$2,000.00
Tear Troughs, Nasolabial Folds, Marionettes, and Perioral Lines
This is an advanced training designed for injectors who are ready to master the most nuanced and detail-driven areas of the face.
Led by Stefanie Gatica, DNP, one of only 14 MD Codes™ Trainers in the United States, this course offers a rare opportunity to refine your approach to areas where precision, restraint, and clinical judgment matter most.
This training builds upon the structural foundation established in the previous courses within the MD Codes™ Foundations series, shifting the focus from support and projection to refinement, transition, and subtle rejuvenation.
This is where outcomes are either elevated or overdone.
The tear trough, nasolabial folds, marionette lines, and perioral regions require a higher level of clinical thinking. These areas are not about volume alone. They are about integration, tissue quality, and respecting the natural movement and expression of the face.
Tear Troughs, Nasolabial Folds, Marionettes, and Perioral Lines
This is an advanced training designed for injectors who are ready to master the most nuanced and detail-driven areas of the face.
Led by Stefanie Gatica, DNP, one of only 14 MD Codes™ Trainers in the United States, this course offers a rare opportunity to refine your approach to areas where precision, restraint, and clinical judgment matter most.
This training builds upon the structural foundation established in the previous courses within the MD Codes™ Foundations series, shifting the focus from support and projection to refinement, transition, and subtle rejuvenation.
This is where outcomes are either elevated or overdone.
The tear trough, nasolabial folds, marionette lines, and perioral regions require a higher level of clinical thinking. These areas are not about volume alone. They are about integration, tissue quality, and respecting the natural movement and expression of the face.
When approached correctly, these treatments can soften fatigue, restore continuity, and create a refreshed appearance that feels effortless and undetectable.
When approached incorrectly, they are often the first areas to reveal it.
This course teaches providers how to navigate these high-risk, high-reward regions using the MD Codes™ framework with a focus on subtlety, safety, and sophisticated outcomes.
Participants will develop advanced insight into:
• Periorbital and perioral anatomy and age-related changes
• The key MD Codes™ for tear troughs, nasolabial folds, marionettes, and perioral lines
• Patient selection and when not to treat certain areas
• How to assess shadowing, volume loss, and tissue quality
• Strategic product selection for delicate, dynamic regions
• Injection depth, plane, and technique for safe, refined results
• Blending and transition techniques for natural integration
• Avoiding common complications and overcorrection
• Treatment sequencing within a full-face approach
• Elevated consultation and expectation setting for refinement treatments
Participants will observe 3-4 live patient treatments demonstrating how thoughtful refinement in the periorbital and perioral regions can elevate the entire face.
Each model will be approached with a conservative, highly strategic plan that prioritizes subtle improvement and seamless integration.
Participants will observe:
• Patient consultation and detailed facial assessment
• MD Codes™ mapping for refinement zones
• Injection technique, precision placement, and product control
• Blending strategies to maintain natural movement and expression
• Post-treatment evaluation and aesthetic refinement
These demonstrations are designed to highlight the difference between treating lines and truly refining the face.
This course is ideal for:
• Injectors who have completed prior MD Codes™ Foundations courses or have advanced filler experience
• Providers looking to refine their results in delicate, high-visibility areas
• Clinicians seeking to improve outcomes in tear trough and perioral treatments
• Aesthetic professionals who value subtlety, precision, and natural-looking rejuvenation
Duration: 7–8 Hours
Tuition: $2,000
Location: Revive Dermatology Clinic and Spa
Format: Observation Only
Class Size: Limited to 5–6 attendees
Course Agenda: Advanced didactic education and live patient demonstrations
Lunch: Provided
This is an intimate, high-level training designed for providers who understand that the smallest details often make the biggest impact.
With limited seating and a strong focus on precision and clinical judgment, this course offers a level of refinement that is rarely taught and even more rarely mastered.
For those ready to elevate their results beyond structure and into true facial refinement, this is the next level.



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