This forms the first part of Derma Medical’s accredited cosmetic training pathway in the delivery of nonsurgical cosmetic injectable treatments. Stage 1 consists of two parts:

1) An E-manual- this consists of electronic material that covers the core topics as proposed by HEE guidelines on nonsurgical cosmetic interventions. Materials cover a wide range of topics that will be re-enforced during the practical/mentoring days and examined during Stage 3 clinical assessments. Topics covered include:

– Skin anatomy, physiology and the ageing process
– Principles and practicalities of Botulinum toxins in Cosmetic medicine
– Principles and practicalities of Dermal fillers in Cosmetic medicine
– Cosmetic psychology, patient assessments and consultations
– Ethics, law and professional body guidance

2) Foundation and Advanced courses incorporating theory and practical experience led by expert aesthetic doctors who run their own clinics. These courses can be booked together as our 2 day Combined Course. Upon completion of Stage 1 you will be certified and independently able to administer Botulinum Toxin and Dermal Filler treatments. This course is recognised by Cosmetic Indemnity Providers so you will be able to apply for cosmetic insurance after completion of Stage 1 and start practicing immediately.

Stage 1 HEE Training

Upon successful completion of Stage 1, candidates will be able to:


✔ Understand the process of skin ageing and options for prevention/correction.

✔ Perform an appropriate patient examination and consultation regarding anti-ageing.

✔ Develop your ‘Aesthetic eye’, manage patient expectations and recognise the limitations of treatment nonsurgically for each individual patient when making clinical judgements and decisions.

✔ Learn how to make tailored treatments plans, and explain the variety of options available to patients.

✔ Understand the full patient journey from pre-treatment consent, verbal/written/photographic documentation to post-treatment aftercare and follow-up.

✔ Identify suitable and unsuitable candidates for nonsurgical cosmetic interventions, taking into consideration psychosocial factors, high-risk groups, age limits, potential Body Dysmorphic Disorder (BDD) and underlying mental health issues.

✔ Describe, explain and distinguish between static and dynamic lines, and the potential treatment options using botulinum toxins and/or soft tissue fillers.

✔ Understand the indications, contraindications, reconstitutions, diffusion, pharmacology, storage, onset and duration of action of all botulinum toxins, as per manufacturer guidance.

✔ Understand and demonstrate correct doses and injection techniques across upper and lower face injection sites using sterile measures.

✔ Understand and demonstrate common treatment areas, key landmarks and danger zones.

✔ Understand and explain the potential risks and complications of botulinum toxins, including ptosis (lid and brow), unsatisfactory results, asymmetry, dry eyes/mouth, swallowing/breathing difficulties.

✔ Understand age-related facial volume loss and various soft tissue filler options for volume restoration/facial contouring.

✔ Understand and demonstrate correct choice of dermal filler (with or without local anaesthetic) for each facial area/treatment zone (Lips, Nasolabial folds, Marionette lines, Cheeks, Perioral Lines, Hands).

✔ Understand and demonstrate knowledge of different injection techniques such as linear threading, fanning, serial puncture, cross-hatching.

✔ Understand and demonstrate knowledge of indications, contraindications, injection depth, injection quantity, key landmarks and danger zones.

✔ Understand and explain the potential risks and complications of dermal fillers, including lumpiness, swelling, bruising, ‘tyndall effect’, infection, bleeding.

✔ Recognise and accordingly manage serious dermal filler complications such as direct or indirect intravascular occlusion.

There are two courses in Stage 1 – Accredited Cosmetic Training: