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Botox® Therapeutic Precourse


This is very important information regarding the

American Academy of Facial Esthetics

Level I Hands-On Botulinum Toxin Therapeutic and Frontline TMJ and Orofacial Pain Training courses.

Please read all information carefully.

We need some important information before you attend the course.

Please fill out the Reservation Form provided HERE and submit along with a copy of your current state practicing license and the declarations/ cover page of your malpractice insurance.

Please fax or email these items to our office at:

Fax: 216-395-0110 or 216-672-5230   Email:

***If you have any questions about the course, please contact our office by calling 800.952.0521 Ext. 6 or via email.

Here is the agenda for the course which will cover Botulinum Toxin Therapeutic Training:

Registration                             7:30   AM                  Please be prompt

Course Begins                         8:00   AM

Break                                        10:15 AM

Course Resumes                    10:30 AM

Lunch                                        12:15 PM

Course Resumes                      1:00 PM

Hands-On Session           1:00-5:00 PM

For the benefit of our attendees, meals are at your leisure. There are restaurants nearby to suit your taste.

Team Members

We still have availability for you to bring additional staff members with you to the course.  In order to attend as a team member, your team members must not be a nurse, a doctor of any profession, or a possible injector. All names will be verified through the state boards and full tuition will be charged if this policy is not carried out.

Team members admission cost is $295 per day, per person.  Payment is required even if the team member sitting in on the course is your model patient. Please let us know as soon as possible if you plan to bring any additional team members.

Model Patients

For the best learning experience, please bring your own model patients. If need be, it is likely that you will find a model patient at the course.  You can bring up to 2 patients per day.  Please let your model patients know that they must be available for approximately 3-4 hours, as this is a teaching course.

Attendees are solely responsible for treatment of their patients at this course.  You will treat your patient as you would in your office.

The hands-on portion of the course will be arranged in Groups A, B and C and is dependent on meeting size. Groups will be determined the morning of the meeting.  Patients should arrive when the hands-on portion of the course begins or when you have a better understanding of what group you are in. If you choose not to bring a model patient, you may observe the hands-on portion of the course. You may also find a patient at the course.

Checklists for Botulinum Toxin Therapeutic Training Course

Please bring the following:

•Digital camera to document patient prior to injections. (Camera phones work also)

•Loupes/headlights if you use them in your practice.

We have Botulinum Toxin for purchase at the course. Each vial can be used for approximately 2-4 patients depending on the treatment needs of the patients.

Syringes will be provided.

Pre-Ordering Instructions for Botulinum Toxin (Botox®/Xeomin®) Therapeutic Course

    • Xeomin® may be purchased by opening an account by calling (800) 693-9076. Xeomin® is approximately $100 less expensive than Botox®.
    • Botox® may be purchased for members directly through the AAFE at a reduced cost by creating a AAFE Allergan account. Contact or call 888-542-6145 Ext. 3. Non-members may purchase Botox by creating an account with Allergan. Please note Botox® and Xeomin® comes in vials of 50 and 100 units.
    • We suggest purchasing at least one vial of Botox® or Xeomin® 100 units – generally this is enough for 2 – 3 patients.
    • Botox® will be delivered to you in a freeze pack. Place this your freezer until you are ready to use. Xeomin® is delivered to you at room temperature and does require any special storage instructions until it has been reconstituted.
    • If you are attending the AAFE Frontline TMJ/Orofacial Pain Course, it is recommended to bring an additional vial of Xeomin® or Botox®.

Here are some tips for choosing a model patient for the Botulinum Toxin Training course:

The facial areas that are ideal to treat with Botulinum Toxin are: forehead lines when the patient makes a “surprised” expression, the frown lines between the eyes when the patient makes a “mad” facial expression and the “crow’s feet” lines at the corner of the eyes. Additional considerations are as followed:

  • The model patient should have light to moderate lines- these are the best patients to train on.
  • If your patient has TMJ and/or bruxism, these areas will be addressed as well.
  • The patient should be healthy, with no active skin infections, and have a clean medical history.
  • Patients with neurological, autoimmune, and immunological diseases are not ideal candidates, as well as people with long term systemic diseases.
  • Patients, who bruise easily, because of medications or other disease processes, may not be good candidates.
  • The model should not be needle phobic.
  • The model patient may have some swelling and/or bruising after treatment.  We recommend that the model patient not have any important life events occurring within two weeks of treatment.

Please review and share the following list of pre-operative instructions with each of your model patients.

Botulinum Toxin Pre-Treatment Instructions:

In an ideal situation, it is prudent to follow some simple guidelines before treatment that can make all the difference between a fair result and/or great result, by reducing some possible side effects associated with the injections.  We realize this is not always possible; however, minimizing these risks is always desirable.

  • Avoid alcoholic beverages at least 24 hours prior to treatment. Alcohol may thin the blood which will increase the risk of bruising.
  • Avoid anti-inflammatory or blood thinning medications ideally, for a period of two weeks before treatment.  Medications and supplements such as Aspirin, Vitamin E, Gingko Biloba, St. John’s Wart, Ibuprofen, Motrin, Advil, Aleve, Vioxx, and other NSAIDS are all blood thinning and can increase the risk of bruising/swelling after injections.
  • Schedule Botulinum Toxin appointment at least 2 weeks prior to a special event which may be occurring, i.e., wedding, vacation, etc.  It is not desirable to have a very special event occurring and be bruised from an injection which could have been avoided.

Every model patient must sign an informed consent prior to treatment. Consents will be provided at each course and there will be no exceptions.

We have the right to refuse treatment to any patient.

All course completion certificates and continuing education credits will be awarded to attendees when all course tuition, team member verification, and course/product fees have been reconciled.

If you have any questions about your patient, please email Dr. Malcmacher at

Please carefully review and read our Course Cancelation, Rescheduling and No-Show Policy.