Injectable Fillers

Certification in injectable fillers authorizes a registrant to perform injections for an aesthetic purpose. It is prohibited to administer injectable fillers into any area other than those identified at their certification level. It is prohibited for any registrant to administer injectable fillers into the genitalia.

A naturopathic physician certified in injectable fillers is not permitted to delegate those acts to any other person, or give an order to any other person to perform the injections on their behalf. It is professional misconduct to delegate these injection procedures, or to direct another person to perform them.

Injectable fillers used for these procedures must be approved by Health Canada.

Naturopathic physicians who provide injections of injectable fillers are required to complete CNPBC approved education and training, prior to performing such procedures, including certification in Prescriptive Authority, and to maintain currency in the practice.

Certification Requirements

In order to apply for certification in injectable fillers, naturopathic physicians must:

  1. Have the status of full registrant under s. 46 of the CNPBC Bylaws;
  2. Be certified in Prescriptive Authority;
  3. Possess a current qualification in Naturopathic Advanced Life Support (NALS);
  4. Have satisfied the required prerequisites; and
  5. Have satisfied the training requirements for this certification.

Prerequisites

Prior to undertaking any injectable filler training and applying for certification, the following prerequisites must be met:

  1. Certification in cosmetic botulinum toxin;
  2. Certification in prescriptive authority;
  3. Current NALS and BLS CPR-HCP certification;
  4. Six months of clinical practice using neuromodulators; and
  5. Provision of 100 patient records demonstrating neuromodulator treatments (using the Records Form)

Level 1 Certification

Prior to applying for Provisional Level 1 Injectable Filler certification, the following requirements must be met:

  1. Complete Level 1 Injectable Filler certification course, which includes theory and practical hands-on training in injecting the lips, cheeks, chin, marionettes, nasal folds (with cannula only) and jawline.

The following requirements must be met within two years of being granted Provisional Level 1 Injectable Filler certification:

  1. Two years of clinical practice with hyaluronic acid injectable fillers in the above areas only, all other areas are restricted;
  2. Provide 100 patient records demonstrating treatments in the above areas in separate clinical visits (using the Records Form);
  3. A yearly peer review by a registrant certified in the same level or higher; and
  4. Complete the prescribed safety course every two years from the date of being granted Provisional Level 1 Injectable Filler certification. 

Registrants must provide the CNPBC with documented evidence of meeting all of the above requirements before being granted full Level 1 Certification.

Level 2 Certification

Prior to applying for Provisional Level 2 Injectable Filler certification, the following requirements must be met:

  1. All level 1 requirements have been met; and
  2. Complete Level 2 Injectable Filler certification, which includes theory and practical hands-on training in injecting the glabella, forehead, nose (bridge, tip and nasolabial junction), pyriform, nasal folds (with needle), tear troughs, eyelids, temples and body.

The following requirements must be met within two years of being granted Provisional Level 2 Injectable Filler certification:

  1. Two years of clinical practice with all types of injectable fillers in level 2 areas; 
  2. Registrants are able to utilize any Health Canada approved injectable fillers (Hyaluronic acid, Biostimulators, and threads);
  3. Provide 100 patient records demonstrating treatments in the level 2 areas in separate clinical visits (using the Records Form);
  4. Yearly peer review by a registrant certified in the same level or higher; and
  5. Complete the prescribed safety course every two years from the date of being granted Provisional Level 2 Injectable Filler certification.

Registrants must provide CNPBC with evidence of completion of all of the above requirements before being granted full Level 2 Certification.

Registrants may take any of the following courses to satisfy the training requirements for Level 1 Injectable Filler Certification:

– Level 4 – Basic Facial Dermal Filler: Vermilion Border, Lips, Naso-Labial Folds, Cheeks & Marionette Lines course offered by the Pacific Training Institute for Facial Aesthetics and Therapeutics

– Module IV and Module VIII course offered by the American Academy of Anti-Aging Medicine (A4M)

– International Institute of Aesthetic Medicine: Injectable HA Filler Foundations course offered by Dr. Haneef Alibhai MD at the International Institute of Aesthetic Medicine (IIAM). 

– Injectable Filler course offered by Dr. Henry Ngai, MD and Dr. Moon-Sang Choi, ND at the Canadian Society of Skin Medicine

– Primary Neurotoxin and Dermal Filler Injectable course offered by Vicki Mulyk, RN at Cerilean Medical

Registrants may take any of the following courses to satisfy the training requirements for Level 2 Injectable Filler Certification:

– Advanced Injectable Treatments course offered by Dr. Haneef Alibhai, MD at the International Institute of Aesthetic Medicine (IIAM)

Registrants holding certification in injectable fillers must:

  1. Complete at least two hours of continuing education in Category E – Certifications, by attending a training course relevant to injectable fillers; OR
  2. Show proof of completing 50 treatments at their level of certification; AND
  3. Attend a prescribed safety training course every two years from the date of obtaining certification.

Registrants may take any of the following courses to satisfy the safety training requirements:

Update coming soon.

Grandfathering

Registrants who held certification in injectable fillers prior to September 1st, 2022, can apply to be grandfathered into the new certification format. 

The grandfathering process is summarized here:

  1. All registrants certified in Aesthetics Injectable Filler prior to September 1st, 2022, will be automatically granted certification in Aesthetics Injectable Filler – Level 1.          
  2. Only registrants who wish to pursue Provisional Level 2 or Level 2 are required to apply.        Registrants applying for Level 2 must submit proof of further training in level 2 areas and 100 records in the level 2 areas from the last 24 months. To apply, please submit the Application – Aesthetic Filler Grandfathering and Records Form to the college by December 31, 2022.