The Academy for the Advancement of Aesthetics: Collagen-Stimulating Fillers
Release Date:  4/2/2018
Last Reviewed:  1/20/2018
Expiration Date: 4/2/2020
Time to Complete Activity: 3.0 hours

Steering Committee
Sabrina G. Fabi, MD, FAAD, FAACS
Volunteer Assistant Clinical Professor
Department of Medicine/Dermatology
University of California, San Diego
Goldman Butterwick Fitzpatrick Groff and Fabi Cosmetic Laser Dermatology
San Diego, CA
Jani van Loghem, MD
Medical Director
Doctors Inc.
Aesthetic Medicine Center
Amsterdam, Netherlands
Tatjana Pavicic, MD
Munich, Germany

This activity is provided by Paradigm Medical Communications, LLC. 
Target Audience
This activity has been designed to address the educational needs of dermatologists; plastic surgeons; facial plastic surgeons; ocular plastic surgeons; ophthalmologists; medical professionals from the following disciplines: dermatology, plastic surgery, otolaryngology, ophthalmology, dermatologic surgery, cosmetic surgery, facial plastic surgery, and ocular plastic surgery. It may also be of benefit to nurses in the field of aesthetic medicine and other healthcare providers who are involved in aesthetic medicine. 
Learning Objectives
Upon proper completion of this activity, participants should be better able to:
  • Describe the mechanism of action of collagen-stimulating fillers in facial aesthetic medicine, including the dual action of dermal filling and neocollagenesis
  • Explain the aesthetic evaluation process as it relates to assessing and restoring volume to the aging face, including the patient consultation process, managing patient expectations, individualized treatment, and use of aesthetic scales
  • Review safe and effective use of collagen-stimulating fillers, including appropriate facial treatment areas, variations in injection technique, injection plane, and product selection
  • Identify the possible adverse events associated with collagen-stimulating fillers, including strategies to avoid and to manage them
Physician Accreditation Statement
Paradigm Medical Communications, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Physician Credit Designation Statement
Paradigm Medical Communications, LLC, designates this enduring material for a maximum of 3.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
PA Continuing Education
PAs may claim a maximum of 3.0 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.
Nurse Practitioner Continuing Education
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.  Individuals are responsible for checking with the AANPCP for further guidelines.
Disclosure of Commercial Support
This activity is supported by an educational grant from Merz Pharmaceuticals GmbH.
Instructions for Participation
To receive a CME certificate of participation, participants must:
  • Follow instructions to register or log in with your professional information and complete the pretest.
  • View the online activity in its entirety.
  • Complete and submit the online posttest and evaluation. You must answer 70% of the posttest questions correctly to earn credit. You will have unlimited opportunities to successfully complete the posttest.
A certificate of participation will be available for download/printing immediately following your successful completion of the posttest and evaluation.

For questions regarding credit, contact the Paradigm CME Department at (845) 398-5949.
There is no fee required for participation in this activity.

Hardware/Software Requirements
This certified CME activity is designed using HTML5 audio/video.
Supported Browsers:
For Desktops (Windows/Mac)
Internet Explorer 9 or higher, Firefox 28 or higher, Safari 5.1 or higher, Google Chrome 31 or higher, Opera 21 or higher
For Tablets (iPad/Android/Surface)
iOS Safari 4 or higher, Android 2.3 or higher, IE Mobile 10 or higher
Technical Support: If you have any technical problems or playback issues, please email us at
In accordance with Accreditation Council for Continuing Medical Education requirements on disclosure, faculty and contributors are asked to disclose any relationships with commercial interests associated with the area of medicine featured in the activity. These relationships are described below.
Steering Committee
Sabrina G. Fabi, MD, FAAD, FAACS
Grants/research support: Alastin Skincare, Inc; Allergan, Inc.; Ampersand Aesthetics; Bayer HealthCare; Colorescience, Inc.; Galderma Laboratories, L.P.; Merz North America Inc.; Revance Therapeutics, Inc
Honoraria or consultation fees: Alastin Skincare, Inc; Allergan, Inc.; Colorescience, Inc.; Galderma Laboratories, L.P.; Merz North America, Inc.; Revance Therapeutics, Inc
Speaker’s Bureau: Alastin Skincare, Inc; Allergan, Inc.; Galderma Laboratories, L.P.; Merz North America, Inc.

Jani van Loghem, MD
Consultation/speaker fees: Merz Pharmaceuticals
Tatjana Pavicic, MD
Grants/research support: Ipsen; Merz Pharmaceuticals
Honoraria or consultation fees: Beiersdorf Inc; Cynosure, Inc; Galderma S.A.; Lutronic; Merz Pharmaceuticals
Paradigm Medical Communications, LLC, staff members have no financial relationships to disclose.
Independent peer reviewer has no financial relationships to disclose.

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Paradigm Medical Communications, LLC, has implemented a system to resolve conflicts of interest for each CME activity to help ensure content is objective, independent, fairly balanced, and aligned with the public interest. Conflicts, if any, are resolved through one or more processes. All CME content in this activity has been independently reviewed to ensure that it is free of commercial bias, scientifically rigorous, aligned with the public interest, and compliant with all regulatory guidance and the ACCME’s Standards for Commercial Support of Continuing Medical Education.
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This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA.
This CME activity represents the views and opinions of the individual faculty, and does not constitute the opinion or endorsement of, or promotion by, Paradigm Medical Communications, LLC. Reasonable efforts have been taken to present educational subject matter in a balanced, unbiased fashion, and in compliance with regulatory requirements. However, each activity participant must always use his or her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.
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As an ACCME-accredited provider, Paradigm Medical Communications, LLC, activities must include a balanced view of therapeutic options. Use of generic names contributes to this impartiality. In this activity, the trade names for aesthetic products are used for clarity. The use of trade names should not be viewed as an endorsement of specific products by Paradigm Medical Communications, LLC.
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