injection

Super convenient

A recent survey stated that around 10% of dentists in the USA currently offer Botox to their patients. While opinions vary on whether dentists should be allowed to inject Botox and state laws vary widely on their rules about the “scope of practice”, our experience as trainers is that dentists are one of our favorite groups to train. Their baseline manual dexterity and mastery with a syringe are superior as they inject patients daily. Also, since their practice is already set up as a retail business, the office staff is ready for the challenges of marketing a new service. Let go over the specialized areas that we discuss during our Botox certification training course for dentists.
Botox for bruxism & TMJ disorder (Part 1)
Botox for the gummy line (Part 2)
Botox for mandibular hypertrophy (Part 3)
Not discussed:
Botox for peri-oral smoker’s lines
Botox for smile line
Dermal filler for lip enhancement
Dermal filler for smile lines
For these other areas, please sign up for our online or hands-on, onsite training, and you’ll get the videos and details about these additional areas at Cosmetic Medical Training
DISCLAIMER: All of the areas discussed below are OFF-LABEL indications for the use of botulinum neurotoxin. This summary discusses the literature and current trends of these OFF-LABEL injection techniques. We do not endorse the injection of these areas without thorough hands-on training and proper patient selection.
Bruxism
Bruxism is a condition where your patient will unconsciously grind or clench the teeth. Temporomandibular joint disorder is a condition where your patient experiences pain and improper function of the TMJ. Bruxism can be caused by TMJD, and vice versa. Botox was first used in a patient with bruxism in 1990. In 2002, Freund documented good outcomes of TMJD patients who received Botox.
People that suffer from bruxism grind their teeth. TMJ disorder is a condition that involves pain and improper functioning of the muscles and joints that attach the lower jaw to the skull. Bruxism can be caused by TMD, but bruxism can in turn also cause or worsen TMD. Botox can break off this cycle by relaxing the muscle contraction of the masseter and temporalis muscle.
Landmark:
First, ask your patient to clench her teeth. The masseter and temporalis muscle will become more prominent and easier to inject. With repeat contraction, identify the outline of both muscle groups and draw the shape with a white pencil.
To inject the masseter muscle, draw a line from the corner of the mouth to the tip of the earlobe (superior margin). Then, draw a line from the corner of the mouth to the angle of the mandible (inferior margin). The two vertical lines (anterior and posterior margin) that shape the outline of the masseter muscle (which you will draw as the patient clenches her teeth) will cross-hatch these two lines. Inject into the most prominent portion of the muscle, in 3 – 4 separate areas 0.5 – 1 cm apart, and at least 1.5cm above the margin of the mandible. All injections should be done to the lower third of the masseter muscle.
The temporalis muscle is typically 4.5cm from the patient’s zygomatic arch. The muscle can be divided into anterior, middle and posterior regions. There is great anatomical variety among patients and the injector must feel this her fingers to identify the outline of the muscle. Typically, the deep temporal nerve runs through the anterior fibers of the temporalis muscle. The injection site should be palpated for the superficial temporal artery and its branches.
Amount:
Based on clinical experience, the following doses were used.
Masseter muscle: 20 – 30 units per one side
Temporalis muscle: 10 – 20 unis per one side
It is recommended to inject low concentrations in multiple areas to avoid incomplete effects and diffusion into undesirable areas.
Precaution:
Aside from the typical side effects of Botox (bruising, hematoma and pain), other side effects are possible. In the masseter muscle, side effects include chewing weakness, The facial nerve is located near the masseter muscle. To minimize the risk of side effects, asymmetry, sagging, paradoxical hypertrophy, loss of smile, sunken cheeks, difficulty opening the mouth, sunken temporal fossa, dry mouth (if injected into the parotid gland), neuropraxia, and others. Therefore, we recommend that you inject into the center of the landmark.
In injecting the temporalis, you must aspirate before injecting large amounts to avoid intravascular injection into the superficial temporal artery and its branches. You also want to avoid injecting near the lateral canthus to avoid the paralysis of the lateral rectus muscle.
Have questions? Give us a call. 212-470-8059
A hyperactive lip elevator muscles will create what some people call a gummy smile. This causes the patients to show excessive gingival exposure when smiling. Previously corrected surgically, now we are able to treat this with Botox.
Yonsei University is in South Korea. It also shares the name with a Botox injection landmark called “Yonsei point.” Dr. Hwang is a professor at the College of Dentistry who recommended injection 3 units of Botox for the treatment of the gummy smile. Yonsei point is the center of a triangular region where the three muscles Levator labii superioris, Levator labii superioris alaeque nasi and Zygomaticus minor passes on the area lateral to the ala. The location of the insertion mark was found to be 1 cm horizontal to the ala and 3 cm vertically from the lip line. While some advocate injecting 3 units, some others recommend a lower dose of 2 units.
Aside from the typical side effects of Botox (bruising, hematoma and pain), other side effects are possible. Side effects include asymmetry, sagging, difficulty opening the mouth, neuropraxia, and others. Therefore, we recommend that you inject into the center of the landmark.
