Individualizing Facial Aesthetic Therapy:  A Focus on Anatomic Targeting to Optimize Patient Outcomes
Release Date:      October 08, 2013
Last Reviewed:   September 30, 2013
Expiration Date:  October 31, 2014

*This activity expired for credit on October 31, 2014 and is no longer available for credit
Nowell Solish, MD
Toronto, ON
Target Audience
This activity has been designed to meet the educational needs of Canadian physicians in the fields of Plastic Surgery, Dermatology, Dermatological Surgery, Cosmetic Surgery, Facial Plastic Surgery, and Ocular Plastic Surgery.
Statement of Need
Practicing physicians in all fields of medicine, including plastic surgery, facial plastic surgery, ocular plastic surgery, dermatology, specialists in cosmetic dermatology, ophthalmologists, as well as nurse practitioners, physician assistants, and nurses, face the constant challenge of keeping up-to-date regarding advances in techniques, procedures, and products in their field. Patients are better informed than ever before about current and emerging therapies, including their best possible outcomes and associated complications and adverse events. Cosmetic facial rejuvenation is one of several areas of service provided by these healthcare professionals.
To effectively prepare to meet the mounting expectations of patients, to achieve optimal patient outcomes, and to ensure patient safety and satisfaction, a thorough understanding of facial anatomy, proper patient evaluation, injection techniques and strategies, and similarities and differences of available agents is required.
This educational program, guided by experienced thought leaders in the field of facial aesthetics, will focus on the most popular areas of treatment for neuromodulators and soft tissue fillers and will include patient consultation and assessment, proper use and selection criteria of available neuromodulator and filler agents (including handling, reconstitution, dosing, and administration), injection techniques, safety, adverse events and their management, treatment specifics and nuances for individualizing therapy, and the importance of establishing realistic patient expectations to ensure positive outcomes. 
Educational Objectives
Upon proper completion of this program, the participant should be able to:
  • Identify the causes, processes, and sites of dynamic facial rhytid formation and use a standardized process to evaluate the grade of facial skin aging.
  • Understand the basic science of aesthetic neuromodulators and dermal fillers with regard to basic structure, pharmacokinetics, and mechanism of action.
  • Evaluate aesthetic neuromodulators and dermal fillers with regard to indications and contraindications, preparation, dosing, technique, efficacy, and safety.
  • Demonstrate knowledge of injection strategies, including product selection and use that facilitate individualized therapy with neuromodulators and dermal fillers based on anatomic assessment, grade of facial aging, gender, and patient goals.
Faculty Disclosures
This activity respects the “Ethical guide to relations between medical organizations and commercial firms concerning continuing medical education” published by the Conseilde l’éducation médicalecontinue du Québec.  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
Doris J. Day, MD (Chair)
Clinical Assistant Professor of Dermatology
New York University Medical Center
Day Dermatology and Aesthetics
New York, NY
Advisory Boards: Allergan, Inc; Medicis Pharmaceutical Corporation; Merz Aesthetics, Inc.
Kent Remington, MD
Remington Laser Dermatology Centre
Calgary, AB, Canada
Grant/Research Support: Allergan, Inc; Medicis Pharmaceutical.
Advisory Boards: Allergan, Inc; Medicis Pharmaceutical.
Speakers Bureaus: Allergan, Inc; Clarion Pharmaceuticals, Inc; Lumenis; Medicis Pharmaceutical Corporation; Sciton.
Nowell Solish, MD
Assistant Professor of Dermatology
University of Toronto
Women’s College Hospital
Toronto, ON, Canada
Grant/Research Support: Allergan, Inc; Medicis Pharmaceutical; Merz Aesthetics; Revance Therapeutics.
Advisory Boards: Allergan, Inc; Medicis Pharmaceutical.
Speakers Bureaus: Allergan, Inc; Medicis Pharmaceutical Corporation; Ispen.
Arthur Swift, MD
Clinical Lecturer
McGill University
St. Mary’s Hospital
Jewish General Hospital
Department of Plastic Surgery
The Westmount Institute of Plastic Surgery
Montreal, QC, Canada
Grant/Research Support: Allergan, Inc; Anteis; Medicis Pharmaceutical; Merz Aesthetics.
Advisory Boards: Allergan, Inc; Anteis; Medicis Pharmaceutical; Merz Aesthetics.
Paradigm Medical Communications, LLC staff members have no financial conflicts to disclose.
Independent peer reviewer has no financial conflicts to disclose.
Accreditation Statement
For this course, we have requested CME study credits from McGill University, Office for Continuing Health Professional Education office which sponsors continuing medical education for physicians.
The Office for CHPE McGill University, is fully accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS), and through a reciprocal agreement with the (CACMS) may award AMA PR
A category 1 credits in the United States.
Credit Designation Statement
This activity is planned to offer up to 1.5 credits. 
Disclosure of Commercial Support
This CME initiative is supported by an educational grant from Medicis Pharmaceutical Corporation.
Instructions for participation
To receive a CME certificate of participation, participants should:
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  • 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 activity.
  • A certificate of participation will be available for downloading/printing immediately following your successful completion of the posttest and evaluation.
There is no fee required for participation in this activity.
For additional questions regarding CME credit, please contact the CME Department of Paradigm Medical Communications, LLC,at 845-398-5949.
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Paradigm Medical Communications, LLC has implemented a system to resolve conflicts of interest for each continuing medical education activity to help ensure content objectivity, independence, fair balance, and that the content is aligned with the interest of the public. Conflicts, if any, are resolved through one or more processes. All CME content in this activity was 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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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 neuromodulators and dermal fillers are used for clarity. The use of trade names should not be viewed as an endorsement of specific products by Paradigm Medical Communications, LLC. This program discloses off-label uses of neuromodulators and dermal fillers.