Injectable Fillers Certification

Injectable Fillers Certification

As a registrant, certification in injectable fillers authorizes you to perform injections for an aesthetic purpose. Injectable fillers used for these procedures must be approved by Health Canada.

Injectable Fillers – Provisional Level 1 & Level 1

Obtaining the Injectable FillersProvisional Level 1 certification or the Injectable Fillers – Level 1 certification allows registrants to inject fillers into the lips, cheeks, chin, marionettes, nasal folds (with cannula only) and jawline. All other areas are restricted.

Registrants in these levels can only use Health Canada approved hyaluronic acid injectable fillers and products used to modify or manage their effects, including hyaluronidase. 

Injectable Fillers – Provisional Level 2 & Level 2

Obtaining the Injectable FillersProvisional Level 2 certification or the Injectable Fillers – Level 2 certification allows registrants to inject fillers into areas covered by Level 1 (see above) in addition to the glabella, forehead, nose (bridge, tip and nasolabial junction), pyriform, nasal folds (with needle), tear troughs, eyelids, temples and body. 

Registrants can use any Health Canada approved injectable fillers (Hyaluronic acid, biostimulators, and threads) and products used to modify or manage their effects, including hyaluronidase.

You are prohibited from administering injectable fillers and products used to modify or manage their effects, including hyaluronidase, into any area other than those identified at your certification level. However, emergency use of hyaluronidase is not restricted to any area when performed by any ND with competency.

It is also prohibited to administer injectable fillers into the genitalia.

A naturopathic physician certified in injectable fillers is not permitted to delegate this activity to any other person. It is professional misconduct to delegate any restricted activity, including this procedure.

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) and BLS (HCP) / CPR-HCP; and
  4. Have satisfied the level-specific requirements for this certification (see below).

To apply for Injectable Fillers – Provisional Level 1 certification, you must:

  1. Hold Certification in Cosmetic Botulinum Toxin;
  2. Complete six months of clinical practice using neuromodulators;
  3. Provide 100 patient records demonstrating neuromodulator treatments (using the Records Form)
The above 3 requirements must be met before completing the following training:

4. Complete an approved Level 1 Injectable Filler certification course (see below).

You must complete the following requirements within two years of being granted the Injectable Fillers – Provisional Level 1 certification:

  1. Two years of clinical practice with hyaluronic acid injectable fillers in the level 1 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. 

You must provide the CNPBC with documented evidence of meeting all the above requirements to be granted the Injectable Fillers – Level 1 certification.

To apply for Injectable Fillers – Provisional Level 2 certification, you must:

  1. Have met all the level 1 requirements;
  2. Complete an approved Level 2 Injectable Filler certification course (see below).

You must complete the following requirements within two years of being granted the Injectable Fillers – Provisional Level 2 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 the CNPBC with documented evidence of meeting all of the above requirements to be granted the Injectable Fillers – Level 2 certification.

You may take any of the following courses to satisfy the training requirements for the Injectable Filler – Provisional Level 1 certification:

Approved Training
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
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
Dermal Fillers Level 1 – with Practical Training course offered by Dr. Michael Rahman, ND at the Pinewood Institute for the Advancement of Natural Therapies
Injectable Fillers Level 1 course offered by Dr. David Cordero-Coronado, ND

You may take any of the following courses to satisfy the training requirements for the Injectable Filler – Provisional Level 2 certification:

Approved Training
Advanced Injectable Treatments course offered by Dr. Nicole Clement, ND at the International Institute of Aesthetic Medicine (IIAM) (BC COURSE ONLY)
Injectable Fillers Level 2 course offered by Dr. David Cordero-Coronado, ND

If you hold provisional certifications, you must take a prescribed safety course every two years from the date of being granted certification.

Update coming soon.

To apply for and maintain certification in Injectable Fillers, you must hold and maintain certification in Prescriptive Authority

Those applying for Injectable Fillers – Provisional Level 1 must hold certification in Cosmetic Botulinum Toxin

To maintain valid certification, you must:

    1. Basic Life Support (BLS) for HCP, or CPR for HCP with AED; and
    2. Naturopathic Advanced Life Support (NALS).

In addition to the above, provisional certification holders must complete:

  • A yearly peer review by a registrant certified in the same level or higher; and
  • A prescribed safety course every two years from the date of being granted certification.