Have questions? Give us a call. 212-470-8059
The first off-label report of using Botox for masseter hypertrophy was published in 1994. Since then, the request for patients to achieve the oval facial shape or a V-shaped jawline has increased. The good news about treating this is that it is the same as the treatment for TMJ disorder without the temporalis muscle injection. All the landmarks, units, and precautions are the same except that you do not have to inject the temporalis muscle. To have the hands-on experience, please sign up for our Botox certification training course for dentists.
Have questions? Give us a call. 212-470-8059
Our trainers will physically come to YOUR office location for an on-site visit to train you and one additional medical provider in your office the hands-on techniques for $1499.
Have questions? Give us a call. 212-470-8059
Basic Botox® Areas – Frown Lines, Crow’s Feet, and Forehead Lines.
Advanced Botox® Areas – Nasalis, Perioral Lines, Dimpled Chin, Brow Lift, Lower Eyelid, and Marionette Lines.
Basic Filler Areas – Nasolabial Folds, Lips, and Marionette Lines.
Advanced Filler Areas – Nasojugal Groove, Frown Line, and Cheek Enhancement.
Register online for $1499.
Give us three dates that you want your training and we’ll set up the earliest training date possible.
Receive immediate access to the online training material with over 4 hours of instructional videos.
Our coordinators will help you prepare for the training day so that you will have the necessary supplies and Botox® and fillers.
Have questions? Give us a call. 212-470-8059
Instructional videos (17 videos over 4 hours), powerpoint slides and essential startup files will be available to you online prior to the hands on training day.
The videos will contain instructions on both beginners and advanced injectors.
Mechanism of action of Botulinum Toxin
Knowledge of the facial anatomy, physiology of pertinent muscles
FDA approved uses and off label uses
Safety and contraindications
Storage, preparation and dilution
Proper injection of Botulinum Toxin
Patient evaluation and consultation
Standardized procedures & protocols
Have questions? Give us a call. 212-470-8059
Mechanism of action of Dermal Fillers
Knowledge of the facial anatomy
FDA approved uses and off label uses
Safety and contraindications
Proper injection of soft tissue augmentation
Patient evaluation and consultation
Standardized procedures & protocols
1 Hour Botox® Review & Dermal Filler Review with a live model.
Hours of Hands On Training afterwards.
Your end time depends on the number of models and your discussion with your trainer (typically 4 – 5 hours total).
ONLINE VIDEO ONLY, TELECONFERENCE HANDS-ON TRAINING, OR ONSITE HANDS-ON TRAINING
IMMEDIATE ONLINE ACCESS TO TRAINING MATERIALS
CERTIFICATE OF COMPLETION
AFTER TRAINING SUPPORT
NUMBER OF TRAINEES
LIVE TELECONFERENCE HANDS-ON TELE-TRAINING
ONSITE VISIT BY OUR TRAINER HANDS-ON TRAINING
COST
ONLINE VIDEO TRAINING
ONE
$299
TELECONFERENCE HANDS-ON TELE-TRAINING
ONE OR TWO
$1,199
ONSITE HANDS-ON TRAINING
ONE OR TWO
$1,499
Have questions? Give us a call. 212-470-8059
YES. We are still conducting onsite & virtual training classes in compliance with local COVID19 regulations.
Cosmetic Medical Training specializes in convenient, hands-on Botox training & Filler injection certification for dentists in your office with after-training support. We have been in business since 2010. We train physicians, dentists, nurse practitioners, nurses, and physician assistants.
One day, hands-on Botox®, Dysport®, Xeomin®, and Jeuveau® & Dermal Fillers (Juvederm®, Restylane®, Belotero® and Versa®) injection training in your office.
All training sessions are scheduled when you want it. We fit into your schedule, and not the other way around.
All training sessions are in your office. NOT in a hotel conference room. If you don’t have an office, then please read this blog.
After you sign up, you immediately get all the training materials (videos, PDFs, articles, etc) online. We focus our training day for maximum hands-on injection training with at least 4 – 6 models.
#1 priority in Botox® & dermal filler training is the amount of HANDS-ON experience. We’ve been training providers for a long time, and they all tell us that practicing on a higher number of models equals a higher level of confidence.
Our goal is to train you so that you feel confident to inject on your own. We GUARANTEE that if you don’t feel confident injecting basic Botox (frown, forehead and crows feet lines) or basic dermal filler (laugh lines, marionette line, lips) independently, then we’ll train you again for FREE until you feel comfortable. All follow up training sessions are conducted via tele-training with our medical director.
Have questions? Give us a call. 212-470-8059
1-Botox for Hyperhidrosis & Migrane Training
2-Sclerotherapy & Spider Vein Training
3-Medical Weight Loss Training
4-Medspa Turnkey Startup Kit & Training
Have questions? Give us a call. 212-470-8059
Your comfort level and proficiency depends on the number of models that you will personally inject. Most of our trainees inject 4 to 6+ models on their training day.
Your training will be in your office where you and your office staff will receive our trainer’s undivided attention.
You will get immediate online access to all of your training materials, necessary forms and business plan, as soon as you sign up.
Right now, you’ll also get access to our online Sclerotherapy, Medical Weight Loss, Botox Medical, and Medspa Consulting training courses for FREE.
Your proficiency to inject on your own is GUARANTEED for Basic Botox and filler injections. If you don’t feel confident after your training day, then we’ll train you again for FREE.
Have questions? Give us a call. 212-470-8059